Radicular fractures and fissures

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  • #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.

    #16879
    Anonymous

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

    #16883
    tirath
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    surgical extraction is needed sometimes

    #16900
    Anonymous

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

    #16905
    tirath
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    apicectomy is the procedure……and middle third fracture is the difficult to treat

    #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

    #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..

    #16913
    Anonymous

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

    #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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