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Intra-alveolar root fracture in primary teeth
Gyu-Tae Kim1, Miyeon Sohn, Hyo Jung Ahn
1Department of Oral and Maxillofacial Radiology, Institute of Oral Biology, School of Dentistry, Kyung Hee University, Seoul, the Republic of Korea.
Pediatric Dentistry
|December 26, 2012
Summary
Long-term resin wire splinting effectively manages intra-alveolar root fractures (IARF) in primary teeth by reducing mobility. This semi-rigid splinting approach aids in maintaining fractured primary teeth, promoting healing and favorable prognosis.
Area of Science:
- Pediatric Dentistry
- Dental Traumatology
- Endodontics
Background:
- Intra-alveolar root fracture (IARF) is a common dental trauma in primary teeth.
- Management of IARF in primary teeth requires careful consideration to preserve the dentition.
- Long-term outcomes of various splinting techniques for IARF in primary teeth are crucial for clinical decision-making.
Observation:
- This study evaluated 10 patients with 16 IARFs in primary anterior teeth.
- Data collected included patient demographics, fracture characteristics, splinting duration, and follow-up.
- Fractures predominantly occurred in the middle root third, with males affected more frequently.
Findings:
- The mean splinting period was 5.1 weeks, with long-term follow-up ranging from 14 to 36 months.
- Complete resorption of the fractured root fragment was observed within 10 months in all cases.
- Semi-rigid splinting effectively reduced tooth mobility, facilitating the maintenance of fractured primary teeth.
Implications:
- Semi-rigid splinting with resin wire is a viable conservative management strategy for IARF in primary teeth.
- This approach can help maintain the integrity of the primary dentition during the healing process.
- Effective management of IARF in primary teeth contributes to normal tooth development and prevents complications.
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