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Horizontal Root Fracture Management — NDEB AFK MCQ

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ModeratePaediatric DentistryHorizontal Root Fracture ManagementNDEB AFK

Which of the following is the correct treatment for a permanent tooth with a horizontal root fracture in the middle third of the root?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Reposition the coronal fragment if displaced, flexible splint for 4 weeks, monitor pulp vitality

For horizontal root fractures in the middle third, the coronal fragment should be repositioned (if displaced) using digital pressure under local anaesthesia, and a flexible splint applied for 4 weeks (IADT guidelines). Pulp vitality is monitored at regular intervals. In many cases, the pulp remains vital and the fracture heals by interposition of connective tissue, bone, or a combination. Root canal treatment is only performed if pulp necrosis of the coronal fragment is confirmed (usually only the coronal fragment needs treatment).

Reference: IADT – Guidelines for Management of Traumatic Dental Injuries, 2020