Intralveolar root fractures of anterior teeth are the most common outcome of a traumatic episode. The traumatized tooth can get fractured at various levels viz. coronal, middle or apical third of the root. Such traumatized teeth often get complicated with the involvement of the periodontal tissues. A similar horizontal root fracture associated with a periodontal abscess in a mandibular central incisor of an adult female has been reported in this case presentation. This fracture was discovered radiographically. A distinct radiolucent line separated fractured pieces with regular margins. The tooth was associated with a mild pain; there was no discoloration of the crown, grade I mobility, no tenderness to percussion or palpation but a distinct periodontal abscess was present. Although the tooth had a hopeless prognosis, it was attempted to save by reinforcing extra and intra coronal splints along with the apical curettage to treat the periodontal defect.
traumatic injuries, horizontal root fractures, rigid intra coronal splint, apicectomy
