Integrated treatment to resolve a horizontal root fracture

Daniela Atili Brandini

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Wilson Roberto Poi,

Wilson Roberto Poi

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Sônia Regina Panzarini,

Sônia Regina Panzarini

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Celso Koogi Sonoda,

Celso Koogi Sonoda

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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José Carlos Monteiro De Castro,

José Carlos Monteiro De Castro

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Eloá Rodrigues Luvizuto,

Eloá Rodrigues Luvizuto

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Cláudia Resende Leal,

Cláudia Resende Leal

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Daniela Atili Brandini,

Daniela Atili Brandini

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Wilson Roberto Poi,

Wilson Roberto Poi

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Sônia Regina Panzarini,

Sônia Regina Panzarini

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Celso Koogi Sonoda,

Celso Koogi Sonoda

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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José Carlos Monteiro De Castro,

José Carlos Monteiro De Castro

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Eloá Rodrigues Luvizuto,

Eloá Rodrigues Luvizuto

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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Cláudia Resende Leal,

Cláudia Resende Leal

UNESP, Araçatuba Dental School, Department of Surgery and Integrated Clinic, São Paulo State University, Araçatuba, SP, Brazil

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First published: 06 March 2009

https://doi.org/10.1111/j.1600-9657.2008.00724.x

Citations: 5

Daniela Atili Brandini, Rua José Bonifácio, 1193 Vila Mendonça, 16015-050 Araçatuba, SP, Brazil
Tel.: +55 18 3636 3240
Fax: +55 18 3636 3200
e-mail: [email protected]

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Abstract

Abstract – Root fractures are defined as those that involve cement, dentin and pulp, comprising from 0.5 to 7% of injuries in permanent dentition. Diagnosis is made through clinical and radiographic exams, the latter frequently being limited by the position of the fracture. Treatment varies according to the displacement and vitality of the fragments. The authors present a clinical case of recurrent trauma of tooth 21 causing a horizontal root fracture in the middle third. After several attempts at endodontic treatment, the option was to remove the apical fragment by surgery. The postoperative period of 4 years shows very satisfactory results with regard to wound repair and tooth mobility, or implantation of the coronal segment.

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Volume25, Issue2

April 2009

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