title: Intraradicular splinting of a horizontally fractured central incisor: a case report.
abstract: This case report presents the endodontic management of a horizontally fractured right incisor involving healing with granulation tissue using an intraradicular splinting technique. We also discuss the spontaneous healing of the fractured left central incisor with calcified tissue. A composite resin splint was made for all of the upper anterior teeth. The root canal of the right incisor was temporarily filled with calcium hydroxide slurry. The intraradicular splinting involved placing a file in the canal. Sealer was introduced into the canal and then a no. 110 K file was fixed in the canal with polycarboxylate cement. The tooth was asymptomatic and the composite splint was removed after 1 month. The right incisor appeared normal clinically and radiographically at the 30-month recall. This case demonstrates that intraradicular splinting can be used to manage horizontally fractured teeth with necrotic and mobile coronal segment.
authors.affiliation: Department of Endodontics, School of Dentistry, Istanbul University, Turkey. ctsubay@yahoo.com
authors.forename: Rüstem Kemal
authors.initials: RK
authors.lastname: Sübay
authors.forename: Melike Ordulu
authors.initials: MO
authors.lastname: Sübay
authors.forename: Bülent
authors.initials: B
authors.lastname: Yilmaz
authors.forename: Müzeyyen
authors.initials: M
authors.lastname: Kayataş
mesh_terms: D002126:Calcium Hydroxide / Q000627:therapeutic use; D002648:Child; D003188:Composite Resins; D003764:Dental Materials; D003786:Dental Pulp Cavity; D003790:Dental Pulp Necrosis / Q000628:therapy; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D011076:Polycarboxylate Cement; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D018915:Root Canal Preparation / Q000295:instrumentation; D012390:Root Canal Therapy; D013165:Splints / Q000145:classification*; D014082:Tooth Fractures / Q000145:classification / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries; D014945:Wound Healing
chemical_list: D003188:Composite Resins; D003764:Dental Materials; D011076:Polycarboxylate Cement; D012387:Root Canal Filling Materials; D002126:Calcium Hydroxide