Management of root fracture: a novel, noninvasive treatment approach

Abstract

Traumatic injuries to teeth account for approximately 25% of dental conditions where a patient seeks dentist for emergency treatment. Radicular fractures are one such entity which is very challenging to address due to various complications like periodontal communication, increased mobility, and continued pulpal infection leading to necrosis. Radicular fractures in the middle third have long been considered teeth of salvage due to their unfavourable fracture pattern. During the recent years introduction of biomimetic materials has opened the horizon for saving these teeth. In the present case report a novel approach to the management of radicular fractures in the middle third has been presented.

Figure 1

Diagnostic photo.

Figure 2

Diagnostic radiograph.

Figure 3

Splinting.

Figure 4

Working length 12.

Figure 5

Master cone 12.

Figure 6

Obturation 12.

Figure 7

Post and core 12.

Figure 8

Working length 11.

Figure 9

Obturation 11.

Figure 10

MTA placement.

Figure 11

Direct and indirect composite restorations.

Figure 12

Six-month recall.

Figure 13

Diagnostic picture.

Figure 14

Diagnostic radiograph.

Figure 15

Splinting of teeth.

Figure 16

Working length 12.

Figure 17

Obturation 12.

Figure 18

MTA placement.

Figure 19

Splint removal and followup.