Horizontal fracture of the tooth root: 3-year follow up study

Introduction: Traumatic dental injuries are a significant cause of emergency dental visits, impacting not only the teeth but also the surrounding supporting tissues, such as the gums, jawbone, and ligaments. These injuries can range from simple fractures to complex damage, and they can be caused by various factors, including accidents, sports injuries, falls, or physical trauma. Horizontal root fractures are most frequently located in the middle third of the root, with much less frequent occurrences in the coronal and apical thirds. Root fractures are diagnosed through clinical and radiographic examinations. Treatment depends on the position of the fracture, the extent of root involvement, correct diagnosis, clinical management, and radiographic follow-up. Case report presents the treatment of a maxillary right central incisor with a horizontal root fracture, using MTA, along with a follow-up period of 3 years. Conclusion: A permanent tooth with a root fracture that is endodontically treated may present a good prognosis, preserving the esthetic and psychological integrity of the patient. It is crucial to emphasize that continuous clinical and radiographic follow-up is necessary for ensuring the long-term success of the treatment, particularly for teeth with horizontal root fractures.