Abstract
Horizontal root fractures involve cementum, dentin and pulp tissues, comprising between 0.5 and 7% of trauma cases that affect the permanent dentition. This paper aimed to report a case of horizontal root fracture, without immediate care, resulting from a car accident. Patient presented tooth 11 with darkening, coronary fracture and mobility grade two, in addition to negative responses to cold sensitivity tests and vertical and horizontal percussion tests. Through imaging exams, a horizontal fracture line was evidenced, with a local radiolucency. The treatment instituted was performed 12 years after the accident and consisted of endodontic treatment of the coronary fragment and its sealing with BIO-C® REPAIR bioceramic cement. Prompt care, correct diagnosis and adequate management of the case are important for a good prognosis of horizontal fractures. In the case reported, the treatment occurred in a mediate way, which may compromise the case prognosis. Close monitoring is essential to determine whether the therapy used was successful. Currently, the patient is asymptomatic.
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