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CONSERVATIVE MANAGEMENT OF HORIZONTAL ROOT FRACTURE OF A MAXILLARY PERMANENT INCISOR: CASE REPORT

G.C. OGONJI

Abstract


SUMMARY
A case is presented of an 11-year-old boy who was diagnosed with a horizontal
radicular fracture located in the middle third of a maxillary right central incisor that
was immediately managed conservatively. Subsequent to the injury, the patient
complained of inability to bite, a swollen upper lip and pain on palpation in the
periapical region of the tooth. Clinically the tooth appeared extruded. Radiographic
examination revealed a root fracture. The extruded tooth was repositioned and
immobilised with a wire-composite splint, under a suitable prophylactic antibiotic
and anti- inflammatory analgesic coverage for one week. Two years after trauma,
the treated tooth was firm and healthy with good aesthetics and normal function.

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The East African Medical Journal is published monthly by Kenya Medical Association.

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