World Journal of Dentistry

Register      Login

VOLUME 2 , ISSUE 4 ( October-December, 2011 ) > List of Articles


Management of Horizontal and Multiple Crown-Root Fractures

Ramya Raghu, DS Sahana

Citation Information : Raghu R, Sahana D. Management of Horizontal and Multiple Crown-Root Fractures. World J Dent 2011; 2 (4):338-341.

DOI: 10.5005/jp-journals-10015-1109

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2011; The Author(s).


Traumatic injury to oral cavity with accompanying tooth fracture can be a tragic experience for the patient and is a problem that requires experience, judgment and skill of the dentist. The dental health and appearance marred by an unsightly injury must be restored to normal as soon as possible. Though, root fractures comprise 0.5 to 7% of injuries affecting the permanent dentition, improper and delayed treatment can lead to loss of tooth. This report records a clinical case of intraalveolar horizontal mid root fracture in maxillary right central incisor with subluxation of coronal segment, which was managed endodontically using mineral trioxide aggregate (MTA), as an apical barrier at the fracture site. Maxillary right lateral and left central incisors affected by oblique crown-root fracture which were restored by custom-cast post and crown. After one year follow-up, the teeth were asymptomatic and showed signs of healing apical to the MTA barrier.

PDF Share
  1. Repair of untreated horizontal root fractures: Two case reports. Dent Traumatol 2001;17:240-43.
  2. Chapter: Root fractures, Textbook and color atlas of traumatic injuries to the teeth (4th ed); 306-37.
  3. Prognosis of root fractured permanent incisors: Prediction of healing modalities. Endod Dent Traumatol 1989;5:11-22.
  4. Multiple crown-root fracture of a permanent incisor. Dent Traumatol 2004;20:288-92.
  5. Intra-alveolar root fractures: Radiographic and histologic study of 50 cases. J Oral Surg 1967;25:414-26.
  6. Spontaneously healed root fractures: Report of a case. Dent Traumatol 2003;19:64-66.
  7. Treatment of traumatized permanent incisor with crown-root fracture: Case reports. Dent Traumatol 2001;17:236-39.
  8. Healing of 400 intra-alveolar root fractures. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol Aug 2004;20(4):192-202.
  9. Management of sports related root fractures. DCNA 2000;44:95-109.
  10. Repair of untreated horizontal root fractures: Two case reports. Dent Traumatol 2001;17:240-43.
  11. Treatment of fractured and avulsed teeth. ASDC J Dent Child 1971;38:29-48.
  12. Treatment of horizontal root fracture: A case report. Cases J 2009;2:8101
  13. Treatment of traumatized maxillary permanent lateral and central incisors horizontal root fractures. Indian J Dent Res 2008;19:354-56.
  14. Horizontal root fractures followed for 6 years. Dent Traumatol 2008;24:117-19.
  15. MTA: A new material for endodontics. JADA 1999;30:967-75.
  16. MTA: A review of the constituents and biological properties of the material. Int Endod J 2006;39:747-54.
  17. Clinical applications of mineral trioxide aggregate. J Endodon 1999;25:197-205.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.