A child with fracture of tooth at the apical third of the root, what your first decision would be:
- A. Wait and recall after one month and observe for any necrotic or radiolucency ***
- B. Root canal treatment
- C. Extraction
- D. Apiectomy
What happens when a tooth root fractures?
The fracture can also allow plaque to breach the layers of the tooth and cause an infection. While the enamel is a shield that protects teeth against infection, a fracture can cause enough damage for the infection to break through.
What is an apical fracture?
A vertical apical root fracture is a fracture directly down the middle of the tooth and root. This type of fracture can be painful and will require professional treatment. The treatment may involve root canal therapy to help the patient heal in some cases.
What can be done for a fractured tooth root?
If the crack has extended into the pulp, the tooth can be treated with a root canal procedure and a crown to protect the crack from spreading. However, if the crack extends below the gum line, it is no longer treatable, and the tooth cannot be saved and will need to be extracted.
How is apical root fracture treated?
Fractures in the apical third usually display no mobility and generally do not require any treatment. Root fracture at the cervical third often requires extraction. When the coronal fragment shows severe mobility, there is no other option but extraction.