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Related Experiment Videos

Mesiodistal root fracture. Three case reports.

R A Barkhordar1, D Kempler, J Knapp

  • 1Department of Restorative Dentistry, University of California School of Dentistry, San Francisco.

Oral Surgery, Oral Medicine, and Oral Pathology
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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Diagnosing vertical root fractures is challenging. These fractures often lead to periodontal defects and tooth loss, even with root canal treatment.

Area of Science:

  • Dentistry
  • Endodontics
  • Periodontology

Background:

  • Vertical root fractures (VRFs) pose significant diagnostic challenges in endodontics.
  • Early diagnosis is crucial for potentially preserving the tooth and preventing complications.

Observation:

  • Three cases of VRFs are presented, varying in fracture type and pre-existing conditions.
  • Case 1: Mesiodistal fracture with intact tooth structure.
  • Case 2: Mesiodistal fracture with extensive amalgam restoration and prior endodontic issues.
  • Case 3: Extensive root caries alongside successful endodontic therapy.

Findings:

  • All presented cases developed periodontal defects, ultimately resulting in tooth loss.
  • Diagnostic methods included clinical examination, fiberoptic assessment, and disclosing solutions.

Related Experiment Videos

  • Histological analysis confirmed pulpal canals lacked vital tissue, containing necrotic material, debris, neutrophils, and bacteria.

    • Implications:

    • Effective diagnostic tools are vital for identifying vertical root fractures.
    • Understanding the varied presentations of VRFs can improve clinical decision-making.
    • Timely diagnosis and management are essential to mitigate periodontal complications and tooth loss.