Long‐term splinting of maxillary incisor with intra‐alveolar root fracture

This case report describes the treatment of a maxillary right central incisor with an intra‐alveolar horizontal root fracture in the coronal one‐third of the root. Repositioning and immobilization of the coronal fragment were carried out. After 2 months the clinical examination revealed the pulp in the coronal fragment to be necrotic. Radiographically, a small periapical radiolucency was seen. Endodontic therapy was initiated and the pulp in the apical fragment proved to be necrotic as well. Instrumentation of the root canal through the fracture line and long‐term calcium hydroxide treatment were carried out. One year later the radiograph indicated repair of the fracture with hard tissue. The tooth was then obturated with guttapercha and Grossman's sealer and restored with an acid–etch resin technique. At the 12‐month follow‐up examination the tooth was functionally and esthetically normal. Radiographically, the fracture line was not discernible and repair of the apical periodontitis had taken place.