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Conservative management of displaced horizontal root fracture in vital maxillary premolar: A case report

Balkan Journal of Dental MedicineOctober 13, 2022October 13, 2022

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Badar Bilal Sheikha, Ghafoor Robiaa, Hameed Hasan Muhammada, Anwer Natashab

aAga Khan University Hospital, Department of Surgery, Dental section, Karachi, Pakistan
bJinnah Medical and Dental College, Dental section, Karachi, Pakistan

Summary

Background/Aim: The management of horizontal root fracture is not straight forward. It depends upon the location of the fracture, mobility and vitality of fractured tooth segment. The goal of treatment is to restore the shape and function of affected tooth. Case report: This following case report described the conservative management of horizontal root fracture which was also displaced but somehow maintained its vitality. The affected tooth was initially stabilized and followed up in the subsequent appointments for evaluation of vitality that turned out to be vital, thus, preventing any unnecessary intervention. Conclusions: Horizontal root fractures in the vital teeth should be initially managed conservatively and every effort should be made to preserve the vitality of tooth.

Keywords: horizontal root fracture; vital tooth; conservative management; displaced fracture; splint

Reference

Andreasen, J. O., Andreasen, F. M., Mejare, I., Cvek, M. (2004) Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dental Traumatology, 20(4): 192-202

Clarkson, R.M., John, K., Moule, A.J. (2015) Horizontal Palatal Root Fracture in a Vital Upper First Premolar. Journal of Endodontics, 41(5): 759-761

Cvek, M., Mejare, I., Andreasen, J.O. (2002) Healing and prognosis of teeth with intra-alveolar fractures involving the cervical part of the root. Dental Traumatology, 18(2): 57-65

Davidovich, E., Heling, I., Fuks, A.B. (2005) The fate of a mid-root fracture: a case report. Dental Traumatology, 21(3): 170-173

Flores, M.T., Andersson, L., Andreasen, J.O., Bakland, L.K., Malmgren, B., Barnett, F., Bourguignon, C., DiAngelis, A., Hicks, L., Sigurdsson, A., Trope, M., Tsukiboshi, M., von Arx, T. (2007) Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dental Traumatology, 23(2): 66-71

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Karhade, I., Gulve, M.N. (2016) Management of Horizontal Root Fracture in the Middle Third via Intraradicular Splinting Using a Fiber Post. Case Reports in Dentistry, 2016: 1-5

Kucukyilmaz, E., Botsali, M., Keser, G. (2013) Treatments of horizontal root fractures: Four case reports. Journal of Pediatric Dentistry, 1(1): 19

Oztan, M.D., Sonat, B. (2001) Repair of untreated horizontal root fractures: two case reports. Dental Traumatology, 17(5): 236-239

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Tsai, Y.-L., Liao, W.-C., Wang, C.-Y., Chang, M.-C., Chang, S.-H., Chang, S.-F., Chang, C.-W., Huang, Y.-D., Chan, C.-P., Jeng, J.-H. (2016) Horizontal root fractures in posterior teeth without dental trauma: tooth/root distribution and clinical characteristics. International Endodontic Journal, 50(9): 830-835

Tziafas, D., Margelos, I. (1993) Repair of untreated root fracture: A case report. Endod Dent Traumatol, 9(1): 40-3

Welbury, R., Kinirons, M.J., Day, P., Humphreys, K., Gregg, T.A. (2002) Outcomes for root-fractured permanent incisors: a retrospective study. Pediatr Dent, 24: 98-102

White, I., Spiers, G. (2013) Taking the trauma out of trauma: an easy to follow guide for the management of trauma to the permanent dentition. Dental Update, 40(8): 643-658

Balkan Journal of Dental Medicine, 2018, vol. 22, br. 3, str. 167-170

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