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Tooth Fracture

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1. For Healthy Patients with an Asymptomatic Tooth Fracture Limited to the Enamel, There Is a Lack of Evidence to Suggest That Placing a Full-Coverage Restoration Upon First Observation Is More Effective at Increasing the 10-year Prognosis of the Tooth Than

For Healthy Patients with an Asymptomatic Tooth Fracture Limited to the Enamel, There Is a Lack of Evidence to Suggest That Placing a Full-Coverage Restoration Upon First Observation Is More Effective at Increasing the 10-year Prognosis of the Tooth Than UTCAT2671, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title A New Prosthesis Alone May Not Improve a Patient's Nutritional Status Clinical Question Does an adult

2014 UTHSCSA Dental School CAT Library

2. [Effect of flowablenano-composite on the bonding strength of tooth reattachment on fractured crowns]. (PubMed)

[Effect of flowablenano-composite on the bonding strength of tooth reattachment on fractured crowns]. To study the effect of flowable nano-composite and different resin adhesives on reattachment of fractured crowns.Thirty four fractured human maxillary incisors were obtained and randomly assigned into 4 groups and reattached using two types of adhesives: Easy one (EO) and Single bond 2(SB2), with or without Filtek Z350 flowable nano-composite. Four days after reattaching, the teeth were tested (...) the fractured tooth perfectly, the tooth reattached using EO without composite will achieve higher bonding strength. However, not all the adhesives can be used to reattach without composite. Clinical decisions should be made on two aspects: whether the selected adhesive has sufficient mechanical strength and if there is any loss of tooth tissue after fracture.

2019 Shanghai kou qiang yi xue = Shanghai journal of stomatology

3. A case report of uncomplicated crown fracture: tooth fragment reattachment. (PubMed)

A case report of uncomplicated crown fracture: tooth fragment reattachment. This case report describes conservative management of an uncomplicated enamel dentine crown fracture with tooth fragment reattachment. This time efficient technique allowed for achievement of an optimal aesthetic result with simultaneous patient and clinician satisfaction. The outright disadvantages of extensive restorative material usage are therefore largely avoided. The use of a minimal preparation and fracture line

2019 British Dental Journal

4. Patients with cracked tooth syndrome, the bite test is not conclusively more effective than transillumination in diagnosing tooth fractures.

Patients with cracked tooth syndrome, the bite test is not conclusively more effective than transillumination in diagnosing tooth fractures. UTCAT2548, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Patients with Cracked Tooth Syndrome, The Bite Test is Not Conclusively More Effective Than Transillumination in Diagnosing Tooth Fractures Clinical Question In patients suffering from a cracked tooth syndrome, is the bite (...) test a better diagnostic tool than transillumination? Clinical Bottom Line For patients with cracked tooth syndrome, the bite test is not conclusively more effective than transillumination in diagnosing tooth fractures. This is based on a study involving 378 patients with CTS-like conditions. All teeth with CTS-like conditions tested positive response to the bite test. Of the 33 teeth with CTS, all transilluminated. Based on these results a positive bite test is diagnostic of CTS

2013 UTHSCSA Dental School CAT Library

5. Influence of Tooth Orientation on the Detection of Vertical Root Fracture in Cone-beam Computed Tomography. (PubMed)

Influence of Tooth Orientation on the Detection of Vertical Root Fracture in Cone-beam Computed Tomography. The purpose of this study was to assess the influence of tooth orientation in relation to the projection plane of the x-rays on the detection of vertical root fracture (VRF) with different filling materials using cone-beam computed tomographic (CBCT) imaging.Thirty single-rooted human teeth were endodontically instrumented, and VRF was induced in half of the sample. The roots were (...) images and rated the fractures on a 5-point scale. The sensitivity, specificity, accuracy, and positive and negative predictive values were calculated. The area under the receiver operating characteristic curve and the dosimetric outcomes for each root orientation and filling material were compared, respectively, with 2-way and 1-way analysis of variance with the post hoc Tukey test (α = 0.05).There was no significant difference (P ≥ .05) in the detection of VRF between root orientations regardless

2018 Journal of Endodontics

6. Influence of Access Cavity Preparation and Remaining Tooth Substance on Fracture Strength of Endodontically Treated Teeth. (PubMed)

Influence of Access Cavity Preparation and Remaining Tooth Substance on Fracture Strength of Endodontically Treated Teeth. The purpose of this study was to assess the impact of access cavity preparation and the remaining tooth substance on the fracture strength of endodontically treated teeth.One hundred sound mandibular first and second molar teeth were selected and divided into 1 control and 9 test groups (n = 10/group) as follows: control group, intact teeth; group 1, teeth prepared (...) to fracture in a universal loading machine (Triaxial Tester T400 Digital; Controls srl, Cernusco, Italy), and fracture values were recorded in newtons. The data were analyzed with 2-way analysis of variance and Tukey post hoc analysis for multiple comparisons (P < .05).Intact teeth were more resistant to fracture than the teeth in all the test groups. No statistically significant differences were found between the 3 tested access cavities (P > .05). Significant differences were observed between

2018 Journal of Endodontics

7. Fractographic Analysis of a Split Tooth Presenting Radiographically as a Horizontal Root Fracture in an Unrestored Mandibular Second Molar. (PubMed)

Fractographic Analysis of a Split Tooth Presenting Radiographically as a Horizontal Root Fracture in an Unrestored Mandibular Second Molar. Spontaneously catastrophic fracture of intact unrestored molar teeth is not common. Nevertheless, cracks do occur that progress apically, resulting in the complete splitting of the tooth and root. This report describes a catastrophic fracture that occurred in an unrestored mandibular second molar resulting in a previously unreported combination (...) fractographic evidence of factors contributing to the initiation and progression of an in vivo crack. It shows fracture markings that are evidence of the energy dissipation mechanisms. The topographic location of these markings confirmed that cracks occur in vivo in stages with different rates of progression.This analysis helps to explain why split teeth are uncommon and highlights some of the multitude of factors that have to coincide for a tooth to catastrophically fracture. The report describes

2017 Journal of Endodontics

8. Fracture load and survival of anatomically representative monolithic lithium disilicate crowns with reduced tooth preparation and ceramic thickness (PubMed)

Fracture load and survival of anatomically representative monolithic lithium disilicate crowns with reduced tooth preparation and ceramic thickness To investigate the effect of reducing tooth preparation and ceramic thickness on fracture resistance of lithium disilicate crowns.Specimen preparation included a standard complete crown preparation of a typodont mandibular left first molar with an occlusal reduction of 2 mm, proximal/axial wall reduction of 1.5 mm, and 1.0 mm deep chamfer (Group (...) A). Another typodont mandibular first molar was prepared with less tooth reduction: 1 mm occlusal and proximal/axial wall reduction and 0.8 mm chamfer (Group B). Twenty crowns were milled from each preparation corresponding to control group (n=5) and conditioned group of simultaneous thermal and mechanical loading in aqueous environment (n=15). All crowns were then loaded until fracture to determine the fracture load.The mean (SD) fracture load values (in Newton) for Group A were 2340 (83) and 2149 (649

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2017 The journal of advanced prosthodontics

9. A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance (PubMed)

A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance Traumatic dental injuries (TDIs) are common in growing children. Among all the dental injuries, complicated crown root fractures (Andreasen Class VI) of maxillary permanent anterior teeth are relatively widespread. Such fractured teeth are often considered as hopeless and are extracted. However, if the tooth is to be retained, various treatment strategies have been proposed. The aim of the present (...) case report is to suggest a new technique to treat a complicated crown root fracture. The management of this case included endodontic procedure and orthodontic extrusion to move the fracture line above the supragingival level. A customized removable Hawley's appliance with a modified single cantilever spring was fabricated and an anchoring Begg bracket was bonded on the residual crown of the tooth. This method is useful in the mixed dentition when there is insufficient anchorage of adjacent teeth

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2017 International journal of clinical pediatric dentistry

10. Tooth Reattachment and Palatal Veneer on a Multidisciplinary Approach of Crown Fractures in Upper Central Incisors (PubMed)

Tooth Reattachment and Palatal Veneer on a Multidisciplinary Approach of Crown Fractures in Upper Central Incisors Dental trauma is more common in young patients and its sequelae may have great impact on the esthetics, functions, and phonetics. This paper reports a case of trauma in both central incisors in a young 17-year-old patient who was treated using adhesive tooth fragment reattachment on tooth 2.1 and a palatal indirect composite veneer on tooth 1.1. Regarding the available literature (...) and fracture extension, the treatment approach proposed for this case provided good functional and esthetic outcomes. Clinical and radiographic results after 1 year were successful. This case demonstrates the importance of establishing a multidisciplinary approach for successful dental trauma management.

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2017 Case reports in dentistry

11. Impact of cusp inclinations on dental fractures in cracked tooth syndrome model and relevant risk evaluation (PubMed)

Impact of cusp inclinations on dental fractures in cracked tooth syndrome model and relevant risk evaluation We explored the impact of cusp inclinations on dental fractures in cracked tooth syndrome model and formulated corresponding risk scale. Forty maxillary premolars were randomized into four groups for cusp inclination measurements by digital radiovisiography (RVG). For cracked tooth models, buccal and palatal cusp inclinations were achieved by grinding in groups I (59°-50°), II (64°-55 (...) °) and III (69°-60°), with group IV as blank control. All groups underwent compression loading test, with fracture levels recorded for statistical analysis. The fracture modes included a majority of crown root fractures and a minority of crown fractures in groups I and II, exclusive crown root fractures in group III, and exclusive crown fractures in group IV. Overall, palatal fractures were predominant versus buccal fractures, with exclusive palatal fractures in group IV, and oblique fractures were

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2017 Experimental and therapeutic medicine

12. The Coronal Tooth Fractures: Preliminary Evaluation of a Three-Year Follow-Up of the Anterior Teeth Direct Fragment Reattachment Technique Without Additional Preparation (PubMed)

The Coronal Tooth Fractures: Preliminary Evaluation of a Three-Year Follow-Up of the Anterior Teeth Direct Fragment Reattachment Technique Without Additional Preparation The aim of this research is to describe and to analyse the long-term results and the clinical steps of direct fragment reattachment technique with no additional tooth preparation, used to treat crown fracture. This technique achieves the clinical success, combining satisfactory aesthetic and functional results with a minimally (...) invasive approach.The 3 years follow-up included 9 patients (5 males, 4 females) with coronal fracture. In all the cases the fragment was available and intact. The authors illustrate the adhesive procedure used. Under local anaesthesia and after positioning the rubber dam, both the tooth and the fragment surface were etched, rinsed and applied by the adhesive system in order to obtain the retention of the fractured part to the tooth without additional tooth preparation or resin cement.The statistical

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2017 The open dentistry journal

13. Management of Tooth Fractures Using Fiber Post and Fragment Reattachment: Report of Two Cases (PubMed)

Management of Tooth Fractures Using Fiber Post and Fragment Reattachment: Report of Two Cases Reattachment of the tooth fragment is an ultraconservative technique for managing coronal tooth fractures when the tooth fragment is available, and there is minimal violation of the biological width. The advances in adhesive dentistry have allowed dentists to use the patient's own fragment to restore the fractured tooth which provides fast and esthetically pleasing results. This article reports (...) fragment reattachment technique and presents two clinical cases of complicated crown fracture.

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2017 Journal of pharmacy & bioallied sciences

14. Tooth Fracture

Tooth Fracture Tooth Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tooth Fracture Tooth Fracture Aka: Tooth Fracture (...) , Fractured Teeth From Related Chapters II. Definition Broken tooth affecting any portion of tooth (root or crown) III. Symptoms Pain at affected tooth IV. Types Root Difficult to diagnose without dental expertise and imaging Typically treated as splinter line or crack line Asymptomatic in most cases Amenable to cosmetic restoration Longterm risk of future affected tooth problems Crown Enamel (Ellis Type 1) Remaining tooth white or opaque Painless to air and water Amenable to cosmetic restoration Dentin

2018 FP Notebook

15. Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports (PubMed)

Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports Trauma of anterior teeth is quite a common occurrence in both children and adults. Various degrees of trauma leading to fracture may affect teeth in different ways depending on the age of the patient and extent of fracture and other factors that will be discussed. Guidelines have been given as to how each of these situations should be treated. In the past, often more (...) aggressive restorations were performed to restore fractured teeth. However improved and more efficient adhesion may affect the type of treatment we decide to carry out, leading to more conservative therapies through an increased preservation of tooth structures.

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2016 Case reports in dentistry

16. Treatment of posterior cruciate ligament avulsion fractures of the tibia using a toothed plate and hollow lag screw (PubMed)

Treatment of posterior cruciate ligament avulsion fractures of the tibia using a toothed plate and hollow lag screw To investigate the feasibility and clinical efficacy of using a toothed plate and hollow lag screw in the surgical treatment of posterior cruciate ligament (PCL) avulsion fractures of the tibia.A total of 21 patients were treated with open reduction and internal fixation using a toothed plate and hollow lag screw, through a posteromedial approach using an inverted L-shaped (...) . The patients (13 men, eight women) had a mean age of 41.5 (range 19-72) years. Anatomical reduction of the fracture and satisfactory fixation were achieved in all 21 patients. Bony union was achieved in all patients at 8-12 weeks after surgery. Six months after surgery, knee flexion was 121.9° ± 10.4° and extension was 0°. According to the Lysholm Knee Scoring Scale, 19 patients were rated as 'excellent' and two as 'good'.The use of a toothed plate and hollow lag screw could be a simple and reliable

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2016 Singapore medical journal

17. Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report (PubMed)

Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report Although it is challenging, the early diagnosis of a vertical root fracture (VRF) is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central (...) incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered

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2016 Restorative dentistry & endodontics

18. Splinting of an avulsed tooth with a mature apex is recommended for no more than 14 days to facilitate periodontal healing

Splinting of an avulsed tooth with a mature apex is recommended for no more than 14 days to facilitate periodontal healing UTCAT3288, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Splinting of an avulsed tooth with a mature apex is recommended for no more than 14 days to facilitate periodontal healing Clinical Question When treating an avulsed tooth with a mature apex, does short-term splinting over long-term (...) of an avulsed tooth and splint duration. #3) Werder/2011 42 avulsed teeth in 37 individuals Prospective Cohort Study Key results While no descriptive statistics were performed due to the small sample size, it was noted that periodontal healing was not affected by whether teeth were splinted for 14 days or less, or more than 14 days. For teeth splinted for less than 14 days, 10/22 teeth showed periodontal healing while those splinted for greater than 14 days, 10/20 showed periodontal healing. Although

2017 UTHSCSA Dental School CAT Library

19. Tooth fragment reattachment techniques?

Tooth fragment reattachment techniques? Tooth fragment reattachment techniques? - National Elf Service Search National Elf Service Search National Elf Service » » » » Tooth fragment reattachment techniques? May 17 2018 Posted by Uncomplicated tooth fractures involving just enamel and dentine are common in children. treatment ranges from composite resin restoration to dental fragment bonding. Tooth fragment reattachment offers a number of advantages the most important of which is aesthetic (...) . A number of different preparation approaches and restorative material and adhesive systems have been suggested. The aim of this review it Is to assess what is the best tooth fragment reattachment technique for crowns of the fractured anterior teeth. Methods Searches were conducted in the PubMed, LILACS, Web of Science, Cochrane, Scopus, Open Grey and Google Scholar databases. Observational studies ( Case reports/series of three or more cases, cross-sectional studies, cohort studies, and in vivo

2018 The Dental Elf

20. Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review

Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review Comparative Effectiveness Review Number 218 RComparative Effectiveness Review Number 218 Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 (...) . Timothy J. Wilt, M.D., M.P.H. AHRQ Publication No. 19-EHC016-EF April 2019 ii Key Messages Purpose of Review To summarize the effects of long-term osteoporosis drug treatment and of osteoporosis drug treatment discontinuation and holidays. Key Messages • Evidence on the effects of long-term osteoporosis drug treatment and drug continuation versus discontinuation is mostly limited to white, healthy, postmenopausal women. • Long-term alendronate reduces radiographic vertebral and nonvertebral fractures

2019 Effective Health Care Program (AHRQ)

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