Giardino Luciano, Grande Nicola M, Savadori Paolo, Fabbro Massimo Del, Plotino Gianluca
Freelance Researcher, Crotone, Italy.
School of Dentistry, University of Catanzaro Magna Graecia, Catanzaro, Italy.
Eur Endod J. 2019 Feb 5;4(1):45-48. doi: 10.14744/eej.2018.14622. eCollection 2019.
Apical periodontitis and vertical root fracture (VRF) might coexist in the same root, thus representing a di-agnostic challenge in endodontics. Diagnosis should be based on detailed clinical examination and precise radiographic interpretation in addition to histological examination, if needed. The histological findings of the case presented showed the possible coexistence of a VRF in the coronal third of the root and signs of apical periodontitis caused by intracanal infection in the apical third of the same root. The presentation of this case underlines the importance of histological examination as a valid complementary diagnostic tool with clinical and radiographic examinations in reaching an accurate diagnosis once the root has been extracted.
根尖周炎与垂直根折可能并存于同一牙根，这给牙髓病学的诊断带来了挑战。诊断应基于详细的临床检查和精确的影像学解读，必要时还需进行组织学检查。所呈现病例的组织学结果显示，在牙根冠三分之一处可能存在垂直根折，且同一牙根根尖三分之一处因根管内感染导致了根尖周炎的迹象。该病例的呈现强调了组织学检查作为一种有效的辅助诊断工具的重要性，在牙根拔除后，它与临床和影像学检查相结合有助于做出准确诊断。
