Endodontic Management of Horizontal Root Fractures in Maxillary Central Incisors

Amelia Tjandra, Karlina Samadi

2017

Abstract

Background: Traumatic dental injuries often occur to the teeth and their supporting tissues and they are the main reasons for emergency visits to a dental clinic. Horizontal root fractures usually are characterized by a fracture line that is perpendicular to the long axis of the root. When a root fracture occurs horizontally, the coronal segment may or may not be displaced. Root fractures are diagnosed through clinical and radiographic examination. Treatment depends on the position of the fracture, the extent of root involvement, correct diagnosis, clinical management, and radiographic follow up. Purpose: This article describes the successful management of horizontal root fracture treated with mineral trioxide aggregate (MTA) as a sealer in endodontic management in maxillary central incisors. Case: A 34-year-old female patient reported with an impact injury of her upper anterior teeth 3 months back, which resulted in dental pain of her maxillary right central incisor. The clinical examination revealed no mobility and discomfort during percussion of her maxillary right central incisor and uncomplicated crown fracture of her maxillary left central incisor. The tooth did not respond to pulp tests. Radiographic examination revealed horizontal root fracture at the middle third of her maxillary right central incisor. Case management: Endodontic treatment was performed using a mineral trioxide aggregate (MTA)-based sealer. The treatment plan comprised root canal treatment of apical and coronal fragments followed by fiberpost, core and an e-max crown by holding both fracture fragments. Conclusion: The primary purpose of the treatment of fractured elements is to keep a steady tooth. Adopting an appropriate treatment strategy of using a fiber post and core to restore middle third fractures and using material like MTA for treatment of horizontal fracture can result in optimum healing and prolonged retention of the teeth, which would otherwise require extraction.

Paper Citation

in Harvard Style

Tjandra A. and Samadi K. (2017). Endodontic Management of Horizontal Root Fractures in Maxillary Central Incisors.In Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4, ISBN 978-989-758-341-4, pages 22-25. DOI: 10.5220/0007291300220025

in Bibtex Style

@conference{timnas7-jsmid417,
author={Amelia Tjandra and Karlina Samadi},
title={Endodontic Management of Horizontal Root Fractures in Maxillary Central Incisors},
booktitle={Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4,},
year={2017},
pages={22-25},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007291300220025},
isbn={978-989-758-341-4},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4,
TI - Endodontic Management of Horizontal Root Fractures in Maxillary Central Incisors
SN - 978-989-758-341-4
AU - Tjandra A.
AU - Samadi K.
PY - 2017
SP - 22
EP - 25
DO - 10.5220/0007291300220025