Reattachment of complex fractures; a reality by advances in self-etch bonding systems

An 18-year-old female patient reported to the Department of Conservative and Endodontics with the chief complaint of fractured tooth with respect to 21 and increased pain and mobility tooth with respect to 22. Intraoral periapical radiograph of 21 revealed coronal loss of tooth structure involving enamel, dentin, and pulp, suggestive of split tooth with respect to 21. Intraoral examination revealed a fracture of coronal structure of 22 and increased mobility in the coronal aspect, suggestive of horizontal crown–root fracture. For management of 21, after endodontic phase, placement of fiberpost, and coronal buildup, intentional reimplantation was done to expose and reattach the vertically fractured root fragment. For management of 22, after endodontic phase, crown lengthening was done, and the fractured fragment was reattached by making it a Natural Richmond's Crown. Radiographs revealed a complete sealing of the fractured fragment and proper positioning of the tooth.

Endodontic Management Of Internal Resorptive Defect In Maxillary Central Incisor: A Case Report.

Internal resorption is a form of tooth resorption that begins at any point of pulp chamber or root canal and produce an irregular progressive removal of tooth structure. Radiographically, the lesion appears as a uniform, round-to-oval radiolucent enlargement of the pulp space. This case report presents a rare case of resorption in the middle third of pulp space in maxillary right central incisor.

A Tactile Method For Canal Length Determination In Teeth With Open Apices- A Case Report.

The term ‘open apex’ is used to indicate the presence of an exceptionally wide root canal at the apex. Open apices occurs in immature teeth when root development ceases as a result of pulp necrosis. Trauma and caries are regarded as the main cause of open apices in immature anterior teeth. Successful root canal treatment occurs when overinstrumentation and overfilling are avoided and filling materials confined to the limits of the canal. Hence, accurate working length is essential for optimal healing. Open apices pose many difficulties to contemporary methods of canal length determination. A case report presents a consistent tactile method for working length determination in teeth with open apices.