E-ISSN 2548-0839
European Endodontic Journal A 42-Month Follow-Up of Double Root Fracture of a Lateral Mandibular Incisor []
. 2017; 2(1): 26 | DOI: 10.5152/eej.2017.17021

A 42-Month Follow-Up of Double Root Fracture of a Lateral Mandibular Incisor

Fatou Leye Benoist1, Anta Seck1, Henri Michel Benoist2
1Department of Conservative Dentistry and Endodontics University Cheikh Anta Diop of Dakar, Dakar, Senegal
2Department of Periodontics, University Cheikh Anta Diop of Dakar, Dakar, Senegal

This case report describes the treatment of a double root fracture of a lateral mandibular incisor and its fol- low-up over 3.5 years.
The reason for the consultation was a tooth mobility following a fall that had occurred 2 days earlier. A test of pulp vitality for tooth 42 was positive. Periodontal probing at the level of the gingival sulcus confirmed the intactness of the epithelial attachment. Retro-alveolar radiographic examination revealed a double root fracture of tooth 42.
A semi-rigid extra-coronal splinting was performed and a light grinding of the incisal edge of tooth 42 was then carried out in light of the dislocation of the coronal fragment, and the occlusion was checked with a strip of articulating paper. The outcomes at 6 months revealed that pulp vitality was still preserved, consol- idation of the apical fracture had occurred, and the coronal root fracture was starting to heal. The 1-year, 2-year and 3-year follow ups revealed preserved pulp vitality, an absence of a fracture line in apical images, and no root resorption.
This case report provides evidence for the preservation of vitality in the setting of a double root fracture.

Keywords: Dental pulp test, splints, tooth fractures, tooth mobility

Fatou Leye Benoist, Anta Seck, Henri Michel Benoist. A 42-Month Follow-Up of Double Root Fracture of a Lateral Mandibular Incisor. . 2017; 2(1): 26

Corresponding Author: Fatou Leye Benoist, Senegal

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