Nonsurgical Management of Horizontal Root Fracture with Necrotic Apical Segment and Coronal Cervical Abfraction using...

Area of Science:

• Endodontics
• Restorative Dentistry
• Dental Traumatology

Background:

• Horizontal root fractures are uncommon dental injuries presenting diagnostic and therapeutic difficulties.
• Non-carious cervical abfraction lesions involve dental hard tissue loss unrelated to caries.

Purpose of the Study:

• To report a case of a horizontal mid-root fracture combined with a non-carious cervical abfraction lesion.
• To evaluate the effectiveness of root canal therapy and restorative treatment in managing this complex dental condition.

Main Methods:

• A 22-year-old female with a history of trauma presented with a maxillary first premolar exhibiting abfraction and endodontic symptoms.
• Radiographic examination revealed a horizontal mid-root fracture with periapical and furcal radiolucencies.
• Treatment included root canal therapy, obturation with mineral trioxide aggregate (MTA), a fiber post, and a ceramic crown.

Main Results:

• The patient experienced significant pain relief and radiographic evidence of healing post-treatment.
• Mineral trioxide aggregate (MTA) served as an effective obturation material for the fractured root segment.
• Combined endodontic and restorative management proved successful for the complex fracture and lesion.

Conclusions:

• Root canal therapy utilizing mineral trioxide aggregate (MTA) is a viable option for treating horizontal mid-root fractures.
• Restorative treatment, including fiber posts and ceramic crowns, is crucial for long-term success.
• This combined approach effectively manages teeth with both horizontal mid-root fractures and non-carious cervical abfraction lesions.