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Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report
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논문 기본 정보

Type
Academic journal
Author
Journal
The Korean Academy of Conservative Dentistry Restorative Dentistry and Endodontics Restorative Dentistry and Endodontics 제41권 제4호 KCI Accredited Journals
Published
2016.1
Pages
316 - 321 (6page)

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Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report
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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.
#Microsurgery #Platelet-rich plasma #Tooth fractures #Vertical root fracture

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References (26)

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Rivera EM / 2007 / Longitudinal tooth fractures:findings that contribute to complex endodontic diagnoses / Endod Topics 16:82~111 google schola Lam PP / 2005 / Fracture strength of tooth roots following canal preparation by hand and rotary instrumentation / J Endod 31:529~532 google schola Corbella S / 2014 / Implant treatment choice after extraction of a vertically fractured tooth. A proposal for a clinical classification of bony defects based on a systematic review of literature / Clin Oral Implants Res 25:946~956 google schola Tsesis I / 2010 / Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review / J Endod 36:1455~1458 google schola Tamse A / 1999 / Radiographic features of vertically fractured, endodontically treated maxillary premolars / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:348~352 google schola

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