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Unusual Horizontal Root Fracture in a Mandibular Second Molar after Lower Wisdom Teeth Removal
Luiz Fernando Magacho Da Silva1, Jonathan Ribeiro Da Silva1, Fabrizio Albieri1
1Department of Oral and Maxillofacial Surgery, General Hospital of Nova Iguaçu, Rio de Janeiro, Brazil.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
A rare horizontal root fracture in a second molar, occurring during wisdom tooth removal, healed completely in seven months without any treatment. This case highlights the potential for spontaneous healing of dental trauma in posterior teeth.
Area of Science:
- Dentistry
- Oral Surgery
- Endodontics
Background:
- Dental trauma commonly affects young patients, primarily anterior teeth.
- Posterior teeth trauma, though less frequent, can result from high-impact forces and masticatory stress.
- Horizontal root fractures in posterior teeth are exceptionally rare and linked to specific traumatic events.
Observation:
- A case of horizontal root fracture in a second molar is presented.
- The fracture occurred during the surgical removal of an impacted wisdom tooth.
- The patient experienced no discomfort, and the affected tooth showed no signs of sensibility alteration or mobility during follow-up.
Findings:
- Despite the absence of intervention, complete radicular healing was observed seven months post-fracture.
- The case demonstrates a rare instance of spontaneous healing of a horizontal root fracture in a posterior tooth.
- No treatment was required to achieve the observed healing outcome.
Implications:
- This case suggests that conservative management may be a viable option for certain horizontal root fractures in posterior teeth.
- It underscores the importance of careful surgical technique during wisdom tooth extraction to minimize iatrogenic trauma.
- Further research into the factors influencing spontaneous healing of root fractures could refine treatment protocols in endodontics and oral surgery.
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