Root fracture in a maxillary central incisor after recurrent trauma

Kolayli S. N., Aydinbelge M.

FDI World Dental Congress 2026, Praha, Çek Cumhuriyeti, 4 - 07 Eylül 2026, (Yayınlanmadı)

  • Yayın Türü: Bildiri / Yayınlanmadı
  • Basıldığı Şehir: Praha
  • Basıldığı Ülke: Çek Cumhuriyeti
  • Erciyes Üniversitesi Adresli: Evet

Özet

INTRODUCTION

Root fractures in young permanent incisors have a variable prognosis depending on fracture location, fragment displacement, and pulpal status. In teeth exposed to recurrent trauma, appropriate treatment planning and follow-up are critical.

CASE DESCRIPTION

A 7-year-old girl was referred after a fall during play at school. Her dental history revealed an uncomplicated enamel-dentin fracture in the anterior region about one year earlier. Clinical and radiographic examination showed an uncomplicated crown fracture with a middle-third root fracture in the maxillary right permanent central incisor (tooth 11)and an uncomplicated crown fracture in the maxillary left permanent central incisor (tooth 21). No endodontic treatment was performed at the emergency visit. In tooth 11, the coronal fragment was repositioned and stabilized with a semi-rigid splint for four weeks. After splint removal, teeth 11 and 21 were restored with composite resin. Clinical and radiographic follow-up was performed at 1, 3, and 6 months and at 1, 1.5, and 2 years. During follow-up, no pain, tenderness, swelling, sinus tract, or clinical/radiographic signs of pulp necrosis were observed.

DISCUSSION

Conservative management was preferred because the fracture was located in the middle third, the coronal fragment could be repositioned, and there were no initial indications for endodontic treatment.

CONCLUSION/CLINICAL SIGNIFICANCE

In this case, a conservative approach based on IADT trauma guidelines preserved pulp vitality, and follow-up findings suggested hard tissue healing. Conservative treatment may be effective in appropriately selected cases.