A new surgical technique for preservation of endodontically treated teeth with coronally located vertical root fractures: A prospective case series

Silvio Taschieri*, Aviad Tamse, Massimo Del Fabbro, Gabriele Rosano, Igor Tsesis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)e45-e52
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume110
Issue number6
DOIs
StatePublished - Dec 2010

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