Article: Volume 43 Number 7 Page 648 - September 2016

  Dent Update 2016; 43: 648-657  Read article

Orthodontics:  A Case Series: The Orthodontic Management of Central Incisors with Horizontal Root Fractures

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Abstract: This case series illustrates the successful orthodontic management of previously root-fractured central incisors. Orthodontic treatment was carried out to correct the underlying malocclusion, remove traumatic occlusal forces and to provide a suitable occlusion for future restorative treatment should the root-fractured teeth be lost in the future.

Clinical relevance: Dental trauma occurs commonly; having affected 10% of orthodontic patients. All practitioners should be able to discuss the possibility of orthodontic treatment with patients who have had previous trauma to their front teeth.

Author notes: Louise C Kneafsey, BDS, MFDS(Ed), MSc(Lon), MOrth RCS(Eng), FDS RCS(Eng), Senior Specialist Registrar Orthodontics ( and Samantha J Hodges, BDS, MOrth RCS(Edin), MOrth RCS(Eng), FDS RCS(Orth) FHEA, Consultant, Orthodontic Unit, Division of Craniofacial and Development Sciences, Eastman Dental Institute, 256 Gray’s Inn Road, London WC1X 8LD, UK.

Objective: To understand that a previously horizontally root-fractured incisor need not preclude these patients from orthodontic treatment.