Root fracture: what to consider before choosing prosthodontic treatment for missing dentition

Abstract

Root fracture is a condition frequently encountered in usual clinical practice, and it goes without saying that managing with the pathology can be challenging. The primary approach to treating root fracture is adhesion of the fractured site, but under certain conditions, intentional replantation may be indicated as an alternative. On the other hand, when extraction of a fractured tooth is required, if the patient has a healthy wisdom tooth and meets the necessary criteria, tooth autotransplantation may be considered; otherwise, general prosthetic treatment for the missing tooth is selected. In this article, I would like to express my humble opinion about prosthetic treatment strategies for root fractures, dividing them into 1) cases when the fractured tooth is preserved and 2) cases when the fractured tooth is extracted, with actual clinical cases.