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Vertical root fractures in adjacent maxillary premolars: an endodontic-prosthetic perplexity
A Tamse1, I Zilburg, J Halpern
1Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
International Endodontic Journal
|December 30, 1998
Summary
Vertical root fractures often affect narrow endodontically treated teeth like maxillary premolars. Diagnosis can be challenging, often mistaken for endodontic failure, with extraction being the only option.
Area of Science:
- Dentistry
- Endodontics
- Dental Traumatology
Background:
- Vertical root fractures are a common complication in endodontically treated teeth.
- Teeth with a narrow mesiodistal dimension, such as maxillary premolars, are particularly susceptible.
Observation:
- Two cases of vertical root fractures in adjacent maxillary reconstructed teeth are presented.
- Initial diagnosis often misidentified vertical root fractures as endodontic treatment failure.
Findings:
- Radiographic evidence of root segment separation or surgical exploration confirmed the fractures.
- In both presented cases, tooth extraction was the unavoidable treatment outcome.
Implications:
- Highlights the diagnostic challenges of vertical root fractures.
- Underscores the importance of considering vertical root fractures in endodontically treated teeth, especially those with narrow root morphology.
- Suggests that extraction may be the only viable treatment for vertical root fractures in these cases.