Department of Pathophysiology - Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Private Dental Practice.
Bull Tokyo Dent Coll. 2023 Mar 7;64(1):13-22. doi: 10.2209/tdcpublication.2022-0019. Epub 2023 Feb 15.
Dental anterior fractures are common injuries, especially in those who practice extreme sports. This report describes a 25-year-old Bolivian patient who attended our private dental clinic in La Paz, Bolivia after experiencing an accident during downhill mountain biking. An intraoral examination revealed a fracture line on the buccal side in the middle third of the coronal portion of the right central maxillary incisor which extended towards the proximal and lingual sides. Multidisciplinary treatment, including crown lengthening, osteotomy, root canal treatment, fiberglass post insertion, and reattachment of the fracture segment was performed. A follow-up examination at 10 months later revealed that the tooth was completely reestablished both functionally and esthetically and that there was no periapical pathosis or discomfort. This outcome suggests that if a patient seeks a dental consultation soon after a complex crown-root fracture has occurred, and if the broken tooth segment is available, then reattachment offers an economical and simple treatment option which will allow immediate restoration of functionality and esthetic standards. Continued follow-up should form part of such a treatment plan to allow long-term pulp vitality and periodontal health status to be monitored.
前牙折裂是一种常见的损伤，尤其是在从事极限运动的人群中。本报告介绍了一位 25 岁的玻利维亚患者，他在玻利维亚拉巴斯的一家私人牙科诊所就诊，此前他在骑山地自行车下坡时发生了意外。口腔内检查发现右上颌中切牙冠部的中三分之一颊侧有一条折裂线，向近中和舌侧延伸。采用多学科治疗，包括牙冠延长术、骨切开术、根管治疗、玻璃纤维桩插入和骨折段再接。10 个月后的随访检查显示，牙齿在功能和美观上完全恢复，无根尖病变或不适。这一结果表明，如果患者在复杂的冠根折发生后尽快寻求牙科咨询，并且断牙段可用，那么再接提供了一种经济简单的治疗选择，可以立即恢复功能和美观标准。这种治疗计划应包括持续的随访，以监测长期牙髓活力和牙周健康状况。
