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Updated: Aug 11, 2026
07:26
Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Root fractures in permanent teeth: a clinical review
1United Medical and Dental Schools, Guy's Hospital, London, UK.
International Endodontic Journal
|May 1, 1992
Summary
Root fractures in children, particularly upper incisors, often heal well with splinting and repositioning. Vitality loss may take over a year to detect, with few complications observed.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Dental Trauma
Background:
- Root fractures are a significant dental injury, especially in children.
- Understanding the long-term outcomes and influencing factors is crucial for effective management.
Purpose of the Study:
- To evaluate the long-term clinical and radiographic outcomes of root fractures in pediatric patients.
- To identify factors influencing pulp vitality and fracture healing.
Main Methods:
- Retrospective study of 22 root fractures in 21 pediatric patients.
- Analysis of clinical and radiographic data, including treatment (splinting, repositioning) and outcomes.
- Long-term follow-up for vitality, complications, and healing patterns.
Main Results:
- Lack of displacement and splinting positively correlated with pulp vitality and hard tissue healing.
- Loss of coronal pulp vitality was not reliably detectable for up to one year post-injury.
- No abscesses or sinus tracts developed; bone resorption at fracture lines was minimal.
- Apical pulp remained vital in all cases, with apical pulp sclerosis common.
Conclusions:
- Early splinting and repositioning of displaced teeth improve outcomes for root fractures.
- Root fractures in children have a generally favorable prognosis with careful management.
- Delayed detection of pulp vitality loss necessitates long-term monitoring.
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