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DOI: 10.48087/BJMS.2026.130107
Authors: Fouzia Kawter BAROUDI, Naouel ALLAL, Fouad OUDGHIRI.
Keywords: Bioceramic, Splint, Horizontal root fracture, Trauma, Endodontic treatment.
Abstract
Introduction: Horizontal root fractures (HRFs) are a rare form of dental trauma, accounting for approximately 0.5% to 7% of cases, and primarily affect maxillary central incisors. They result from severe impact causing rupture of the dentinal structures and sometimes pulpal involvement. Management relies on a conservative approach aimed at preserving tooth vitality and function. Case Report: A 14-year-old patient presented with a horizontal fracture of the middle third of the root of the right maxillary central incisor. Treatment consisted of repositioning the coronal fragment, placing a semi-rigid splint, followed by endodontic therapy with calcium hydroxide medication and obturation with bioceramic cement. Subsequently, endodontic treatment was also performed on the left maxillary central incisor (21), which had become necrotic. Follow-up examinations showed favorable clinical and radiographic outcomes, with no signs of resorption or periapical lesions. Conclusion: HRFs have a good prognosis when diagnosed early and managed conservatively. The use of bioceramics, due to their biocompatibility and sealing ability, promotes healing and long-term stability. Regular follow-up remains essential to ensure treatment durability.