Management of Apical Third Root Fractures in Radiculomegaly of Mandibular Anterior Teeth: A Rare Case Report

• Published in: Cureus 2024, Vol.16 (2), p.e55012-e55012
• Main Authors: Jethi, Navdeep, Maheshwari, Karan, Kaur, Khushdeep
• Format: Report
• Language: English
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.55012

In this case report, two uncommon fractures of the root located at the apex of the mandibular anterior teeth region were successfully treated and preserved using non-surgical endodontic procedures. These teeth possess a unique size, characterized by the presence of exceptionally elongated lateral incisors measuring approximately 29 mm, central incisors measuring approximately 25 mm, and canines measuring approximately 30 mm. For the lower left central incisor, the root canal was carefully navigated to the coronal fragment, whereas the apical fragment was left undisturbed and preserved. In the case of the remarkably elongated lower right lateral incisor, the process of 'unification' between the apical and coronal fragments was accomplished through the utilization of Gutta-percha and Ah plus sealer. Subsequently, the mandibular anterior teeth were stabilized and immobilized using dental splints for a duration of one and a half months, with regular follow-ups conducted over a span of six months and one year, during which positive healing outcomes were observed.