The Efficacy of Surgical Techniques for the Management of Confirmed Vertical Root Fractures: A Systematic Review

The aim of the present systematic review was to evaluate the efficacy of surgical techniques for the preservation of a tooth with VRF. We included case series presenting techniques for the treatment of VRFs. Both electronic sources (MEDLINE, EMBASE, Cochrane Central) and reference lists/table of contents of pertinent journals were screened. Eight articles (six studies) were included. Four of the studies bonded the fractured fragments with 4-META/MMA-TBB resin, one adopted MTA, and in one study the authors used resin-ionomer cement. There was significant heterogeneity in the results regarding teeth survival rate and it was not possible to perform a quantitative synthesis. Scientific evidence concerning the treatment of vertically fractured roots is sparse and of low quality. Consequently, it is not possible to draw conclusions regarding the efficacy of the reported techniques. More studies with higher scientific standards may add validity to the techniques described here. Trial Registration: CRD42024524356 in PROSPERO.