ABSTRACT
The consequences of injudicious use of orthodontic braces may vary from mild periodontal problems to severe loss of the attached periodontal tissues. In this case the patient had undergone orthodontic treatment. Though her appearance improved after the orthodontic treatment, but tooth # 16 which was banded and used for anchorage showed complete crestal and apical bone dehiscence in the buccal region. The patient came with the complaint of discomfort and inability to chew on the right side of maxilla. On intraoral examination, unusual calculus was seen deposited on the gums. X-ray showed resorption of buccal roots of tooth # 16. The patient was treated endodontically for the same tooth as it was grossly carious with exposed pulp chamber but incomplete root canal treatment. The buccal canals showing resorption were disinfected and overfilled to an extent that GP points became visible in the buccal sulcus. Raising the flap, the affected roots were cleaned and planed and the extruded GP cut and the roots resected and sealed with glass ionomer cement to encourage reattachment of periodontal apparatus. After 9-month of recall, patient is performing well with improved periodontal attachment and firmly standing tooth in the socket
ABSTRACT
This case report presents the management and follow-up of a 12-year old boy who had sustained trauma to his upper anterior teeth. The tooth 21 had an oblique fracture just above the cemento-enamel junction running from buccal to the palatal aspect of the root extending upto mid radicular area. Such fractures pose difficulty to treat them because of loosening of fractured coronal fragment. Clinicians have used various techniques to repair such fractures. In this case the coronal fracture was temporarily stabilized using orthodontic wire. Wires are used for immobilizing mandibular fractures and splinting loosened teeth. Their use for repair of fractured teeth has been described here as it is a simple procedure and wires are quite freely available in the dental clinics. This reporting will add to the already available options for saving and restoring teeth sustaining traumatic injuries. The wire was tightened circumferentially around the tooth at the cervical region. After thorough debridement and copious irrigation canal was filled. A prefabricated gold plated post was loaded with glass ionomer cement and inserted into the canal approximating the fragments close together. Subsequent to successful endodontic therapy, metal-ceramic crowns were provided as final restorations to the teeth. Clinical and radiographic examinations after 12 months revealed a perfect repair of the broken fragments with healthy peridontium