Maintenance of vitality following horizontal root fracture of a lower central incisor
Accepted: 19 October 2021
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Aim: To maintain vitality in a lower central incisor with a horizontal root fracture. The patient was a seventeen years old male in optimal health conditions. He did not want lose his damage tooth at all costs.
Summary: Through of a three-layer glass fiber splinting, the tooth was immobilized by joining it to the adjacent teeth and leaving it in light occlusion. The clinical examination to date confirms the positive vitality of the tooth, with no change in color or presence of fistulas. At the fourteenth month control, the intraoral radiographs show how the lumen of the root canal reduces increasingly into a very thin layer.
Key learning points
- Horizontal root fracture: if the tooth is vital, you can try to save by a splint of fiberglass.
- Maintenance pulp vitality: monitored with vitality test, no change in color or presence of fistulas.
- Glass fiber splinting: it’s a method to preserve the tooth from possible trauma by joining it to the adjacent teeth.
Copyright (c) 2022 Eros Martino Villa, Andrea Filippo Tommaso Tremolada, Roberto Fornara
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