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Quintessence Int 49 (2018), No. 7     14. June 2018
Quintessence Int 49 (2018), No. 7  (14.06.2018)

Page 543-548, doi:10.3290/j.qi.a40469, PubMed:29786703


12 years' preservation of maxillary permanent incisors with cervical root fractures adjacent to aggressive periodontitis: Report of a case
Tobiska, Sandra / Krastl, Gabriel
This case report presents long-term results following horizontal root fracture of both maxillary central incisors in a 19-year-old woman with aggressive periodontitis. Due to extensive marginal bone loss and the close proximity of the fracture lines to the bottoms of the periodontal pockets, the prognosis of both teeth was uncertain at the time of the accident. Nevertheless, a conservative treatment strategy consisting of splinting and nonsurgical periodontal therapy was initiated. Follow-up at 12 years after the start of treatment revealed a stable situation from clinical and radiologic perspectives. Permanent fixation to the adjacent teeth and regular supportive periodontal care were the basis for a favorable long-term prognosis.

Keywords: aggressive periodontitis, cervical root fracture, dental trauma, splinting