What is the recommended duration for splinting horizontal root fractures with a displaced coronal section?

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In cases of horizontal root fractures with a displaced coronal section, the recommended duration for splinting is typically 4 to 6 weeks. This period allows for adequate healing of the fracture while ensuring that the displaced segment remains in the correct position to facilitate proper osseous healing.

During the splinting period, the coronal portion of the tooth can stabilize, allowing periodontal healing to occur and reducing the risk of complications such as re-displacement or improper healing of the affected structures. Proper splinting may involve the use of a wire and acrylic splint or a similar bonding technique, which helps to immobilize and protect the tooth.

Choosing a time frame longer than 6 weeks can potentially expose the tooth to unnecessary mobility or complications while splinting for a shorter duration may not provide sufficient time for optimal healing. Therefore, the 4 to 6 weeks recommendation is based on clinical guidelines that balance the need for stabilization with the potential drawbacks of prolonged splinting.

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