Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2022, vol. 59, nr 4, October-December, p. 637–645

doi: 10.17219/dmp/145895

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Cite as:

Marasca B, Ndokaj A, Duś-Ilnicka I, et al. Management of transverse root fractures in dental trauma. Dent Med Probl. 2022;59(4):637–645. doi:10.17219/dmp/145895

Management of transverse root fractures in dental trauma

Beatrice Marasca1,B,C, Artnora Ndokaj1,D,E, Irena Duś-Ilnicka2,C,D, Alessandro Nisii3,A,B, Roberto Marasca4,A,C, Maurizio Bossù1,C,E, Livia Ottolenghi1,E,F, Antonella Polimeni1,B,F

1 Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

2 Department of Oral Pathology, Wroclaw Medical University, Poland

3 Chirurgien Dentiste Service de Chirurgie Oral, Centre Hospitalier Intercommunal André Grégoire, Paris, France

4 Pediatric Dentistry Unit, Head and Neck Integrated Department, AOU Policlinico Umberto I of Rome, Italy


The management of complex dental trauma can be modulated according to the emergencies that may arise over time. Clinical management of transverse root fractures may require different therapies based on situations, such as delay and error in the treatment of an avulsion trauma associated with apical third root fracture, patient’s poor compliance, or external and internal root resorption. The primary aim of this article was to review studies regarding root fractures in the permanent dentition and root fracture management. The secondary aim was to present the inflammatory reaction and the complications (i.e., infections) that may occur if the International Association for Dental Traumatology (IADT) guidelines are not followed. In addition, a scenario is devised in which endodontic surgery, despite the baseline patient’s conditions and negative prognosis, can help to inhibit the inflammatory root resorption and allow the preservation of soft and hard tissues within a long follow-up from the injury, for the purpose of demonstrating the next possible implant-prosthetic rehabilitation.

Key words

dental trauma, avulsion, root fracture, apicoectomy, scanning electron microscopy

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