SP-47 - Management of Horizontal Root Fractures

Accepted Speaker(s)

• 

  Paul Abbott, B,D.Sc., MDS, FRACDS(Endo)

  Professor of Clinical Dentistry / Endodontist
  The University of Western Australia
  The University of Western Australia

  Disclosures: OzDent Pty Ltd: Consultant, Honorarium

Session Host(s)

• 

  Fengming Wang, D.D.S., Ph.D.

  Clinical Assistant Professor
  Texas A&M University Baylor College of Dentistry

Horizontal root fractures are complex injuries as many tissues are involved - pulp, dentine, cementum, bone and periodontal ligament. These fractures can occur at different levels of the root. Fractures in the apical third and mid-third of the root should be managed conservatively and predictable healing can usually be achieved without needing root canal treatment. Management of coronal third fractures is based on whether the fracture occurs sub-crestally (within bone) or supra-crestally (outside bone). Sub-crestal fractures should be managed conservatively while supra-crestal fractures require more invasive treatment. This presentation will outline the types of horizontal root fractures, the healing responses following such fractures, options for managing these fractures to obtain the best outcome and how to manage adverse outcomes.

Learning Objectives:

• At conclusion, participants should be able to describe the various types of horizontal root fractures.
• At conclusion, participants should be able to evaluate the prognosis for the different types of root fractures.
• At conclusion, participants should be able to manage the various types of root fractures to provide a good prognosis for the tooth.