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True vertical tooth root fracture: Case report and review
U Bhaskar1, A Logani, Naseem Shah
1Department of Conservative Dentistry and Endodontics, CDER, AIIMS, New Delhi, India.
A true vertical root fracture in an intact maxillary molar was initially misdiagnosed as a periodontal defect. This case highlights the diagnostic challenges and varied causes of root fractures in endodontics.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Accurate diagnosis is crucial for effective clinical management.
- Root fractures present diagnostic challenges, sometimes mimicking other dental conditions.
- Timely diagnosis and treatment are essential to prevent complications.
Observation:
- A 55-year-old male presented with symptoms initially suggestive of a periodontal defect.
- The case involved an intact maxillary molar.
- The condition was misdiagnosed and managed as a periodontal issue for over two months.
Findings:
- The true diagnosis was a vertical root fracture.
- The misdiagnosis led to delayed appropriate treatment.
- Vertical root fractures can occur in intact teeth, complicating diagnosis.
Implications:
- Clinicians must consider root fractures in differential diagnosis, even with seemingly clear periodontal signs.
- Improved diagnostic strategies are needed to identify root fractures early.
- Understanding the causes and diagnostic dilemmas of root fractures is vital for endodontic practice.
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