Traumatic Injuries: Avulsed and Root-Fractured Maxillary Central Incisor

This chapter presents a case of a patient (Pt) who was a 10-year-old healthy male. The Pt was American Society of Anesthesiologists Physical Status Scale (ASA) Class I. The boy had fallen running down the stairs at home, which caused a horizontal mid-root fracture of tooth. A silk suture was placed for a gingival laceration. The splint de-bonded later that day and a composite resin and light wire splint was placed. The case presented in the chapter helps dentists to understand how to provide appropriate emergency care immediately following dental trauma, including diagnosis and treatment. The chapter also helps to understand how to use the American Association of Endodontists (AAE) guidelines as a guide in the management of dental trauma. It explores how to manage appropriately a tooth with horizontal root fracture when the pulp becomes necrotic and/or infected. The chapter provides the importance of long-term follow-up of teeth in the area of trauma.