Conservative management of horizontal root fracture of a maxillary permanent incisor: Case report

Abstract

A case is presented of an 11-year-old boy who was diagnosed with a horizontal radicular fracture located in the middle third of a maxillary right central incisor that was immediately managed conservatively. Subsequent to the injury, the patient complained of inability to bite, a swollen upper lip and pain on palpation in the periapical region of the tooth. Clinically the tooth appeared extruded. Radiographic examination revealed a root fracture. The extruded tooth was repositioned and immobilised with a wire-composite splint, under a suitable prophylactic antibiotic and anti- inflammatory analgesic coverage for one week. Two years after trauma, the treated tooth was firm and healthy with good aesthetics and normal function.