Microsurgical re-treatment of an endodontically treated tooth with an apically located incomplete vertical root fracture: a clinical case report
Taschieri Silvio, Fabbro Massimo Del, Kabbaney Ahmed El, Tsesis Igor, Rosen Eyal, Corbella Stefano,
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( Taschieri Silvio ) - Universita degli Studi di Milano Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche
( Fabbro Massimo Del ) - Universita degli Studi di Milano Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche
( Kabbaney Ahmed El ) - Mansoura University Faculty of Dentistry Conservative Dentistry and Endodontic Department
( Tsesis Igor ) - Tel Aviv University School of Dental Medicine Department of Endodontology
( Rosen Eyal ) - Tel Aviv University School of Dental Medicine Department of Endodontology
( Corbella Stefano ) - Universita degli Studi di Milano Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche
KMID : 1034420160410040316
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.
키워드
Microsurgery; Platelet-rich plasma; Tooth fractures; Vertical root fracture
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