PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Tooth Fractures”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources
PubMed1997

Evaluation for cracks associated with ultrasonic root-end preparation of gutta-percha filled canals.

Many clinicians use ultrasonics for root-end preparations. The purpose of this study was to evaluate resected root-end surfaces of bilaterally matched human teeth for cracks before and after ultrasonic root-end preparation. Twenty matched pairs of extracted single rooted teeth were divided into two experimental groups. In group 1, root-end resection was performed on uninstrumented teeth. In group 2, root-end resection was performed after the canals were instrumented and filled with gutta-percha. All teeth in both groups received root-end preparations using ultrasonic instrumentation at low power. Two examiners evaluated the root-ends after root-end resection and again after root-end preparation using zoom magnification of 20x to 63x. The number, types, and location of cracks were mapped. There were no significant differences when gutta-percha filled roots were compared to uninstrumented roots with regard to the number or type of cracks after root-end resection or root-end preparation. In addition, there were no significant differences in the number or type of cracks following root resection and ultrasonic root-end preparation when compared to teeth with root resection alone.

Analysis of Variance↗
PubMed1998

Residual dentin thickness in mandibular premolars prepared with hand and rotatory instruments.

The residual dentin thickness in the coronal part of root canals of mandibular premolars after stepback preparation and flaring with Gates Glidden (GG) drills was assessed sequentially in a newly designed muffle device. Twelve extracted teeth were embedded in clear polyester resin, sectioned horizontally (1, 3, and 5 mm apically to the cementoenamel junction), and reassembled in the muffle device. The sequence of canal preparation was K-files to #40, then GG-2 and GG-4. After each procedure, the slices were separated and residual dentin thickness measured by a toolmaker microscope in four directions (buccal, lingual, distal, and mesial) and reassembled in the muffle device. Statistical analysis by three-way analysis of variance with repeated measures was undertaken. The difference in residual dentin thickness was highly significant with regard to instrument (control, K-40, GG-2, GG-4; p < 0.0001), slice (upper, middle, and lower; p < 0.0003), and direction (B, L, M, and D; p < 0.001). In each slice, the width of the mesial side was similar to the distal side, as was the buccal to the lingual sides. Reduction of residual dentin thickness in the mesiodistal direction, from the unprepared upper slice to the GG-4 prepared lower slice, was appreciably greater (35%) than in the buccolingual direction (5%).

Analysis of Variance↗
PubMed1999

Evaluation of diamond-coated ultrasonic instruments for root-end preparation.

Ultrasonic instrumentation has been associated with cracking of the dentin in the area of the root-end preparation. The purpose of this study was to evaluate root-end preparations for cracking and to describe cavosurface morphology after the use of diamond-coated instruments. Forty teeth were inspected for intradentin cracks, incomplete canal cracks, and complete canal cracks before and after preparation with a stainless steel CT-5 ultrasonic instrument and again after root-end preparation with an S12D/90 degrees diamond-coated instrument. Six teeth had polyvinylsiloxane impressions taken of the root ends after preparation with the CT-5 and again after preparation with the diamond-coated instrument. Replicas were made, split, sputter-coated, and inspected using the scanning electron microscope. This study indicates that use of the diamond-coated instrument for root-end preparation does not result in significant root-end cracking and that it can remove cracks created by a prior instrument's use. The use of the diamond-coated instrument resulted in a heavily abraded, debris-covered cavosurface that may affect the apical seal.

Analysis of Variance↗
PubMed1998

Endodontic diagnosis in dogs.

Complete endodontic evaluation should diagnose endodontic involvement, provide a treatment plan, and evaluate the true success or failure probabilities. Evaluation of the age, physical and oral health of the patient, the endodontic anatomy, clinical and radiographic findings can provide a treatment plan and a predictable prognosis.

Animals↗
PubMed1982

Facial cellulitis following dental injury in a child.

A case of facial cellulitis complicating a luxation injury of the right central maxillary incisor is reported in a pediatric patient. The initial impression in the emergency department was that of a fractured tooth. In spite of radiographic studies and appropriate consultations, the true intrusion injury was not appreciated. A periodontal infection developed as a result of the damaged periodontal ligament and alveolar bone. Contiguous spread of the infection to the facial tissue requiring hospitalization resulted in patient morbidity. Extraction of the tooth and penicillin therapy resulted in an uneventful recovery. Because oral trauma is a frequent reason for emergency department visits, this case is presented to facilitate the recognition of dental injury and encourage appropriate therapy.

Cellulitis↗
PubMed1998

Emergency treatment of orodental injuries: a review.

There has been an increase in the incidence of injuries to the incisor teeth in the primary and permanent dentitions over the last decade; one study reported that roughly 35% of 9-year-old children will have damaged their teeth in some way. Much has been written about dental injuries, and there may be confusion about the appropriate emergency treatment for different types. Classification and understanding of the types of injury are essential before diagnosis and treatment can be undertaken. Although dental injuries can occur singly, they more usually involve a combination of injuries to a tooth and its supporting structures. Prompt, accurate diagnosis and appropriate emergency treatment as outlined in this paper will greatly improve the prognosis for many dentoalveolar injuries. The aim must be to ensure that the third of the population of preteenage children who damage their teeth are not resigned to loss of an incisor in later life because of inaccurate diagnosis and poor treatment of the emergency condition.

Child↗
PubMed1977

Condylar fractures of the mandible. I. Classification and relation to age, occlusion, and concomitant injuries of teeth and teeth-supporting structures, and fractures of the mandibular body.

In 123 individuals, 138 fractures of the mandibular condyle were classified with respect to fracture level, dislocation at the fracture level, and condylar head relation to the articular fossa. The age of the patient and the location of the most distal occlusal contact were recorded as well as teeth injuries and concomitant fractures of the mandibular body. The position of the most distal occlusal contact did not influence the dislocation of the condylar fragment. Teeth injuries such as fractures and luxation were found to be associated with condylar head or neck fractures, whereas the concomitant fractures of the mandibular body were mostly seen with the subcondylar fractures. Teeth injuries as well as concomitant fractures of the mandibular body were found more frequently in patients with bilateral than unilateral condylar fractures. Fractures of teeth in the molar and bicuspid regions were most frequent on the condylar fracture side, while the concomitant fractures of the mandibular body were located to the contralateral side. Medial angulation of the condylar fragment with lateral override at the fracture level was the typical fracture in adults, and angulation without override the characteristic fracture in growing individuals. Medical override occurred both in children and in adults and seemed to be the result of more severe trauma to the chin.

Accidents↗
PubMed1993

Visibility of foreign bodies in soft tissue in plain radiographs, computed tomography, magnetic resonance imaging, and ultrasound. An in vitro study.

We compared conventional plain radiography, computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US) with respect to their suitability for detecting foreign bodies in soft tissue in an in vitro model using a cow tongue to simulate orofacial soft tissues. Four samples of different sizes of fractured tooth crown, pieces of amalgam, glass, asphalt, composite, dry wood, and stone were each embedded under a 2-cm-thick flap on the caudal surface of the tongue. Plain radiographs revealed all the materials except wood, and there was some variation in the subjectively evaluated radiopacity of the materials which indicated the nature of the foreign bodies concerned. MRI proved to be the least suitable imaging method, as particles with a metallic content gave rise to powerful interference artifacts. CT and especially US proved to be suitable imaging methods for foreign-body detection in soft tissue. Amalgam produced a metallic streaking artifact in CT, which visualized wood as gas density, and depicted all the other materials as similar hyperdense masses. Ultrasound was both sensitive and specific in detecting foreign bodies in soft tissue. The particles were better defined in form and size with CT and US than with MRI or plain radiography. We conclude that when plain radiographs, history, and clinical examination fail to reveal the presence of superficial foreign bodies, US or CT can serve as an alternative method.

Animals↗
PubMed1995

Effects of ultrasonic root-end cavity preparation on the root apex.

This study determined the effect of bur and ultrasonic preparation on the root apex. After cleaning, shaping, and obturation of root canals of 47 single-rooted teeth and resection of their apexes were done, 24 root-end cavities were prepared with a bur, and the rest were prepared with ultrasonic tips attached to two different ultrasonic units. After photographs of the prepared root ends were taken, their resin replicas were prepared and examined with a scanning electron microscope. Photographs and scanning electron microscope photomicrographs were examined for the presence or absence of cracks. The results showed a significantly higher incidence of crack formation in the walls of root-end cavities prepared by ultrasonic tips compared with those made by the bur.

Analysis of Variance↗
PubMed1997

Incidence of root face alteration after ultrasonic retrograde cavity preparation.

PROBLEM: Ultrasonic root end preparation is now a recognized clinical procedure. Advantages claimed include improved access to the surgical site (because of reduced root end bevel), and faster more conservative preparation of the root end cavity. However, cracking of the root face has been reported after preparation. OBJECTIVES: The aim of this study was to determine the incidence of root end cracking at varying ultrasonic power levels with a replica technique and scanning electron microscopy. STUDY DESIGN: The root canals of 55 single-rooted teeth were prepared to size 40 apically and obturated with laterally condensed gutta perch and sealer. Root ends were resected at 90 degrees 3 mm from the apex. Class 1 cavities (n = 5) were prepared with retro tips in a Neosonic handpiece with different power settings. Time of preparation and load applied were constant. Another experimental group (n = 5) was prepared with a no. 1 rotary bur. A replica technique with addition-cured silicone impression material and epoxy resin was used to prevent drying artefacts. Specimens were viewed under scanning electron microscope for alterations of the root face. RESULTS: Results showed no root face cracking across the full range of instrument power settings, although chipping of the retrograde cavity margins was observed. No cracking was noted in bur-prepared teeth.

Analysis of Variance↗