Pulp health and calcific healing of a complicated crown–root fracture with additional root fracture in a maxillary incisor: A case report

BACKGROUND Complicated crown–root fracture (CRF) involves severe injury to the crown, root,and pulp, and may be accompanied by multiple root fractures. The loss of a toothhas lifelong consequences for children and teenagers, but the maintenance of pulphealth and the calcific healing of multiple root fractures are rarely reported in theliterature.CASE SUMMARY This case reports healing of a permanent tooth with complicated crown–root andadditional root fractures, in which pulp health was maintained. A 10-year-old girlfell and fractured the root of her maxillary left central incisor at the cervical level.After the coronal fragment was repositioned, the tooth was splinted until thetooth was no longer mobile, 2 years later. Eight years after treatment, the toothhas remained asymptomatic with vital pulp and localized gingival overgrowth.Cone-beam computed tomography revealed not only calcified healing of the CRFbut also spontaneous healing in an additional undiagnosed root fracture. Thefracture line on the enamel could not be healed by hard tissue and formed agroove in the cervical crown. It was speculated that the groove was related to thelocalized gingival overgrowth.CONCLUSION This case provides a clinical perspective of the treatment of a tooth with acomplicated CRF and an additional root fracture.

Spontaneous healing of complicated crown-root fractures in children:Two case reports

BACKGROUND Complicated crown-root fracture is considered a severe dental trauma and is unlikely to heal without treatment.Usually,dentists have to remove the loose coronal fragment of the fractured tooth and treat the remaining part with multidisciplinary approaches.However,we observed spontaneous healing of fracture in two pediatric cases with a history of complicated crown-root fractures over 4 years ago.CASE SUMMARY In case 1,a 12-year-old boy complained of pain at tooth 11 following an accidental fall 1 d ago.Clinical examination showed a crack line on the crown of tooth 11.Cone beam computed tomography(CBCT)images of tooth 11 showed signs of hard tissue deposition between the fractured fragments.The patient recalled that tooth 11 had struck the floor 1 year ago without seeking any other treatment.In case 2,a 10-year-old girl fell down 1 d ago and wanted to have her teeth examined.Clinical examination showed a fracture line on the crown of tooth 21.CBCT images of tooth 21 also showed signs of hard tissue deposition between the fractured fragments.She also had a history of dental trauma 1 year ago and her tooth 11 received dental treatment by another dentist.According to her periapical radiograph at that time,tooth 21 was fractured 1 year ago and the fracture was overlooked by her dentist.Both of these two cases showed spontaneous healing of complicated crown-root fractures.After over 4 years of follow-up,both fractured teeth showed no signs of abnormality.CONCLUSION These findings may provide new insights and perspectives on the management and treatment of crown-root fractures in children.

Application of computer aided 3D simulation technique for complicated foot and ankle fractures

Objective To investigate the effect of computer aided 3D simulation technique for treating complicated foot and ankle fractures precisely.Methods From November 2007 to August 2009,255 patients with complicated foot and ankle fractures

Study of Complications of Traditional Treatment. <br/>Member Fractures

Introduction: Since the times of our ancestors, traditional medicine has existed to cure all diseases [1]. The objective of this study was to assess the complications of traditional fracture treatment. Patients and Methods: This was a prospective study extending from January 01, 2018 to June 30, 2018, duration of six months. It concerned patients who had traditionally been treated beforehand for traumas with bone lesion in a traditional therapist and who had developed a complication, the definitive management of which was made in the department. Results: This study involved 102 patients, including 71 men (69.6%), with a sex ratio of 2.2. 33 patients or 32.4% were under 15 years old. The average of our patients’ age was 29.61 years with extremes of 2 and 89 years. Pupils/students (44 pupils and 5 students) were the most represented with 49 cases or 48.1% of the cases. The majority of patients (59.8% of cases) were educated or had a basic level. The majority of patients (36.3%) came as motif for a painful swelling. Gangrene was the most common complication with 37 cases or 36.3% of cases. Conclusion: At the end of our study, we have noticed that the traditional preliminary treatment of fractures was based mainly on trial and error. Practicing with inadequate means and measures without respecting the anatomical structures, is a real source of disabling handicaps. We have recorded 38, among the 102 patients who came for a complication of traditional treatment: that is 45.2% amputation, which is deplorable.

Subtrochanteric osteoid osteoma： A misdiagnosed case complicated by a hip fracture

A 34-year-old man with a subtrochanteric osteoid osteoma localized to the lateral cortex of the left femur is reported. The patient presented with mild spontaneous pain of the lateral thigh and knee. He refused a radiographic examination and was treated as a greater trochanteric pa in syndrome for 9 months. He was then admitted with a transcervical fracture of the neck of the left femur after a fall from standing height. The fracture was fixed with 3 cannulated screws and healed uneventfully. His symptoms worsened after the first postoperative year. Eighteen months postoperatively the pain was dull, worsening at night, and relieved only with anti-inflammatory drugs, and he had a limp. New radiographs and tomograms were indicative of a lateral subtrochanteric osteoid osteoma with a subperiosteal localization. The lesion was treated successfully with surgical excision of a piece of reactive bone including the nidus.