title: Integrated treatment to resolve a horizontal root fracture.
abstract: Root fractures are defined as those that involve cement, dentin and pulp, comprising from 0.5 to 7% of injuries in permanent dentition. Diagnosis is made through clinical and radiographic exams, the latter frequently being limited by the position of the fracture. Treatment varies according to the displacement and vitality of the fragments. The authors present a clinical case of recurrent trauma of tooth 21 causing a horizontal root fracture in the middle third. After several attempts at endodontic treatment, the option was to remove the apical fragment by surgery. The postoperative period of 4 years shows very satisfactory results with regard to wound repair and tooth mobility, or implantation of the coronal segment.
authors.affiliation: UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil. brandini@foa.unesp.br
authors.forename: Daniela Atili
authors.initials: DA
authors.lastname: Brandini
authors.forename: Wilson Roberto
authors.initials: WR
authors.lastname: Poi
authors.forename: Sônia Regina
authors.initials: SR
authors.lastname: Panzarini
authors.forename: Celso Koogi
authors.initials: CK
authors.lastname: Sonoda
authors.forename: José Carlos Monteiro
authors.initials: JC
authors.lastname: de Castro
authors.forename: Eloá Rodrigues
authors.initials: ER
authors.lastname: Luvizuto
authors.forename: Cláudia Resende
authors.initials: CR
authors.lastname: Leal
mesh_terms: D000293:Adolescent; D001641:Bicuspid / Q000293:injuries* / Q000601:surgery; D003481:Cuspid / Q000293:injuries / Q000601:surgery; D003830:Denture, Partial, Fixed; D006801:Humans; D008437:Maxilla; D011859:Radiography; D012008:Recurrence; D019233:Retreatment; D012390:Root Canal Therapy / Q000379:methods*; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries* / Q000601:surgery; D014093:Tooth, Artificial; D019553:Tooth, Nonvital; D016896:Treatment Outcome