Maintenance of Pulp Vitality after Horizontal Root Fractures in Three Permanent Mandibular Incisors Following Trauma: One Year Follow-up Case Report

Authors: Garg I*, Anu, Samal S and Namdev R

DOI: 10.23880/ijcmc-16000104

Volume 2, Issue 1

Abstract

Horizontal root fractures in permanent teeth are uncommon injuries and the reported prevalence in the literature is between 0.5% and 7%. These fractures commonly result from a horizontal impact and are transverse to oblique in direction. Their incidence is more in the middle third of the root than at the apical and cervical thirds. The treatment and prognosis of root fractures depend on many variables, the most important being the length of time between trauma and treatment, degree of dislocation and mobility, site of fracture, fixation period, stage of root development, age of patient, and quality of treatment. The ideal healing type is hard tissue healing. The aim of this case report is to present a case of horizontal root fracture in different locations in three permanent mandibular incisors following trauma in the same patient treated by repositioning and fixation with good healing. After long-term clinical and radiographic follow-up (up to one year), all teeth presented positive response to electrical pulp tests, suggesting a repair of root fractures. Using splint without any further treatment was found to be successful in the presence of suitable conditions for the treatment of horizontal root fractures.

Keywords: Horizontal Root Fracture; Splinting; Conservative Management

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