Radicular fractures and fissures

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This topic has 8 replies, 3 voices, and was last updated 04/03/2011 at 5:52 pm by sushantpatel_doc.

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23/02/2011 at 5:45 pm #11759

sushantpatel_doc
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A root’s fracture has a great influence on the endontic treatment. Depending on the location the maintenance of the tooth will be viable or not.

Radicular fissures are more difficult to diagnose as the root is apparently intact. These can be located in the root’s third lower, medium or upper part.
Unfortunately the treatment of a fissured tooth with symptoms (pain, fistula, abscess) often consists in an extraction.



25/02/2011 at 4:33 pm #16879

Anonymous

Even during extraction of a firm tooth,,if an elevator hasnt been used, the tooth may fracture at the above mentioned sites



26/02/2011 at 2:13 pm #16883

tirath
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surgical extraction is needed sometimes



01/03/2011 at 4:18 pm #16900

Anonymous

what is the general opinion for apical third of the root been broken?? how much should one attempt to remove it?



02/03/2011 at 12:17 pm #16905

tirath
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apicectomy is the procedure……and middle third fracture is the difficult to treat



02/03/2011 at 4:09 pm #16906

Anonymous

i meant that during extraction if the apical third breaks and remains behind…is it ok to leave it behind or how can one attempt the extraction of the apical third



02/03/2011 at 5:10 pm #16908

sushantpatel_doc
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It is obviously not ok to leave anything behind..may lead to complications like abscess, cyst..try removing it with a probe or a no. 30 file..if that fails you have to remove it surgically..



04/03/2011 at 4:04 pm #16913

Anonymous

Is a remanant root piece ,a pre-disposing factor for oral cancer?



04/03/2011 at 5:52 pm #16918

sushantpatel_doc
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Well it can be..it is definitely a focus of infection..may develop into a cyst and later into a tumour..
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