AUTHOR(S): Levent Demiriz, Volkan Arıkan and Banu Kürkçü

ABSTRACT: When the incidence of teeth injuries is considered, horizontal root fractures are rare with a reported rate ranging between 0.5%-7.0%. Clinically, the fractured tooth is often extruded and palatally displaced. In these issues, repositioning and fixation of teeth with splints is suggested as the conservative treatment to give a chance to the pulp tissue for spontaneous healing with no further intervention. However, immediate treatment and repositioning may be impossible if the appeal of the patient is delayed. The aim of this report is to present the treatment and follow-up of a case who referred with a traumatized tooth including horizontal root fracture. Since delayed appeal, the coronal fragment could not be repositioned. The coronal fragment of the tooth was treated by using MTA, and the apical fragment was left without any treatment. After 24 month clinical and radiographic follow-up, complete healing of the tooth was observed with no pathological symptoms. The procedure including the treatment of coronal fragment by using MTA and giving a chance to apical fragment for spontaneous healing may be an appropriate solution for teeth with horizontal root fractures when the repositioning of the dislocated fragments is impossible.

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