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Trauma

337 - Management of Horizontal Root Fractures: A Multidisciplinary Approach

Saturday, May 24, 2025
1:00 PM - 1:15 PM MDT
Has Audio

    Presenting Author(s)

  • Carly Ramirez, DMD

    Pediatric Dental Resident
    University of Connecticut Health Ctr & Connecticut Children's Med Ctr
    University of Connecticut School of Dental Medicine
    Hartford, Connecticut, United States

    • Research Mentor(s)

  • JR

    Jorge Rabat, DDS

    Associate Professor
    University of Connecticut
    University of Connecticut
    Farmington, Connecticut, United States

    • Program Director(s)

  • RP

    Rosa E. Pelaez-Shelton, DDS, MDS

    Program Director
    UConn School of Dental Medicine Pediatric Dentistry
    Farmington, Connecticut, United States

Abstract:

This case highlights the multidisciplinary collaboration for management of traumatic dental injuries in adolescents. A 14-year-old male presented to the Connecticut Children’s Medical Center Emergency Department with trauma to both maxillary central incisors resulting in horizontal root fractures. Splinting was performed to stabilize the teeth on two separate occasions. Eventual root canal treatment (RCT) was completed in the coronal fragments of both teeth by the endodontic department. The patient was referred to the prosthodontics department for further evaluation. Both teeth were determined to be non-restorable and extractions of the coronal fragments were performed. A Maryland bridge was fabricated from the crowns to maintain space and address esthetics. However, the Maryland Bridge fractured on two separate occasions. Currently, the patient is undergoing treatment for a four-unit fixed prosthesis to provide a long-term functional and esthetic solution.

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