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  • Timely diagnosis and...

Timely diagnosis and treatment of horizontal root fractures tied to favorable outcomes, suggests study

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-03-07T20:00:25+05:30  |  Updated On 8 March 2024 11:58 AM IST
Timely diagnosis and treatment of horizontal root fractures tied to favorable outcomes,  suggests study
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Timely diagnosis and treatment of horizontal root fractures tied to favourable outcomes suggests a new study published in the Journal of Endodontics.

Horizontal root fracture (HRF) is a complex traumatic dental injury that affects the pulp, dentin, cementum, and periodontal ligament. This retrospective cohort study evaluated treatment outcomes in permanent teeth with Horizontal root fracture. They analyzed clinical and radiographic data from a dental trauma centre (2006–2022). Permanent teeth with HRF with a follow-up of ≥12 weeks were considered for outcome assessment (defined as clinical normalcy and radiographic healing at the fracture line). Prognostic factors were identified through multivariable logistic regression analyses (P value ≤ .05). Results: 125 teeth from 103 patients were included. After a median follow-up of 79 weeks, the overall favourable outcome was 92%. This includes teeth that received emergency splinting/repositioning at baseline (62.2%) and those that received subsequent endodontic intervention for the coronal fragment (baseline: 85%; subsequent follow-ups: 91.8%). Being male and incomplete root development were both significantly associated with a better outcome of splinting/repositioning and a reduced likelihood of requiring endodontic treatment. Treatment delays surpassing one week were significantly associated with an increased likelihood of requiring endodontic treatment compared to timely presentations within 24 hours.

With timely diagnosis and treatment, and close monitoring, Horizontal root fracture cases can achieve a 92% favourable outcome. Male sex and incomplete root development correlate with improved baseline outcomes and a reduced need for endodontic treatment. Conversely, delayed presentation increases the likelihood of requiring endodontic intervention.

Reference:

Mahshid Sheikhnezami, Reza Shahmohammadi, Hamid Jafarzadeh, Amir Azarpazhooh. Long-Term Outcome of Horizontal Root Fractures in Permanent Teeth: A Retrospective Cohort Study. Journal of Endodontics. Open AccessPublished:February 12, 2024DOI:https://doi.org/10.1016/j.joen.2024.02.002

Keywords:

Timely diagnosis, treatment, horizontal root fractures, favorable outcomes, Endodontic treatment, healing, horizontal root fracture, outcome, pulp, traumatic dental injury, Mahshid Sheikhnezami, Reza Shahmohammadi, Hamid Jafarzadeh, Amir Azarpazhooh

Timely diagnosistreatmenthorizontal root fracturesfavorable outcomes
Source : Journal of Endodontics
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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