Case Series: root healing with MTA after horizontal fracture.
BACKGROUND
Root fractures in permanent teeth are uncommon injuries and represent complex healing patterns. Fractures occur most often in the middle third of a root and rarely at the apical third.


METHODS
Case 1: A 10- year old boy attended the Dept. Paediatric Dentistry Clinic (Istanbul University) after an accident at school 4 hrs earlier. Clinically there was a swollen upper lip, pain on the periapical region of the tooth and horizontal root fractures in the middle third of both roots of teeth 11 and 21 were noted on periapical radiography. Case 2: An 8-year old boy was involved in a bicycle accident 3 months prior to attending. A maxillary splint was present on incisor 11. Clinically an enamel-dentine crown fracture and radiographically a horizontal mid-third root fracture, were seen. Case 3: An 11-year old boy attended after a bicycle accident 1 month before, involving tooth 21. Clinically there was mobility, slight discolouration and radiographically a horizontal mid-third root.


METHODS
In all cases only the coronal segment of roots were treated and MTA was placed as a fracture line plug.


RESULTS
At 36 months follow up all teeth were asymptomatic and clinical and radiographic investigation of the teeth revealed excellent healing patterns.


CONCLUSIONS
MTA can be considered as a good choice for a definitive root filling material in horizontal tooth root fractures with excellent biological and physical properties.
Erdem
A P
AP
Department of Paediatric Dentistry, Istanbul University, Capa- Fatih, Istanbul, Turkey. pinararzuerdem@yahoo.com
Ozdas
D O
DO
Dincol
E
E
Sepet
E
E
Aren
G
G
D017607:Aluminum Compounds / Q000627:therapeutic use*; D017610:Calcium Compounds / Q000627:therapeutic use*; D002648:Child; D004338:Drug Combinations; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010087:Oxides / Q000627:therapeutic use*; D010516:Periodontal Splints; D012387:Root Canal Filling Materials / Q000627:therapeutic use*; D012389:Root Canal Obturation / Q000379:methods; D017640:Silicates / Q000627:therapeutic use*; D014082:Tooth Fractures / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries*
D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate