Non-surgical management of apical third root fracture with MTA: A case report

Introduction: Though dentin is flexible still at times the teeth undergoes fractures. Coronal fractures are easy to manage and repair but when it comes to root fractures, treating them has always been a tough job. Though different types of healing patterns have been mentioned in the text, still most of these teeth suffer from either continuous pain or they get extracted. To conserve and salvage such fractured teeth different techniques have been explored and many a times surgical approach has also been used but the results have often not been that promising. This paper describes a case with apical third fracture managed non-surgically with application of MTA. Case discussion: A female patient reported with severally retroclined central incisors with apical third fracture in 11 with history of trauma and complaint of dull continuous pain. Multiple appointment endodontic therapy also couldn’t not subside the pain. The canal was obturated by MTA and fiber post was placed to change the angulation of tooth. At same time 21 was intentionally RC treated and obturated by gutta percha followed by post placement for straightening the crown. Both the teeth were given full ceramic crowns. Post operatively the pain reduced within days and there was remarkable stability of root fragment