Healing of oblique tooth root fracture concomitante with coronal fragment extrusion in permanente dentition: A case report

• Main Author: Propheta,Lucimara Aparecida
• Publication Date: 2023
• Other Authors: Madalena,Isabela Ribeiro, Lepri,César Penazzo, Baratto-Filho,Flares, Sousa,Emerson Tavares de, Torres,Carolina Paes
• Format: Report
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-28902023000300123
• topic: Adolescent; Permanent dentition; Tooth extrusion; Tooth injuries; Tooth Root

Abstract This case report describes a favorable healing outcome of the immediate management of an oblique tooth root fracture in the middle third concomitant with coronal fragment extrusion in a permanent maxillary left central incisor of a healthy 14-year-old female patient. The clinical exam showed incisal irregularity, local bleeding, increased mobility, and axial displacement of the maxillary left central incisor. The coronal fragment was repositioned and stabilized with a flexible splint for four weeks. The parents and the patient received medication prescriptions and instructions. Clinical and radiographic conditions remained satisfactory at the 4-week, 6-month, and 12-month follow-ups. Thermal and percussion tests confirmed pulp vitality after 12 months. Hard tissue formation between segments was observed in the radiographic examination and cone-beam computed tomography. In conclusion, the immediate conservative therapeutic showed satisfactory clinical and radiographic results.