J Korean Acad Pediatr Dent. 2013;40(1): 53-59.
CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT
Ji Hyun Jung, Jae-Hong Park, Kwang Chul Kim, Yeong Chul Choi, Sung Chul Choi
Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University
Corresponding Author: Sung Chul Choi ,Tel: 02-958-9371, Email: pedochoi@gmail.com
Received: August 28, 2012;  Accepted: December 18, 2012.
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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.
Keywords: Intra-Alveolar Root Fracture (IARF) | Resin wire splint (RWS) | Primary central incisor
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