Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report

  • Taschieri, Silvio (Universita degli Studi di Milano, Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, IRCCS Istituto Ortopedico Galeazzi) ;
  • Fabbro, Massimo Del (Universita degli Studi di Milano, Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, IRCCS Istituto Ortopedico Galeazzi) ;
  • Kabbaney, Ahmed El (Conservative Dentistry and Endodontic Department, Faculty of Dentistry, Mansoura University) ;
  • Tsesis, Igor (Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University) ;
  • Rosen, Eyal (Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University) ;
  • Corbella, Stefano (Universita degli Studi di Milano, Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, IRCCS Istituto Ortopedico Galeazzi)
  • Received : 2016.02.19
  • Accepted : 2016.04.25
  • Published : 2016.11.30
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Abstract

Although it is challenging, the early diagnosis of a vertical root fracture (VRF) is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered an effective treatment for a combined endodontic-periodontal lesion originating from an incomplete VRF and a recurrent periapical lesion.

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References

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