Touré Babacar, Boucher Yves
Department of Conservative Dentistry and Endodontics, Cheikh Anta Diop University, Dakar, Senegal.
J Oral Sci. 2013;55(2):187-90. doi: 10.2334/josnusd.55.187.
Vertical root fracture is a frequent complication in endodontically treated teeth and usually leads to extraction of the affected tooth. Differential diagnosis may be difficult, especially in patients with periodontal and endodontic disease. This case report describes the diagnosis and clinical and radiographic features of apical periodontitis and vertical root fracture of the same tooth, which were separated by an interval of several years. Vertical root fracture of the mesial root was diagnosed with the help of an exploratory flap and microscopic observation.
垂直根折是根管治疗后牙齿常见的并发症，通常会导致患牙拔除。鉴别诊断可能困难，尤其是在患有牙周病和牙髓病的患者中。本病例报告描述了同一颗牙齿根尖周炎和垂直根折的诊断、临床及影像学特征，二者间隔数年。通过翻瓣探查和显微镜观察诊断出近中根垂直根折。
