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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Sep 18, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Splinting in horizontal root fractures: A Bayesian network meta-analysis.

Tatiana Carvalho Kowaltschuk1,2, Flávio Magno Gonçalves2, Bianca Marques de Mattos de Araujo1,2

  • 1Postgraduate Program in Dentistry, Department of Endodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.

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|June 26, 2025
PubMed
Summary

The type of splint used for horizontal root fractures in dental trauma shows no significant difference in healing outcomes. Fracture displacement is a key factor influencing prognosis, emphasizing careful assessment of injury characteristics.

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Area of Science:

  • Dental Traumatology
  • Oral and Maxillofacial Surgery
  • Restorative Dentistry

Background:

  • Horizontal intra-alveolar root fractures are complex dental injuries.
  • Optimal management strategies are crucial for favorable prognosis.
  • Splinting is a common intervention, but its comparative efficacy requires evaluation.

Purpose of the Study:

  • To determine which splinting method provides the best prognosis for horizontal intra-alveolar root fractures.
  • To systematically review existing literature on splinting techniques and their outcomes.

Main Methods:

  • A comprehensive search of seven electronic databases and gray literature was performed.
  • Studies evaluating splinting methods for horizontal root fractures were included.
  • Bayesian network meta-analysis and Joanna Briggs Institute Critical Appraisal tools were utilized.

Main Results:

  • Six studies met the inclusion criteria from 3,174 retrieved references.
  • No significant differences in healing outcomes were observed between different splint types or non-fixation.
  • The degree of fragment displacement was identified as a critical factor impacting prognosis.

Conclusions:

  • The choice of splinting material may not significantly influence the healing of horizontal intra-alveolar root fractures.
  • Fracture characteristics, particularly displacement, and other treatment variables are essential for predicting tooth prognosis.
  • Informed clinical decisions require understanding fracture patterns and splinting interventions.