Management of Horizontal Root Fracture in the Middle Third via Intraradicular Splinting Using a Fiber Post

Abstract

Radicular fractures in permanent teeth are uncommon injuries and account for only 0.5–7% of dental traumas. 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. This paper describes a case of complicated crown fracture of maxillary incisors along with horizontal root fracture at the middle third of maxillary right central and lateral incisor. The fractured root fragments of the upper right central and lateral incisor were united with the help of a glass fiber post after receiving an endodontic treatment. The other two incisors were treated endodontically followed by post endodontic restorations. Eventually the four incisors were restored with porcelain fused to metal crowns. A one-year follow-up revealed a well stabilized assembly of the root fragments and the post.

Endodontic management of middle third root fracture of upper lateral incisor with glass fiber post & core endodontic restoration: A case report

“…the apical segment that is typically not displaced and the frequently displaced coronal segment. With favorable prognosis, middle third horizontal root fracture is most common, cervical third is very rare with poor prognosis, and apical third does not require therapeutic intervention (Karhade et al, 2016). Radiographs are used to validate the diagnosis and several radiographs are analyzed at different angles to detect the fracture angle (Karhade et al, 2016).…”

“…With favorable prognosis, middle third horizontal root fracture is most common, cervical third is very rare with poor prognosis, and apical third does not require therapeutic intervention (Karhade et al, 2016). Radiographs are used to validate the diagnosis and several radiographs are analyzed at different angles to detect the fracture angle (Karhade et al, 2016). In addition, the advent of new imaging modalities like cone beam computed tomography (CBCT) has enhanced the precision of traumatic injury diagnosis by resolving the drawbacks of 2-D radiography (projection geometry, anatomical structure superimposition and processing errors (Cohenca, 2017).…”

Manejo de una fractura corono-radicular complicada. Reporte de un caso clínico

“…El principio básico de la técnica, es movilizar la zona afectada a una posición supragingival 13 . La principal indicación es en dientes o restos radiculares con pronóstico reservado o incierto que cumplan con las características de ser monorradiculares, rectos y cónicos [1][2][3][4]9,12, . Kockich et al, 14 establece seis criterios para valorar si un diente puede tratarse con extrusión quirúrgica o de lo contrario debe extraerse.…”

“…Representan del 0.5 % al 7 % de los traumatismos dentales y se generan principalmente por caídas, accidentes de tránsito e impactos o luchas [1][2][3][4][5] . Las lesiones traumáticas se presentan mayormente en el sexo masculino a partir de los 20 años de edad, resultando los dientes centrales superiores más propensos a sufrir lesiones traumáticas (68 %) y en segundo lugar los dientes laterales superiores (27 %) [1][2][3][5][6][7] . La pérdida de tejido dental por debajo del margen de la encía y del nivel óseo, ya sea por caries profunda, fracturas traumáticas, desgaste o reabsorción radicular, dificulta la rehabilitación.…”

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

“…Root fractures constitute 0.5-7% among all dental traumatic injuries and horizontal root fractures comprise only 3% of all dental injuries 1,2 . Horizontal root fracture (HRF) can occur at coronal, middle or apical third but mostly occurred in the middle third of the root 3 .…”