Vertical root fracture diagnosis of crowned premolars with root canal treatment – Two case reports

A vertical root fracture (VRF) is a complex complication that usually leads to tooth extraction. The aim of this article is to review the prevalence, demography, distribution, diagnostic methods, etiology and predisposing factors, clinical features, radiographic characteristics and treatment strategies of VRFs in non-endodontically treated teeth (VRFNETT) and endodontically treated teeth (VRFETT). Search terms for each subject related to VRFNETT and VRFETT were entered into MEDLINE, PubMed and Google Scholar. Systematic reviews, retrospective cohort studies, demographic research, clinical studies, case reports and case series were reviewed. Most of the VRFs were found in patients older than 40 years old. Older populations were discovered in the non-endodontically treated VRF group when compared to the endodontically treated VRF group. Male patients were found at a greater prevalence than females in the non-endodontically treated VRF group. The initial occurrence of a VRF may accompany radiolucent lines within the root canal, unusual space between the canal wall and intracanal material, a widening of the PDL space along the periradicular surfaces, angular bony destruction, step-like bone defects, V-shaped diffuse bone defects, or root resorptions corresponding to the fracture line before the clear separation of the fractured fragment. The indicative clinical and radiographic signs of VRF included a coronally positioned sinus tract, deep-narrow periodontal defects, the displacement of a fractured fragment, periradicular radiolucent halos and the widening of the root canal space. Interestingly, VRFNETT are more often observed in the Chinese population. Some patients with multiple VRFs were observed, suggesting possible predisposing factors in genetics and tooth development. The management of a VRF usually involves a multidisciplinary approach. The common distribution and features of VRFNETT and VRFETT were elucidated to facilitate recognition and diagnosis. Besides extraction, variable therapeutic schemes, such as the repair of the VRF, root amputation and others reported in earlier literature, are available. A long-term prognosis study of the various therapeutic strategies is needed.

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Diagnosis and Treatment of Endodontically Treated Teeth with Vertical Root Fracture: Three Case Reports with Two-year Follow-up

Journal of Endodontics ◽

10.1016/j.joen.2010.09.002 ◽

2011 ◽

Vol 37 (1) ◽

pp. 97-102 ◽

Cited By ~ 24

Author(s):

Senem Yiğit Özer ◽

Gülten Ünlü ◽

Yalçın Değer

Keyword(s):

Case Reports ◽

Diagnosis And Treatment ◽

Endodontically Treated Teeth ◽

Root Fracture ◽

Vertical Root Fracture

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Treatment of anatomic canal variations in premolar teeth: Five case reports

International Dental Research ◽

10.5577/intdentres.2021.vol11.suppl1.41 ◽

2021 ◽

Vol 11 (Suppl. 1) ◽

pp. 279-284

Author(s):

Emre Bodrumlu ◽

Esma Dinger

Keyword(s):

Root Canal ◽

Native Speakers ◽

Case Reports ◽

Anatomical Variations ◽

Root Canal Treatment ◽

Root Canals ◽

Treatment Indications ◽

Native Speakers Of English ◽

Root Canal Morphology ◽

Root Canal Instrumentation

Aim: The aim of this case report is to present a series of anatomical variations and endodontic treatments in four two-canal mandibular premolar teeth and three rooted three-canal maxillary second premolar teeth with root canal treatment indications identified via clinical and radiographic examinations. The success of root canal treatment is achieved with a thoroughly examined root canal morphology that has been accurately determined radiographically and clinically before adequate shaping, irrigation, and hermetic filling procedures. Root canals that are not found or not adequately disinfected can cause root canal treatment failure and complications, such as pain, swelling, or persistent fistula, also known as flare-up, after treatment. Canal variations in the teeth were detected via periapical radiographs during the root canal instrumentation stage. Methodology: The endodontic treatments of four two-canal mandibular premolar teeth and one triple-rooted three-canal maxillary second premolar with root canal treatment indications were described. Conclusion: To achieve full success in root canal treatment, anatomical variations should be examined in detail before and during treatment, and treatment should be completed with appropriate techniques. How to cite this article: Dinger E, Bodrumlu E. Treatment of anatomic canal variations in premolar teeth: Five case reports. Int Dent Res 2021;11(Suppl.1):279-84. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.41 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures

Lasers in Medical Science ◽

10.1007/s10103-018-2517-6 ◽

2018 ◽

Vol 33 (8) ◽

pp. 1685-1691 ◽

Cited By ~ 1

Author(s):

Ferhat Ayrancı ◽

Leyla Benan Ayrancı ◽

Alper Özdoğan ◽

Serkan Özkan ◽

Mutlunur Önder Peker ◽

...

Keyword(s):

Root Canal ◽

Root Fracture ◽

Canal Irrigation ◽

Vertical Root Fracture ◽

Root Canal Irrigation

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Vertical Root Fracture initiation in curved roots after root canal preparation: A dentinal micro-crack analysis with LED transillumination

Journal of Clinical and Experimental Dentistry ◽

10.4317/jced.54227 ◽

2017 ◽

pp. e1218-e1223 ◽

Cited By ~ 1

Author(s):

R Miguens-Vila ◽

B Martin-Biedma ◽

P Varela-Patiño ◽

M Ruiz-Piñon ◽

P Castelo-Baz

Keyword(s):

Root Canal ◽

Fracture Initiation ◽

Root Canal Preparation ◽

Root Fracture ◽

Crack Analysis ◽

Vertical Root Fracture

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Influence of the incorporation of a lead foil to intraoral digital receptors on the image quality and root fracture diagnosis

Dentomaxillofacial Radiology ◽

10.1259/dmfr.20180369 ◽

2019 ◽

Vol 48 (6) ◽

pp. 20180369 ◽

Cited By ~ 3

Author(s):

Amanda Farias Gomes ◽

Yuri Nejaim ◽

Rocharles Cavalcante Fontenele ◽

Francisco Haiter-Neto ◽

Deborah Queiroz Freitas

Keyword(s):

Image Quality ◽

Control Group ◽

Human Teeth ◽

Radiographic Images ◽

Root Fracture ◽

Vertical Root Fracture ◽

Diagnostic Values ◽

Fracture Diagnosis ◽

Lead Foil

Objective: To evaluate the quality of images obtained with the addition of a lead foil to intraoral digital receptors. Methods: Radiographic images of 34 single-rooted human teeth - 19 with vertical root fracture (VRF) and 15 of the control group - were obtained with and without the addition of a lead foil, using the VistaScan, Express, Digora Optime and Digora Toto systems. Images were evaluated by five observers regarding the diagnosis of VRF, using a 5-point scale. In a second moment, an observer preference analysis related to the presence of the lead foil was performed. Images of an acrylic phantom were also obtained with and without the addition of a lead foil, and the quantities of uniformity, grey value and standard deviation of grey values were obtained. Results: There were no significant differences in the VRF diagnostic values, considering the presence of the lead foil. Regarding the image quality preference, the observers preferred images acquired with the lead foil for all systems tested, but with greater values for Digora Optime (61.33%) and Express (61.33%). The presence of the lead foil did influence the image uniformity in all systems tested ( p < 0.05). Moreover, the lead foil increased the mean of grey values for Digora Optime and Express images ( p < 0.05), however it did not influence the SD in any of the digital systems ( p > 0.05). Conclusion: The addition of a lead foil to intraoral digital receptors produces a positive effect in the image quality objectively detected by means of uniformity and subjective visual preference.

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The root canal treatment in maxillary and mandibular molars with five root canals: Two case reports with two years follow up

International Journal of Case Reports and Images ◽

10.5348/ijcri-2012-05-117-cs-2 ◽

2012 ◽

Vol 3 (5) ◽

pp. 11 ◽

Cited By ~ 1

Author(s):

Ersan Çiçek ◽

Ebru Özsezer Demiryürek ◽

Semih Özsevik

Keyword(s):

Root Canal ◽

Case Reports ◽

Root Canal Treatment ◽

Root Canals ◽

Mandibular Molars

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Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

10.25259/aujmsr_23_2020 ◽

2020 ◽

Vol 2 ◽

pp. 120-123

Author(s):

Munish Singla ◽

Iyana Garg ◽

Vandana Goyal ◽

Harleen Kaur ◽

Litik Mittal

Keyword(s):

Case Report ◽

Surgical Management ◽

Root Canal ◽

Case Reports ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Periapical Lesion ◽

Present Case Report ◽

Periapical Lesions ◽

Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

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