Treatment and orthodontic movement of a root-fractured maxillary central incisor with an immature apex: 10-year follow-up.

AIM: To report a maxillary central incisor tooth with a horizontal root fracture and incomplete root development that healed and was then moved orthodontically some years after the traumatic injury.

SUMMARY: A 7-year-old girl attended following trauma to the maxillary anterior region. Radiologic examination revealed a horizontal root fracture in the middle third of the maxillary right central incisor tooth that had an immature apex. After early treatment, the fractured tooth healed and pulpal health was retained. Recall examination after 2years revealed complete root development. Orthodontic treatment was performed to correct an angle type I malocclusion. Clinical and radiologic controls were performed over 10years and confirmed both pulpal and periodontal health.

KEY LEARNING POINT: •  Orthodontic movements of teeth with previously fractured roots might be possible without adverse pulpal effects.