Periodontal and endodontic perspectives of vertical root fracture: A case report

A 35-year-old patient reported with sharp pain on biting and sensitivity to cold concerning the first right premolar. On recording the history, clinical examination and tests such as vitality, bite test, transillumination, periodontal probing and radiographs a diagnosis of cracked tooth syndrome (CTS) was made. The root canal treatment was completed, but the patient did not turn up for the coronal restoration, resulting in a vertical root fracture and extraction. VRF's (Vertical Root Fracture) are more commonly encountered following endodontic treatment. Also, in teeth without endodontic treatment, with habits like bruxism and eating coarse, hard food. Early diagnosis of cracked teeth and fractures is critical for a clinician since it permits a conservative and preventive approach. Delay in diagnosis and treatment will result in involvement of the underlying periodontium, causing periodontal pockets, abscess formation and bone loss thereby further complicating the outcome.