Question 535 · LDEK · Dental trauma
A 19-y.o. patient presented to the dentist after sustaining an injury of tooth 12 during traffic accident. Intraoral examination showed mobility in the range of 1-2 mm in the labio-lingual direction and pain when biting. Positive reaction to vitality test. Radiographic image showed transversal root fracture in 1/5 apical length. Choose preferred procedure:
- A. single visit RCT (vital extirpation).
- B. two visit RCT using vital extirpation with applying Ca(OH)₂ as an antiseptic agent between visits.
- C. immobilizing the tooth for 4 weeks with recommendation for vitality test.
- D. resection of fractured part of the root, with subsequent single visit RCT.
- E. tooth extraction.
Hint
Apical-third root fractures with a vital pulp tend to heal; consider what IADT guidelines advise before any root canal treatment.
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