Vertical root fracture infection

Can a tooth with a vertical fracture be saved? A full thickness mucogingival flap reflecte exposing the vertical root fracture. What causes a root to fracture? They can involve one or both.

Occasionally, the fracture will spread up the natural tooth appearing above the gum line where there is then the risk of a complete split. Perhaps the biggest complication of a cracked tooth is an infection that can spread to the bone and gums.

Inflammation of tissues around the fractured root is the main reason for tooth extraction. Based on the strategic importance of some fractured teeth, treatment may be necessary and often complicated. It may range in length, but the tooth will often have to be removed because of the pain.

Prognosis most often is hopeless and differential diagnosis from other pathoses may be difficult at times. Vertical Root Fracture. It may also resemble other diseases such as TMJDs, sinusitis, facial pain or ear pain.

Timely diagnosis is important as a cracked tooth is essentially an incomplete fracture and may progress to complete fracture and infection. There is a defined history of certain treatment modalities.

These procedures have generated lateral wedging forces. A vertical root fracture or a fracture extending to the pulp of the tooth may require root canal therapy. Tooth extraction is a last resort. Often, if the crack reaches beneath the gum line, extraction is necessary. Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient.

After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracte the VRF gap enlarged with a small diamond bur and the. A vertical apical root fracture is a fracture directly down the middle of the tooth and root.

In some cases, the treatment may involve a root canal therapy to help the patient heal. In fact, we feel this is often the best way to diagnosis a vertical root fracture. The diagnosis phase can extend into the actual treatment phase as well. Visualization will lead to a more confident treatment recommendation. Diagnosing a vertical root fracture may be a challenge because of the similarities with other pathologies.

In the presented cases, endodontic treatments were performed as part of the overall treatment plan for full arch rehabilitation. Root fracture of the tooth is a dentine cementum fracture involving the pulp. Traumatic root fracture occurs most often in the middle third of the roots of fully erupted and fully formed teeth.

However, root treated teeth are more susceptible to root fracture , as this involves removing root dentine, thereby weakening the tooth.

The case described here is a vertical root fracture masquerading as a periodontal abscess. Early diagnosis of the vertical root fracture is based on both clinical and radiographic findings. Anil Kishen and Harold H. A true VRF is a longitudinal fracture confined to the root that usually initiates on the internal canal wall and extends toward the root surface (Figure 1). If the root fracture is near the cervical area of the tooth, stabilization is beneficial for a longer period of time (up to months). It is advisable to monitor healing for at least year to determine pulpal status.

This is different from a cracked. If pulp necrosis develops, root canal treatment of the coronal tooth segment to the fracture line is indicated to preserve the. MTA, dental operate microscope. Clinical diagnosis of VRFs is difficult because in only a few cases can the presence of a fracture line be detected correctly with radiographic.

The fracture lines tend to gradually grow and become larger from the root toward the crown, and it may appear in one or both of the facial and lingual surfaces. The surrounding alveolar bone damaged by bacteria may cause prolonged infection , inflammation, and subsequent bone loss. The prognosis of the root with VRF is poor therefore tooth extraction and root amputation are usually the only treatment options.

However, bonding of the fracture line with adhesive resin cement during the intentional replantation procedure was recently suggested as an.