Periodontal Healing of a Horizontal Root Fracture: A Case Report with a Two-year Follow-up
Clinical Relevance Scientific rationale for this case report: Traumatically-induced tooth loss due to root fractures necessitates time-consuming and expensive prosthetic rehabilitation measures. To date, however, the appropriate use of minimal invasive periodontal surgery, in combination with adhesive dentistry, may allow cost-effective, reliable therapeutic options for the treatment of root fractures even below the gumline. Principal findings: The coronal part of a fractured lower incisor was reattached to the apical fragment using the periodontal flap technique, endodontic therapy and adhesive fixation measures. Uncompromised aesthetics and function, and periodontal health, were maintained over a two-year observation period. Practical implications: Data on the long-term stability of the proposed approach is scarce. However, in treatment planning for teeth with horizontal root fractures, re-bonding of the coronal part using flap surgery may be considered a treatment option.