Restorative Dentistry & Endodontics  2014;39(2):126-131

doi:10.5395/rde.2014.39.2.126

Healing after horizontal root fractures: 3 cases with 2-year follow-up.

Yoorina CHOI 1 ; Sung Ok HONG ; Seok Ryun LEE ; Kyung San MIN ; Su Jung PARK

Affiliations

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Keywords

Diastasis; Mineral trioxide aggregate; Tooth fracture

Country

Republic of Korea

Language

English

Abstract

Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.