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Horizontal root fracture in a maxillary central incisor: a case report
Carlos Menezes Aguiar1, Daniela de Andrade Mendes, Andrea Cruz Camara
1Department of Prosthetics and Oral and Facial Surgery, Faculty of Dentistry, Federal University of Pernambuco, Recife, Brazil.
General Dentistry
|March 5, 2013
Summary
Successful treatment of horizontal root fractures in a permanent maxillary central incisor was achieved using calcium hydroxide. This case highlights effective diagnosis and management for vital apical segments and necrotic coronal segments.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Horizontal root fractures are diagnosed via clinical and radiographic examination.
- Treatment strategies vary based on fracture location and root involvement.
- Accurate diagnosis, management, and follow-up are crucial for successful outcomes.
Observation:
- A permanent maxillary central incisor presented with a horizontal root fracture.
- The coronal segment of the fractured tooth was necrotic.
- The apical segment of the fractured tooth remained vital.
Findings:
- The horizontal root fracture was successfully treated using calcium hydroxide.
- A 3-year follow-up period confirmed the treatment's success.
- This approach managed the necrotic coronal segment and vital apical segment effectively.
Implications:
- Calcium hydroxide can be an effective treatment for horizontal root fractures with differential coronal and apical segment vitality.
- This case demonstrates a viable long-term management strategy for complex root fracture scenarios.
- Findings support the importance of tailored treatment based on fracture characteristics and pulp status.
