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CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2013, 40(1), pp.53-59
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry

정지현 1 박재홍 2 KIM, KWANG CHUL 2 최영철 2 Chul Choi Sung 2

1경희대학교 치의학전문대학원 소아치과
2경희대학교

Accredited

ABSTRACT

In an intra-alveolar root fracture (IARF) of a primary tooth with severe mobility and displacement , extraction and periodic-follow-up is the choice of recommended treatments because of the fear of aspiration of the mobile tooth and the possibility of damage in the permanent succeeding tooth. However, repositioning and splinting are presented as a fresh proposal recently. In case of extracting a primary incisor, many problems occur; esthetic problems; functional problems such as pronunciation and mastication; space loss; and psychological and social problems. Therefore, the best treatment is conservation of the primary tooth. The aim of this report was to suggest the conservative treatment of an Intra-alveolar root fracture of the primary central incisors with severe mobility and displacement based on two cases that describe the diagnoses,treatments and follow-ups (mean period: 27-month). All cases have been treated by reduction and immobilization by resin wire splint (RWS) (mean period: 6-week). Both cases were followed up until the successors were erupted. There have been no complications such as pain, pulp necrosis, periapical lesion, displacement of permanent tooth germ, eruption disturbance and etc.

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