Management of third apical fracture in anterior teeth with apical resection

Yuliana Sari (Departement of Conservative Dentistry, Faculty of Dentistry Gadjah Mada University, Yogyakarta, Indonesia)
Tunjung Nugraheni (Departement of Conservative Dentistry, Faculty of Dentistry Universitas Gadjah Mada, Yogyakarta, Indonesia)
Wignyo Hadriyanto (Departement of Conservative Dentistry, Faculty of Dentistry Universitas Gadjah Mada, Yogyakarta, Indonesia)
Dessy Natalia (Dental Clinic of Depati Hamzah General Hospital, Pangkal Pinang, Indonesia)

Journal of Dentomaxillofacial Science
Article In Press

Objective: Tooth fractures are mostly caused by traumatic injuries that can involve the pulp and surrounding periodontal tissue. Root fracture is an unusual injury (0,5-7%) but requires a complex healing pattern, so the treatment can require many specialists. Fractures at the third level have a good result if the proper diagnosis and there is no mobility and the teeth are asymptomatic. Case Report: Treatment of this third-apical fractures is endodontics treatment in the coronal and apical resection of the apical fragmen with MTA placement to get an apical plug. The treatment is continued by prosthodontic to obtain the aesthetic result. Results: Endodontic treatment and apical resection presented good results with no symptoms of clinical pathology for about 3 months followed up. Conclusion: Fractures at the third level have a good result if the proper diagnosis, the right treatment planning and procedures are performed.