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Horizontal root fractures. Treatment and repair
1Department of Endodontics, Baltimore College of Dental Surgery, Dental School, University of Maryland.
Dental Clinics of North America
|April 1, 1992
Summary
Root-fractured teeth have a favorable healing prognosis with proper repositioning and stabilization. Even with crown loss, modern techniques can restore the root, ensuring good tooth survival rates.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Horizontal root fractures are significant dental injuries.
- Adequate treatment is crucial for favorable outcomes.
Purpose of the Study:
- To evaluate the prognosis of horizontally root-fractured teeth.
- To review common sequelae and their management.
Main Methods:
- Review of treatment modalities for root-fractured teeth.
- Analysis of healing prognosis based on intervention.
Main Results:
- Favorable healing prognosis with repositioning, stabilization, and occlusal adjustment.
- Root canal obliteration and transitory resorption are typically of minor clinical significance.
- Pulpal necrosis is manageable with endodontic therapy or surgery.
- Crown loss does not preclude root restoration via extrusion or periodontal surgery.
Conclusions:
- The prognosis for tooth survival following horizontal root fracture is generally good.
- Conservative management and advanced surgical techniques enhance tooth preservation.