Horizontally root fractured teeth with pulpal vitality - two case reports

Figure 1 Radiographic and clinical as immobilize the tooth with a semi-rigid splint for 4 wk up to 4 mo. A: Panoramic radiograph taken at the moment of the accident; B: Close at the fractured tooth at the time of the accident; C: Intraoral view. Tooth 41 was slightly grayish while tooth 42 had normal color and no mobility was present; D: Periapical radiograph, tooth 41 with a radiolucent lesion compatible with periapical lesion; tooth 42 with a thin radiolucent line at the fractured line.

Figure 2 Cone beam tomography images. A: Cone beam computed tomography (CT) shows apex remodeling and root canal apical third obliteration of teeth 44 and 43, as well as fracture line in tooth 42; B: Cone beam CT shows oblique fracture line along the middle third of tooth 42. LH: Horizontal line.

Figure 3 Cone beam tomography. A: Panoramic coronal reconstruction of the maxilla; B: Periapical Radiograph, showing horizontal root fracture in the middle third of tooth 11; C and D: Sagital reconstructions of tooth 11, from mesial to distal sequence; E: Coronal reconstructions of the upper incisors, from buccal to lingual direction; F: 3D reconstructions (buccal and lingual views).

Figure 4 Digital periapical radiography. A: Distoradial incidence; B: Ortoradial incidence. Horizontally root fractured observed in the tooth 11.