Nonsurgical management of horizontal root fracture with necrotic apical segment and coronal
Originally at sciencedirect.com
Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.
Why it matters for dental
Endodontists and general dentists treating trauma cases gain a documented nonsurgical option for horizontal root fractures with necrotic apical segments, potentially preserving teeth that would otherwise require extraction or surgical intervention.
Key points
- Case describes mineral trioxide aggregate (MTA) placement to manage necrotic apical segment while retaining the coronal tooth structure.
- Abfraction lesion at cervical margin addressed concurrently without surgical root resection.
- Published in Journal of Endodontics October 2026 issue, providing peer-reviewed clinical precedent.
- Authors Abdulrahman Al Farhah and Majed Shaikh report the combined endodontic-restorative approach.
Who should care
Read the original on Journal of Endodontics
Full reporting and any paywall content live on sciencedirect.com. We summarize and score; we do not republish.
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