Root fracture - Treatment Guidelines
The treatment animation above has still not been updated to the 2012 IADT guidelines. The guidelines
shown below are however in accordance with the new set of IADT guidelines.
If the coronal fragment is not displaced no treatment is required.
If the coronal fragment is displaced, repositioning and splinting might be considered. Otherwise extract only that fragment. The apical fragment should be left to be resorbed.
Soft food for 10-14 days.
Good healing following an injury to the teeth and oral tissues depends, in part,
on good oral hygiene. Brush with a soft brush after every meal and apply
chlorhexidine 0.1 % topically to the affected area with cotton swabs twice a day
for one week. This is beneficial to prevent accumulation of plaque and debris
along with recommending a soft diet, restrict the use of a
Parents should be further advised about possible complications that
may occur, like swelling, increased mobility or fistula. Children may not
complain about pain; however, infection may be present and parents should watch
for signs of swelling of the gums and bring the child in for treatment.
Clinical control after 1 week. Clinical and radiographic control after 6-8 weeks
and 1 year.
In case of tooth extration: Clinical and radiographic control at 1 year and every year until eruption of the permanent successor.