Root fracture

[1] Objectives of the treatment is to reposition the coronal fragments to allow revascularisation of the tooth, therefore maintaining aesthetics and functional integrity.

[3] Diagnosis is tricky as there as signs and symptoms are frequently delayed and no single clinical feature indicates a root fracture is present.

[3] A clinician should remember that whilst a root fracture remains, bone around the tooth is continuing to be lost, compromising the success of any future potential implants.

[2] Now, with the introduction of cone beam computed tomography (CBCT), it is possible to view root fractures three-dimensionally.

[5] The treatment of horizontally root-fractured teeth involves re-positioning, stabilisation and occlusion adjustment, with a good chance of survival.