Silva L, Álvares P, Arruda JA, Silva LV, Rodrigues C, Sobral APV, Silveira M. Horizontally root fractured teeth with pulpal vitality - two case reports. World J Radiol 2016; 8(12): 928-932 [PMID: 28070245 DOI: 10.4329/wjr.v8.i12.928]
Corresponding Author of This Article
Luciano Silva, DDS, MSc, PhD student, Universidade de Pernambuco, Av. Gov. Agamenon Magalhães, S/N, Santo Amaro, Recife, PE 50100-010, Brazil. lucianobarreto63@gmail.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Dec 28, 2016; 8(12): 928-932 Published online Dec 28, 2016. doi: 10.4329/wjr.v8.i12.928
Horizontally root fractured teeth with pulpal vitality - two case reports
Luciano Silva, Pâmella Álvares, José Alcides Arruda, Leni Verônica Silva, Cleomar Rodrigues, Ana Paula Veras Sobral, Marcia Silveira
Luciano Silva, Pâmella Álvares, José Alcides Arruda, Leni Verônica Silva, Ana Paula Veras Sobral, Marcia Silveira, Universidade de Pernambuco, Santo Amaro, Recife, PE 50100-010, Brazil
Cleomar Rodrigues, Department of Dental Radiology and Imaging, Faculdades Integradas da União Educacional do Planalto Central, SIGA Área Especial para Indústria, 02. Setor Leste, Gama, DF 72445-020, Brazil
Author contributions: All authors contributed to the acquisition of data, writing, and revision of the manuscript.
Institutional review board statement: This case report was exempt from the institutional Review Board standards at Universidade de Pernambuco in Brazil.
Informed consent statement: The patients involved in this study gave their written informed consent authorizing use and disclosure of their protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Luciano Silva, DDS, MSc, PhD student, Universidade de Pernambuco, Av. Gov. Agamenon Magalhães, S/N, Santo Amaro, Recife, PE 50100-010, Brazil. lucianobarreto63@gmail.com
Telephone: +55-81-30316824 Fax: +55-81-30316824
Received: April 26, 2016 Peer-review started: April 27, 2016 First decision: July 5, 2016 Revised: July 26, 2016 Accepted: August 17, 2016 Article in press: August 18, 2016 Published online: December 28, 2016 Processing time: 237 Days and 10.5 Hours
Abstract
This case study reports the successful outcome of horizontal root fractures of two different patients, which took place in permanent incisors. Report 1 describes a case of a 29-year-old patient who suffered a mandibular trauma affecting mainly the lower central incisors, caused by a car accident. A panoramic radiograph was taken right after the accident and showed a horizontal root fracture in the middle third of tooth 42, which went untreated. Report 2 illustrates a case of a 17-year-old male patient who searched for orthodontic therapy and the periapical radiograph showed horizontal root fracture in tooth 11 caused by a previous trauma, which went untreated as well. There was healing through the reestablishment of pulp activity and dental coloration without professional intervention.
Core tip: The innovative arguments of this paper is the importance of the follow up procedure conceding the biological response of each patient facing root fractures; especially apex remodeling, calcification and root resorptions. Dentists must be aware that such biological responses may happen without professional interference, which, made previously, might have a complete different outcome.
