Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Healing after horizontal root fractures: 3 cases with 2-year follow-up

  • Choi, Yoorina (Department of Conservative Dentistry, Wonkwang University School of Dentistry) ;
  • Hong, Sung-Ok (Department of Conservative Dentistry, Wonkwang University School of Dentistry) ;
  • Lee, Seok-Ryun (Department of Conservative Dentistry, Wonkwang University School of Dentistry) ;
  • Min, Kyung-San (Department of Conservative Dentistry, Chonbuk National University School of Dentistry) ;
  • Park, Su-Jung (Department of Conservative Dentistry, Wonkwang University School of Dentistry)
  • Received : 2013.10.24
  • Accepted : 2014.01.09
  • Published : 2014.05.30
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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.

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References

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Cited by

  1. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications pp.01432885, 2018, https://doi.org/10.1111/iej.12843
  2. The Horizontal Root Fractures. Diagnosis, Clinical Management and Three-Year Follow-Up vol.12, pp.None, 2014, https://doi.org/10.2174/1745017901814010687