Conservative Management of the Horizontal Root Fracture in the Middle Third using Fiber Post as an Intraradicular Splint

Sneha Dhruvkumar Vaswani; Sathish  Abraham; Harshal Balasaheb Najan; Rohini Ramesh Karad

doi:10.3889/oamjms.2020.4865

Authors

Sneha Dhruvkumar Vaswani Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India
Sathish Abraham Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India
Harshal Balasaheb Najan Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India
Rohini Ramesh Karad Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India

DOI:

https://doi.org/10.3889/oamjms.2020.4865

Keywords:

Fiber post;, Horizontal root fracture;, Intraradicular

Abstract

BACKGROUND: Root fractures are uncommon injuries in permanent teeth and account for only 0.5–7% of dental trauma. It occurs more frequently in fully erupted permanent teeth, in which the completely formed root with closed apices is solidly supported in the bone and periodontium. This may lead to complex consequences due to the combined damage to the pulp, dentine, cementum, bone, and periodontium. They are transverse to oblique in direction and result from a horizontal impact. Their incidence is more in the middle third of the root than at the cervical and apical thirds.

CASE REPORT: This paper describes a case of complicated horizontal root fracture at the middle third of the maxillary right central incisor. After receiving an endodontic treatment, the fractured root fragments of the maxillary right central incisors were united with the help of a glass fibre post. Eventually, the incisor was restored with a zirconia crown.

CONCLUSION: Follow-up after a year revealed a well-stabilized assembly of the root fragments and the post.

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