TY - JOUR
T1 - A new surgical technique for preservation of endodontically treated teeth with coronally located vertical root fractures
T2 - A prospective case series
AU - Taschieri, Silvio
AU - Tamse, Aviad
AU - Del Fabbro, Massimo
AU - Rosano, Gabriele
AU - Tsesis, Igor
PY - 2010/12
Y1 - 2010/12
N2 - Objective The purpose of this study was to present a new surgical preservation technique for teeth with incomplete vertical root fracture. Study design Seventeen patients with 1 endodontically treated maxillary anterior tooth in which an incomplete vertical root fracture involving only the buccal side was suspected underwent a flap elevation procedure to visualize the pattern of bone loss and assess the type of root fracture. If the preoperative diagnosis was confirmed, a groove following the fracture line was prepared using retro-tips driven by an ultrasonic device and sealed with mineral trioxide aggregate after filling of the bone defect with calcium sulfate. Results A total of 10 vertical root fracture repair procedures were performed. At 12 months' follow-up, all cases showed clinical and radiographic success. After 33 months, 7 patients were available for a follow-up: 5 cases remained successful, and 2 teeth (lateral incisors) failed. Conclusions The present surgical approach for preservation of teeth with incomplete vertical root fracture demonstrated satisfactory results regarding clinical outcome.
AB - Objective The purpose of this study was to present a new surgical preservation technique for teeth with incomplete vertical root fracture. Study design Seventeen patients with 1 endodontically treated maxillary anterior tooth in which an incomplete vertical root fracture involving only the buccal side was suspected underwent a flap elevation procedure to visualize the pattern of bone loss and assess the type of root fracture. If the preoperative diagnosis was confirmed, a groove following the fracture line was prepared using retro-tips driven by an ultrasonic device and sealed with mineral trioxide aggregate after filling of the bone defect with calcium sulfate. Results A total of 10 vertical root fracture repair procedures were performed. At 12 months' follow-up, all cases showed clinical and radiographic success. After 33 months, 7 patients were available for a follow-up: 5 cases remained successful, and 2 teeth (lateral incisors) failed. Conclusions The present surgical approach for preservation of teeth with incomplete vertical root fracture demonstrated satisfactory results regarding clinical outcome.
UR - http://www.scopus.com/inward/record.url?scp=78649496727&partnerID=8YFLogxK
U2 - 10.1016/j.tripleo.2010.07.014
DO - 10.1016/j.tripleo.2010.07.014
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AN - SCOPUS:78649496727
SN - 1079-2104
VL - 110
SP - e45-e52
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
IS - 6
ER -