scholarly journals Hemisection: A Treatment Option for an Endodontically treated Molar with Vertical Root Fracture

2015 ◽  
Vol 16 (2) ◽  
pp. 163-165 ◽  
Author(s):  
S Anitha ◽  
Deepika SC Rao
Keyword(s):  
Treatment Option ◽  
Ideal Case ◽  
Endodontically Treated Teeth ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Tooth Structure ◽  
Case Selection ◽  
Alternative Treatment Option ◽  
Diagnostic Difficulties ◽  
Root Fractures

ABSTRACT Vertical root fractures (VRF) in endodontically treated teeth have long been reported and pose diagnostic difficulties. A hemisection/root resection procedures removes the fractured fragments completely, and retains a portion of the compromized tooth offers a predictable treatment option. The key to this rests in ideal case selection involving balancing all indications and contraindications. The success of the treatment depends on careful case selection based on a firm set of guidelines. This article presents a case with VRF in an endodontic treated molar. This article describes the case of a 65-year-old man with a VRF on the mesial root and a healthy periodontium supporting the distal root making it ideal for retention as well as restoration and support of the final prosthesis. Also, the patient was motivated to try and save as much of the tooth as possible. Postoperatively no untoward complication was reported making it an alternative treatment option in patients with VRF in a molar, willing to retain the remaining tooth portion. With all other factors balanced, it allows for retaining the remaining intact portion of the tooth structure. How to cite this article Anitha S, Rao DSC. Hemisection: A Treatment Option for an Endodontically Treated Molar with Vertical Root Fracture. J Contemp Dent Pract 2015;16(2):163- 165.

DOUBLE SEAL TECHNIQUE IN THE MANAGEMENT OF VERTICAL ROOT FRACTURE

2021 ◽  
pp. 14-15
Author(s):  
Sindhuja Panthangi ◽  
Harikumar Vemisetty ◽  
Jayaprada Reddy ◽  
Jaya Nagendra Krishna ◽  
Rajani Rajani ◽  
...  
Keyword(s):  
Treatment Option ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Endodontically Treated Teeth ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Alternative Treatment Option ◽  
Clinical Signs And Symptoms ◽  
One Year ◽  
Type Of Fracture

Vertical root fracture (VRF) is one of the common etiologies for tooth loss . The usual treatment option for this clinical scenario is extraction. The incidence of this type of fracture is higher in an endodontically treated teeth compared to a non endodontically treated tooth. As this type of fracture usually does not present with any specic clinical signs and symptoms , it is usually difcult to diagnose and depends on the endodontist's expertise . The aim of this case report is to suggest an alternative treatment option in conserving the tooth with vertical root fracture of a tooth that did not undergo any root canal treatment by using novel calcium silicate based cement and reinforcement with owable composite with a successful one year follow up.

scholarly journals The Prevalence of Root Fractures among Patients Visiting a Specialised Tertiary Care Dental Care Clinic

2018 ◽  
Vol 1 (12) ◽  
pp. 377-381
Author(s):  
Savita Sharma ◽  
Abhey Chowdhry
Keyword(s):  
Dental Care ◽  
Tertiary Care ◽  
T Test ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Care Clinic ◽  
Root Fracture ◽  
Vertical Fracture ◽  
Study Population ◽  
Root Fractures

INTRODUCTION: Following endodontic therapy, the development of root fracture(s) is considered to be a risk factor. It can be diagnosed accurately with the help of various radiographic aids.AIM: To assess the prevalence of horizontal and vertical root fractures among endodontically treated teeth among patients visiting a specialised tertiary care dental care clinic.METHODOLOGY: Patients suspected of having root fracture (due to endodontic treatment or non-endodontic treatment) were confirmed with the help of radiographic aids (IOPAR, OPG and occlusal radiographs). Root fractures due to endodontic treatment were then classified as horizontal and vertical root factures and analysed using the student’s t-test, ANOVA and odd’s ratio (OR). Data was analysed using SPSS version 21.0RESULTS: The study population comprised of 383 subjects. Males (207, 54%) formed a majority of the study population. Majority of fractures were seen in females [(162, 58.5%), endodontically treated teeth], while a slightly increased prevalence was seen among males (92, 86.8%) in non-endodontically treated teeth. A total of 277(72.3%) teeth were endodontically treated [155(55.9%) horizontal and 122(44.1%) vertical fracture], while 106(27.7%) were 155 non-endodontically treated teeth [63(59.4%) horizontal and 43(40.6%) vertical fracture]. A significance difference between horizontal and vertical root fractures [p=.005(t-test), p=.0025(ANOVA)] was seen. Odd’s ratio analysis revealed that horizontal fractures (OR=2.2) were more prone to develop as compared to vertical fractures.CONCLUSION: Owing to the fact that endodontically treated teeth are more brittle as compared to non-endodontically treated teeth, it is advised that the dental clinician should closely routinely follow- up endodontically treated teeth for signs of root fracture and confirm with a radiographical aid when such fractures are suspected.

scholarly journals Differentiating spontaneous vertical root fracture in endodontically treated tooth

2017 ◽  
Vol 11 (01) ◽  
pp. 122-125 ◽  
Author(s):  
Myung-Jin Lim ◽  
Jung-Ae Kim ◽  
Yoorina Choi ◽  
Chan-Ui Hong ◽  
Kyung-San Min
Keyword(s):  
Endodontic Treatment ◽  
Fracture Line ◽  
Endodontically Treated Teeth ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Gutta Percha ◽  
Endodontically Treated Tooth ◽  
Mandibular First Molar ◽  
Irreversible Pulpitis ◽  
Time Point

ABSTRACTAlthough vertical root fracture (VRF) is mostly found in endodontically treated teeth, it also occurs spontaneously. If VRF is recognized after endodontic treatment, it is considered to be iatrogenic and can lead to legal trouble. However, legal problems can be averted if the dentist can prove that the VRF existed before endodontic treatment. This case report describes an unusual, spontaneous VRF in an endodontically treated tooth and presents a useful tip for determining whether a fracture is iatrogenic. We performed nonsurgical endodontic treatment on a mandibular first molar with irreversible pulpitis. After 6 months, the patient revisited with localized swelling, and we diagnosed VRF of the mesial root. We extracted the tooth and prepared it for microscopic examination. We found gutta-percha in the fracture line of the transversely sectioned root, and it appeared to have penetrated to the fracture line through the force generated from the filling. The patient was informed and agreed that the fracture occurred spontaneously before treatment. This case demonstrates the time point of VRF occurrence by identifying the presence of gutta-percha in the fracture line. We suggest that this procedure can be used to demonstrate whether VRFs in endodontically treated teeth are spontaneous or iatrogenic.

scholarly journals Vertical Root Fracture in Non-Endodontically and Endodontically Treated Teeth: Current Understanding and Future Challenge

2021 ◽  
Vol 11 (12) ◽  
pp. 1375
Author(s):  
Wan-Chuen Liao ◽  
Chi-Hung Chen ◽  
Yu-Hwa Pan ◽  
Mei-Chi Chang ◽  
Jiiang-Huei Jeng
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Case Series ◽  
Bone Defects ◽  
Predisposing Factors ◽  
Diagnostic Methods ◽  
Endodontically Treated Teeth ◽  
Root Fracture ◽  
Vertical Root Fracture ◽  
Bony Destruction

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.

Biological Restoration in a Young Patient with a Complicated Crown Root Fracture with an Autogenous Tooth Fragment

2013 ◽  
Vol 38 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Vinaya Kumar Kulkarni ◽  
Raja Sridhar ◽  
Mahesh Kumar Duddu ◽  
Naveen Reddy Banda ◽  
Saket Vyawahare ◽  
...  
Keyword(s):  
Composite Resin ◽  
Simple Procedure ◽  
Careful Evaluation ◽  
Root Fracture ◽  
Tooth Structure ◽  
Crown Root ◽  
Bonding System ◽  
Glass Fiber Post ◽  
Root Fractures ◽  
Biologic Width

Crown-root fractures are one of the most challenging trauma cases to treat. Reattachment of tooth fragment to a fractured tooth being a simple procedure conserves the tooth structure, maintains the natural esthetics value and is thus considered as a favorable treatment option. The reattachment procedure using composite resin should be considered if the subgingival fracture can be exposed to provide isolation after a careful evaluation of the biologic width involvement. This case report presents a complicated crown-root fracture of permanent maxillay left central incisor, involving the biologic width in an 11-year-old boy. The traumatized tooth was treated endodontically and reinforced by using glass fiber-post. Access to the subgingival margins was gained by electro surgery. The fractured fragment was reattached using bonding system and composite resin.

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