Question 253 · LDEK · Trauma to permanent teeth
The horizontal fracture in ½ length of the root of tooth 22 in a 14-year-old patient was the result of craniofacial injury. The tooth was immobilized and its state controlled. After 6 months, pulp necrosis was diagnosed in the coronal fragment of the tooth. The treatment of choice will be:
- A. root canal treatment to the line of the fracture.
- B. root canal treatment of both fragments of the root, and joining them with a metal pin.
- C. root canal treatment to the line of the fracture and a surgical removal of the apical part of the root.
- D. root canal treatment of the coronal fragment and stabilizing the tooth with a metal point replacing the extracted apical part of the root.
- E. observation, and treatment when the radiological changes appear.
Hint
After a horizontal root fracture, consider which fragment's pulp usually becomes necrotic and which usually stays vital.
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