title: Clinical management of mid-root fracture in maxillary central incisors: case reports.
abstract: Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary anterior teeth 2 days after its occurrence. Clinically, the maxillary left central incisor was palatally-extruded with a negative vitality response and radiographic evidence of an oblique fracture at the middle third of the root. An endodontic implant was employed which utilized an open technique and has been on follow-up for ten months. A 32-year-old male reported an injury, which resulted in a mobile maxillary right central incisor, three months after its occurrence. Through clinical and radiographic means, a discolored, extruded, and non-vital maxillary right central incisor with an oblique root fracture at the alveolar-crest level was observed. Exploratory surgery was performed; an apical barrier was created with a mineral trioxide aggregate and obturated with gutta percha. The fragments were stabilized with a fiber post and patient has been on follow-up for five months. Short-term follow-up for both of the cases showed promising results both clinically and radiographically.
authors.affiliation: Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere-4, Karnataka, India. d_j_p_84@yahoo.com
authors.forename: Deepak J
authors.initials: DJ
authors.lastname: Parekh
authors.forename: Ramarao
authors.initials: R
authors.lastname: Sathyanarayanan
authors.forename: Mangala Tiptur
authors.initials: MT
authors.lastname: Manjunath
mesh_terms: D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D003759:Dental Implantation, Endosseous, Endodontic; D005260:Female; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D011176:Post and Core Technique; D012390:Root Canal Therapy / Q000379:methods*; D014082:Tooth Fractures / Q000628:therapy*