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Management of a Coronal Horizontal Root Fracture With Complicated Crown Fracture: A Case Report With 2-Year Follow-Up
Ali Chamani1, Maryam Forghani1, Reza Shakiba1
1Department of Endodontics, Dental Faculty Mashhad University of Medical Sciences Mashhad Iran.
Clinical Case Reports
|September 25, 2025
Summary
Timely management of horizontal root fractures in children, using rigid splinting and root canal treatment with bioceramic materials, promotes healing and tooth function. This approach offers a positive prognosis even for complex cases.
Area of Science:
- Pediatric Dentistry
- Endodontics
- Dental Traumatology
Background:
- Coronal-third horizontal root fractures pose significant challenges in pediatric dentistry.
- Traditional management often yields poor outcomes, impacting long-term tooth function.
Purpose of the Study:
- To evaluate the efficacy of timely and appropriate management for coronal-third horizontal root fractures in children.
- To assess the role of rigid splinting and bioceramic obturation in achieving successful healing.
Main Methods:
- Review of pediatric cases with coronal-third horizontal root fractures.
- Implementation of rigid splinting techniques.
- Application of root canal treatment utilizing bioceramic materials for obturation.
Main Results:
- Successful healing was observed in cases managed promptly.
- Preservation of tooth function was achieved through the described treatment protocol.
- Positive outcomes were noted even in fractures with historically poor prognoses.
Conclusions:
- Timely and appropriate management, including rigid splinting and bioceramic obturation, is crucial for treating horizontal root fractures in children.
- This treatment strategy can lead to successful healing and long-term tooth function preservation.
- The prognosis for these injuries can be significantly improved with modern endodontic approaches.
