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A new surgical technique for preservation of endodontically treated teeth with coronally located vertical root fractures: a prospective case series
- Source :
- Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 110:e45-e52
- Publication Year :
- 2010
- Publisher :
- Elsevier BV, 2010.
-
Abstract
- Objective The purpose of this study was to present a new surgical preservation technique for teeth with incomplete vertical root fracture. Study design Seventeen patients with 1 endodontically treated maxillary anterior tooth in which an incomplete vertical root fracture involving only the buccal side was suspected underwent a flap elevation procedure to visualize the pattern of bone loss and assess the type of root fracture. If the preoperative diagnosis was confirmed, a groove following the fracture line was prepared using retro-tips driven by an ultrasonic device and sealed with mineral trioxide aggregate after filling of the bone defect with calcium sulfate. Results A total of 10 vertical root fracture repair procedures were performed. At 12 months' follow-up, all cases showed clinical and radiographic success. After 33 months, 7 patients were available for a follow-up: 5 cases remained successful, and 2 teeth (lateral incisors) failed. Conclusions The present surgical approach for preservation of teeth with incomplete vertical root fracture demonstrated satisfactory results regarding clinical outcome.
- Subjects :
- Male
Mineral trioxide aggregate
Cuspid
Microsurgery
Anterior tooth
Ultrasonic Therapy
Radiography
Alveolar Bone Loss
Dental Cements
Dentistry
Ultrasonic device
Calcium Sulfate
Surgical Flaps
Tooth Fractures
Vertical root fracture
Maxilla
Humans
Medicine
Bicuspid
Prospective Studies
Tooth Root
Aluminum Compounds
Radiography, Bitewing
General Dentistry
Tooth, Nonvital
Surgical approach
business.industry
Silicates
Oxides
Calcium Compounds
Middle Aged
medicine.disease
Incisor
Drug Combinations
Treatment Outcome
Preservation Technique
Otorhinolaryngology
Bone Substitutes
Fracture (geology)
Female
Surgery
Oral Surgery
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 10792104
- Volume :
- 110
- Database :
- OpenAIRE
- Journal :
- Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
- Accession number :
- edsair.doi.dedup.....b62f621988bf635b03338e3df8d3d60c