Anitha S, Rao Deepika S C
Associate Professor, Department of Periodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India, e-mail:
Department of Periodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India.
J Contemp Dent Pract. 2015 Feb 1;16(2):163-5. doi: 10.5005/jp-journals-10024-1654.
Vertical root fractures (VRF) in endodontically treated teeth have long been reported and pose diagnostic difficulties. A hemisection/root resection procedures removes the fractured fragments completely, and retains a portion of the compromized tooth offers a predictable treatment option. The key to this rests in ideal case selection involving balancing all indications and contraindications. The success of the treatment depends on careful case selection based on a firm set of guidelines. This article presents a case with VRF in an endodontic treated molar. This article describes the case of a 65-year-old man with a VRF on the mesial root and a healthy periodontium supporting the distal root making it ideal for retention as well as restoration and support of the final prosthesis. Also, the patient was motivated to try and save as much of the tooth as possible. Postoperatively no untoward complication was reported making it an alternative treatment option in patients with VRF in a molar, willing to retain the remaining tooth portion. With all other factors balanced, it allows for retaining the remaining intact portion of the tooth structure.
长期以来，牙髓治疗后的牙齿垂直根折（VRF）一直有报道，且诊断存在困难。半切术/牙根切除术可完全去除折断碎片，并保留部分受损牙齿，提供了一种可预测的治疗选择。其关键在于理想的病例选择，即权衡所有适应证和禁忌证。治疗的成功取决于基于一套严格准则进行仔细的病例选择。本文介绍了一例牙髓治疗后的磨牙发生垂直根折的病例。本文描述了一名65岁男性患者，其近中根发生垂直根折，远中根有健康的牙周组织支持，这使其非常适合保留，以及最终修复体的修复和支持。此外，患者积极尝试尽可能多地保留牙齿。术后未报告不良并发症，这使其成为磨牙发生垂直根折且愿意保留剩余牙齿部分的患者的一种替代治疗选择。在所有其他因素平衡的情况下，它能够保留牙齿结构的剩余完整部分。
