Root fracture

ROOT FRACTURE

* Administer local anesthesia.
* Reposition the coronal fragment gently with digital pressure.
* If the buccal socket wall is also fractured, it is necessary to reposition the displaced bone before attempting to reposition the coronal fragment. This is done with a small, flat instrument inserted between the exposed root surface and the socket wall.
* Take a control radiograph to ensure that the repositioning is optimal.
* Stabilise the tooth with a splint.
* Maintain the splint for 2-3 months.

Radiographs in the main window: The coronal fragment was repositioned and stabilised with a splint. Control radiograph after removing the splint shows excellent treatment result. The tooth remained vital.

Endodontic considerations in teeth with closed apex.
Often the tooth remains vital and endodontic treatment is not indicated. If necrosis develops, however, the root canal treatment is confined to the coronal fragment only. The apical fragment seldom causes any problems. If the apical fragment becomes infected, it is usually removed surgically.

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