Taschieri Silvio, Del Fabbro Massimo, El Kabbaney Ahmed, Tsesis Igor, Rosen Eyal, Corbella Stefano
Università degli Studi di Milano, Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.
Conservative Dentistry and Endodontic Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Restor Dent Endod. 2016 Nov;41(4):316-321. doi: 10.5395/rde.2016.41.4.316. Epub 2016 Jun 21.
Although it is challenging, the early diagnosis of a vertical root fracture (VRF) is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered an effective treatment for a combined endodontic-periodontal lesion originating from an incomplete VRF and a recurrent periapical lesion.
尽管具有挑战性，但垂直根折（VRF）的早期诊断对于确保保留牙齿至关重要。本临床病例报告的目的是描述为治疗受不完全VRF影响的牙齿而进行的修复手术。一名26岁男性患者被怀疑上颌左中切牙发生VRF，为确诊进行了探查性翻瓣术。发现骨折后，对病变进行了手术治疗，去除了骨折部位和感染的根尖，并用富含血小板的血浆膜覆盖缺损以防止细菌迁移。24个月的临床和影像学随访检查表明，该牙齿无症状，愈合过程正在进行。这里描述的手术方法可被认为是治疗源于不完全VRF和复发性根尖周病变的牙髓-牙周联合病变的有效方法。
