Title: Effects of bioceramics in the management of low root fractures in children: Report of clinical cases
Abstract:
Low root fractures pose a major challenge for the preservation of the dental crown particularly in children and adolescents. Implant therapy commonly indicated for adults is contraindicated for young patients due to ongoing alveolar growth which is essential for achieving a stable and esthetic longterm outcome.
These constraints necessitate the use of conservative and temporary treatment options whose prognosis depends largely on the mobility of the coronal fragment and the promptness of consultation. In low root fractures the removal of the coronal fragment is generally indicated due to excessive mobility. Subsequent esthetic rehabilitation may involve collaboration with periodontists through crown lengthening when feasible or with prosthodontists when restoration is limited by juxta gingival or infra-gingival margins.
Root fractures without displacement when located sufficiently high may heal with simple splinting for a few weeks. Conversely fractures located lower on the root or associated with displacement present significant challenges due to the persistent coronal mobility. For fractures in the middle or upper cervical third and in the absence of communication with the oral cavity the broaching technique remains valuable for young patients providing a transitional solution to maintain the tooth until definitive treatment can be performed in adulthood. The long term outcomes of these approaches particularly when bioceramic materials are used remain an important clinical question.
This work presents clinical cases illustrating these management strategies, including delayed treatments with more than one year of regular follow up.
