Endodontic management of a young patient with avulsion and root fracture: a case report with 4 years follow-up.

Avulsion and root fractures are complications may be seen after a traumatic accident. These should be diagnosed and treated as soon as possible because the time elapsed between the trauma and start of the treatment is considered as the most important factor in the prognosis. All treatment protocols should be directed toward the management of the pulp and periodontal ligament. The present case report reviews a 22-year-old male patient which was visited with 5 hours delay after accident and avulsion of right central incisor. The avulsed tooth soaked in 2.4% fluoride solution for 20 minutes. Extra-oral root canal treatment was performed and it was immediately replanted. Anterior maxillary teeth were splinted by a semi-rigid splint. After 10 days, an intra-oral sinus tract was observed on the oral mucosa of the left central incisor, its tracing revealed a root fracture on this tooth. The coronal section of this tooth was endodontically treated. Four years follow-up revealed no radiographic or clinical signs and symptoms.