Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central...

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Main Authors: Ersan Çiçek, Neslihan Yılmaz, Mustafa Murat Koçak
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/505370
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author Ersan Çiçek
Neslihan Yılmaz
Mustafa Murat Koçak
author_facet Ersan Çiçek
Neslihan Yılmaz
Mustafa Murat Koçak
author_sort Ersan Çiçek
collection DOAJ
description Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors. Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation. Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal. Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.
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spelling doaj-art-c22ef61ba5a04c3d8b1639c6fd88f74a2025-08-20T02:19:15ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/505370505370Intraradicular Splinting with Endodontic Instrument of Horizontal Root FractureErsan Çiçek0Neslihan Yılmaz1Mustafa Murat Koçak2Department of Endodontics, Faculty of Dentistry, Bulent Ecevit University, Kozlu, 67600 Zonguldak, TurkeyDepartment of Endodontics, Faculty of Dentistry, Bulent Ecevit University, Kozlu, 67600 Zonguldak, TurkeyDepartment of Endodontics, Faculty of Dentistry, Bulent Ecevit University, Kozlu, 67600 Zonguldak, TurkeyIntroduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors. Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation. Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal. Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.http://dx.doi.org/10.1155/2015/505370
spellingShingle Ersan Çiçek
Neslihan Yılmaz
Mustafa Murat Koçak
Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
Case Reports in Dentistry
title Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
title_full Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
title_fullStr Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
title_full_unstemmed Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
title_short Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture
title_sort intraradicular splinting with endodontic instrument of horizontal root fracture
url http://dx.doi.org/10.1155/2015/505370
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