Work

Conservative Management of Horizontal Root Fracture: A Case Report

Year: 2024

Type: article

Abstract: In cases where permanent teeth have closed apices and completely erupted roots, the probability of root fractures is increased due to the stable support given by the adjacent bone and periodontal tissues. Fractures have the potential to affect several dental structures, including the pulp, dentin, cementum, bone, and periodontal tissues. In cases of horizontal root fractures (HRF), the apical section typically maintains vitality; however, the present case presented an unusual apex necrosis. Given the patient's age and tooth stability, traditional apical surgery was deemed inappropriate. Instead, a conservative treatment approach was chosen to preserve the tooth. This case report details the management and a 2-year follow-up of a maxillary central incisor exhibiting a HRF and apical necrosis, successfully addressed through the application of Mineral Trioxide Aggregate (MTA) in the both apical and coronal segments. Using MTA prevented apical surgery in cases of apex necrosis accompanied by HRF.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.9625

Authors: Farid Haghdadi, Amirreza Mokabberi, Seyed Ahmad Banihashem Rad

Institutions: Mashhad University of Medical Sciences, North Khorasan University of Medical Sciences, Islamic Azad University, Isfahan, University of Bern

Language: English

Topic: Dental Trauma and Treatments

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,454