Successful surgical retreatment of a midroot fracture in the mandibular incisor

Abstract

Root fractures account 0.5-7% of all the dental traumatic injuries, with only 5% incidence in mandibular incisors. Management of horizontal root fracture presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fractured fragments. Achieving stable fracture reduction is inversely proportional to the severity of dislocation, mobility and pulpal injury. Extraction and replacement is the treatment for severely mobile teeth. Endodontic intervention is required for non- healing fractures. This case report presents a successful surgical retreatment of horizontal root fracture of a mandibular incisor using fiberpost. The fiberpost, as intra-radicular splint, represents conservative approach for treatment of horizontal root fracture rather than succumbing the tooth for extraction.

Keywords

• Fiberpost
• horizontal root fracture
• intraradicular stabilization