Horizontally root fractured teeth with pulpal vitality - two case reports

doi:10.4329/wjr.v8.i12.928

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Dec 28, 2016 (publication date) through Mar 8, 2026

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World Journal of Radiology

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World J Radiol. Dec 28, 2016; 8(12): 928-932
Published online Dec 28, 2016. doi: 10.4329/wjr.v8.i12.928

Horizontally root fractured teeth with pulpal vitality - two case reports

Luciano Silva, Pâmella Álvares, José Alcides Arruda, Leni Verônica Silva, Cleomar Rodrigues, Ana Paula Veras Sobral, Marcia Silveira

Luciano Silva, Pâmella Álvares, José Alcides Arruda, Leni Verônica Silva, Ana Paula Veras Sobral, Marcia Silveira, Universidade de Pernambuco, Santo Amaro, Recife, PE 50100-010, Brazil

Cleomar Rodrigues, Department of Dental Radiology and Imaging, Faculdades Integradas da União Educacional do Planalto Central, SIGA Área Especial para Indústria, 02. Setor Leste, Gama, DF 72445-020, Brazil

Author contributions: All authors contributed to the acquisition of data, writing, and revision of the manuscript.

Institutional review board statement: This case report was exempt from the institutional Review Board standards at Universidade de Pernambuco in Brazil.

Informed consent statement: The patients involved in this study gave their written informed consent authorizing use and disclosure of their protected health information.

Conflict-of-interest statement: All the authors have no conflicts of interest to declare.

Correspondence to: Luciano Silva, DDS, MSc, PhD student, Universidade de Pernambuco, Av. Gov. Agamenon Magalhães, S/N, Santo Amaro, Recife, PE 50100-010, Brazil. lucianobarreto63@gmail.com

Telephone: +55-81-30316824 Fax: +55-81-30316824

Received: April 26, 2016
Peer-review started: April 27, 2016
First decision: July 5, 2016
Revised: July 26, 2016
Accepted: August 17, 2016
Article in press: August 18, 2016
Published online: December 28, 2016
Processing time: 237 Days and 10.5 Hours

Abstract

This case study reports the successful outcome of horizontal root fractures of two different patients, which took place in permanent incisors. Report 1 describes a case of a 29-year-old patient who suffered a mandibular trauma affecting mainly the lower central incisors, caused by a car accident. A panoramic radiograph was taken right after the accident and showed a horizontal root fracture in the middle third of tooth 42, which went untreated. Report 2 illustrates a case of a 17-year-old male patient who searched for orthodontic therapy and the periapical radiograph showed horizontal root fracture in tooth 11 caused by a previous trauma, which went untreated as well. There was healing through the reestablishment of pulp activity and dental coloration without professional intervention.

Keywords: Horizontal root fractures; Pulpal vitality; Periapical radiograph

Core tip: The innovative arguments of this paper is the importance of the follow up procedure conceding the biological response of each patient facing root fractures; especially apex remodeling, calcification and root resorptions. Dentists must be aware that such biological responses may happen without professional interference, which, made previously, might have a complete different outcome.