Treatment options for permanent teeth with coronal one-third root fractures
Journal of the American Dental Association (1939)
|January 30, 2019
Summary
Teeth with coronal one-third root fractures often have a poor prognosis but can survive long-term with stabilization. Long-term splinting may significantly improve survival rates for these dental injuries.
Area of Science:
- Dentistry
- Endodontics
- Dental Trauma
Background:
- Coronal one-third root fractures in teeth historically carried a poor prognosis.
- Extraction was the typical treatment for such fractures.
- Recent observations suggest potential for long-term survival of these teeth.
Purpose of the Study:
- To present cases of long-term survival for teeth with coronal one-third root fractures.
- To investigate the role of long-term splinting in the prognosis of these fractures.
Main Methods:
- Case report of two patients with coronal one-third root fractures.
- Long-term follow-up and clinical observation of treated teeth.
Main Results:
- Two cases of coronal one-third root fractures survived for 10 and 35 years.
- Long-term splinting was employed in both cases.
Conclusions:
- Stabilization through long-term splinting may enable teeth with coronal one-third root fractures to survive for extended periods.
- This approach offers significant benefits, particularly for young patients requiring tooth preservation.
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