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Surgical decision making in coronally located vertical root fracture
S Taschieri1, Z Laster, G Rosano
1Department of Health Technologies, Galeazzi Orthopedic Institute, University of Milan, Milan, Italy.
Minerva Stomatologica
|November 7, 2009
Summary
Intrasurgical diagnosis guides treatment for incomplete vertical root fractures. This approach led to high patient satisfaction with function and aesthetics, demonstrating successful outcomes for both repair and implant procedures.
Area of Science:
- Dental surgery
- Oral implantology
- Periodontology
Background:
- Vertical root fractures present diagnostic challenges.
- Incomplete vertical root fractures require careful intrasurgical assessment.
- Treatment decisions impact patient outcomes.
Purpose of the Study:
- To present a decision-making protocol for managing incomplete vertical root fractures.
- To evaluate the outcomes of intrasurgical diagnosis-guided treatment.
- To assess patient satisfaction following surgical intervention.
Main Methods:
- Sixteen patients with diagnosed incomplete vertical root fractures underwent flap elevation for intraoperative assessment.
- Teeth with confirmed fractures were treated with a novel repair technique.
- Teeth with complete or multiple fractures were extracted, followed by immediate implant placement and use of plasma rich in growth factors.
Main Results:
- Nine vertical root fracture repair procedures were successfully completed with a mean follow-up of 22.5 months.
- Seven implants were placed in fresh extraction sockets and loaded after four months, achieving 100% success and survival at one year.
- Patients reported high satisfaction with mastication, phonetics, and aesthetics.
Conclusions:
- Intraoperative diagnosis is crucial for selecting the optimal surgical approach for vertical root fractures.
- This guided approach leads to excellent clinical results and high patient satisfaction.
- The described techniques offer predictable outcomes for both fracture repair and post-extraction implant placement.
