SALVAGING FRACTURED MAXILLARY LATERAL INCISOR USING EXTRACORONAL AND INTRACORONAL SPLINTING

Abstract

Introduction: One of the main causes of permanent teeth loss is attributed to dental trauma; however root fractures are relatively uncommon in these situations. This case report presents the endodontic management of a horizontally fractured maxillary right lateral incisor using extracoronal splint for initial stabilization and then an intraradicular splinting technique for permanent stabilization. Case Report: Patient complained of pain and mobility of the upper right front teeth since 5 hours, After clinical and radiographic examination, a diagnosis of a horizontal fracture of maxillary right lateral incisor at the level of cervical line (Ellis class III) was made. The fracture segments were stabilized using extracoronal fiber splint and final intraradicular stabilization involved placing a fiber post in the canal and luting with resin cement. Discussion: This case demonstrates that both extracoronal and intraradicular splinting techniques together can be used to manage horizontally fractured teeth. The recent advances in the resin-based restorative materials with tooth colored fiber post are of choice because of several advantages such as esthetics, bonding to tooth structure, and low modulus elasticity similar to that of dentin.