Treatment of an Oblique Root Fracture in a Maxillary Central Incisor Using Bioceramic Cement: Case Report and 2-year Follow-up

Abstract

Root fractures are common in dental trauma cases, and treatment depends on fracture location and extent, requiring proper knowledge for effective management. This study reports the case of an oblique root fracture in the maxillary left central incisor due to dental trauma after a fall. Clinical and radiographic evaluations revealed mild cervical crown darkening, Grade I mobility, mild extrusion, and negative cold-sensitivity tests, indicating pulp necrosis. Cone-beam computed tomography showed a hypodense line compatible with a root fracture, and the diagnosis was asymptomatic apical periodontitis. Endodontic treatment involved chemical-mechanical preparation and root canal filling with Bio-C Sealer (Angelus, Brazil) using the single-cone technique. After 2 years, follow-up showed no symptoms or hypodense images. Accurate diagnosis, timely treatment, and proper management are essential for successful outcomes in oblique root fractures.