Abstract

PROPHETA, Lucimara Aparecida et al. Healing of oblique tooth root fracture concomitante with coronal fragment extrusion in permanente dentition: A case report. Rev Port Estomatol Med Dent Cir Maxilofac [online]. 2023, vol.64, n.3, pp.123-127.  Epub Sep 30, 2023. ISSN 1646-2890.  https://doi.org/10.24873/j.rpemd.2023.10.1067.

This case report describes a favorable healing outcome of the immediate management of an oblique tooth root fracture in the middle third concomitant with coronal fragment extrusion in a permanent maxillary left central incisor of a healthy 14-year-old female patient. The clinical exam showed incisal irregularity, local bleeding, increased mobility, and axial displacement of the maxillary left central incisor. The coronal fragment was repositioned and stabilized with a flexible splint for four weeks. The parents and the patient received medication prescriptions and instructions. Clinical and radiographic conditions remained satisfactory at the 4-week, 6-month, and 12-month follow-ups. Thermal and percussion tests confirmed pulp vitality after 12 months. Hard tissue formation between segments was observed in the radiographic examination and cone-beam computed tomography. In conclusion, the immediate conservative therapeutic showed satisfactory clinical and radiographic results.

Keywords : Adolescent; Permanent dentition; Tooth extrusion; Tooth injuries; Tooth Root.

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