Fracture of upper central incisor permanent: Case report

Luiz Eduardo Duarte Irala, Alexandre Azevedo Salles, Marco Antônio Sinhorelli Müller, Tatiana Andrea Soares Pinto

Abstract


The cases of root fractures in odontology are extremely serious and require, besides of an accurate diagnosis, the immediate and correct assistance in order to get a good prognostic of  the  case.  A  male,  30  years  old,  went  to  the  dentist  office  after  a  permanent  right  maxillary central incisor trauma. The tooth was examined and semiotechnique tests were done, periapical and exchange of contention. After seven days, it was made a canal preparation and medication with  calcium  hydroxide  paste.  After  four  months,  it  was  arranged  in  the  filling  of  the  coronal portion and later proservation of the case for two years, and we noted the normal tissue and repair the fracture area. In cases of dental trauma involving root fracture, it is preciput that we make  the  same  diagnosis  and  a  rigid  restraint  as  soon  as  possible  to  stabilize  the  fragment  in   the  region.  In  this  case  reported,  the  short  time  that  the  tooth  fragment  was  out  of  the  socket placement of an intracanal medication and right immobilization were crucial factors for good prognosis.


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