Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Head & Face Medicine
Published in: Head & Face Medicine 1/2014

Open Access 01-12-2014 | Case report

New treatment option for an incomplete vertical root fracture–a preliminary case report

Authors: Paul Henryk Hadrossek, Till Dammaschke

Published in: Head & Face Medicine | Issue 1/2014

Login to get access

Abstract

Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture line and the retrograde preparation were filled with a calcium-silicate-cement (Biodentine). Afterwards the tooth was replanted and a titanium trauma splint was applied for 12d. A 24 months clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depths from 7 mm prior to treatment to 3 mm and gingival reattachment in the area of the fracture with no sign of ankylosis. Hence, the treatment of VRF with Biodentine seems to be a possible and promising option.
Appendix
Available only for authorised users
Literature
1.
Malhotra N, Kundabala M, Acharaya S: A review of root fractures: diagnosis, treatment and prognosis. Dent Update. 2011, 38: 615-628.PubMed
2.
Haueisen H, Heidemann D: Vertical root fracture: prevalence, etiology, and diagnosis. Quintessence Int. 2013, 44: 467-474.PubMed
3.
Berman LH, Hartwell GR: Diagnosis. Pathways of the Pulp. Edited by: Choen S, Hargraves KM. 2006, St. Louis: Mosby Elsevier, 23-34. 9
4.
Bargholz C: Vertical tooth and root fractures. Problems in Endodontics: Etiology, Diagnosis, and Treatment. Edited by: Hülsmann M, Schäfer E. 2009, London: Quintessence, 353-370.
5.
Castellucci A: Endodontic-periodontal interrelationship. Endodontics. Volume 3. Edited by: Castellucci A. 2009, Florence: Edizioni Odontoiatriche Il Tridente, 756-829.
6.
Liapatas S, Nakou M, Rontogianni D: Inflammatory infiltrate of chronic periradicular lesions: an immunohistochemical study. Int Endod J. 2003, 36: 464-471. 10.1046/j.1365-2591.2003.00627.x.CrossRefPubMed
7.
Oliet S: Treating vertical root fractures. J Endod. 1984, 10: 391-396. 10.1016/S0099-2399(84)80161-2.CrossRefPubMed
8.
Selden HS: Repair of incomplete vertical root fractures in endodontically treated teeth-in vivo trials. J Endod. 1996, 22: 426-429. 10.1016/S0099-2399(96)80245-7.CrossRefPubMed
9.
Sugaya T, Kawanami M, Noguchi H, Kato H, Masaka N: Periodontal healing after bonding treatment of vertical root fracture. Dent Traumatol. 2001, 17: 174-179. 10.1034/j.1600-9657.2001.170407.x.CrossRefPubMed
10.
Hayashi M, Kinomoto Y, Miura M, Sato I, Takeshige F, Ebisu S: Short-term evaluation of intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin. J Endod. 2002, 28: 120-124. 10.1097/00004770-200202000-00018.CrossRefPubMed
11.
Kawai K, Masaka N: Vertical root fracture treated by bonding fragments and rotational replantation. Dent Traumatol. 2002, 18: 42-45. 10.1034/j.1600-9657.2002.180106.x.CrossRefPubMed
12.
Kudou Y, Kubota M: Replantation with intentional rotation of a complete vertically fractured root using adhesive resin cement. Dent Traumatol. 2003, 19: 115-117. 10.1034/j.1600-9657.2003.00101.x.CrossRefPubMed
13.
Hayashi M, Kinomoto Y, Takeshige F, Ebisu S: Prognosis of intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin. J Endod. 2004, 30: 145-148. 10.1097/00004770-200403000-00005.CrossRefPubMed
14.
Oztürk M, Unal GC: A successful treatment of vertical root fracture: a case report and 4-year follow-up. Dent Traumatol. 2008, 24: e56-e60. 10.1111/j.1600-9657.2008.00705.x.CrossRefPubMed
15.
Unver S, Onay EO, Ungor M: Intentional re-plantation of a vertically fractured tooth repaired with an adhesive resin. Int Endod J. 2011, 44: 1069-1078. 10.1111/j.1365-2591.2011.01922.x.CrossRefPubMed
16.
Moradi MN, Akhtari F, Araghi S, Homayouni H: Treatment of a vertical root fracture using dual-curing resin cement: a case report. Case Rep Dent. 2012, 985215-
17.
Torabinejad M, Chivian N: Clinical application of mineral trioxide aggregate. J Endod. 1999, 25: 197-205. 10.1016/S0099-2399(99)80142-3.CrossRefPubMed
18.
Taschieri S, Tamse A, Del Fabbro M, Rosano G, Tsesis I: A new surgical technique for preservation of endodontically treated teeth with coronally located vertical root fractures: a prospective case series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010, 110: e45-e52.CrossRefPubMed
19.
Taschieri S, Bortolin M, Weinstein T, Del Fabbro M: Preservation of an injured vital tooth using ultrasonic device and mineral trioxide aggregate. Minerva Stomatol. 2011, 60: 467-477.PubMed
20.
Castellucci A: Definition, scope and indications for endodontic therapy. Endodontics. Volume 1. Edited by: Castellucci A. 2004, Florence: Edizioni Odontoiatriche Il Tridente, 24-43.
21.
Tronstad L: Endodontic complications. Clinical Endodontics. Edited by: Tronstad L. 2009, Stuttgart: Thieme, 215-229. 3
22.
Parirokh M, Torabinejad M: Mineral trioxide aggregate: a comprehensive literature review-part I: chemical, physical, and antibacterial properties. J Endod. 2010, 36: 16-27. 10.1016/j.joen.2009.09.006.CrossRefPubMed
23.
Torabinejad M, Parirokh M: Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations. J Endod. 2010, 36: 190-202. 10.1016/j.joen.2009.09.010.CrossRefPubMed
24.
Parirokh M, Torabinejad M: Mineral trioxide aggregate: a comprehensive literature review-part III: clinical applications, drawbacks, and mechanism of action. J Endod. 2010, 36: 400-413. 10.1016/j.joen.2009.09.009.CrossRefPubMed
25.
Karabucak B, Li D, Lim J, Iqbal M: Vital pulp therapy with mineral trioxide aggregate. Dent Traumatol. 2005, 21: 240-243. 10.1111/j.1600-9657.2005.00306.x.CrossRefPubMed
26.
Stropko J: Micro-surgical endodontics. Endodontics. Volume 3. Edited by: Castellucci A. 2009, Florence: Edizioni Odontoiatriche Il Tridente, 1118-1125.
27.
Belobrov I, Parashos P: Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod. 2011, 37: 1017-1020. 10.1016/j.joen.2011.04.003.CrossRefPubMed
28.
Dammaschke T: Direct pulp capping. Dentist. 2011, 27 (8): 88-94.
29.
Laurent P, Camps J, De Meo M, Dejou J, About I: Induction of specific cell responses to a Ca3SiO5-based posterior restorative material. Dent Mater. 2008, 24: 1486-1494. 10.1016/j.dental.2008.02.020.CrossRefPubMed
30.
Grech L, Mallia B, Camilleri J: Characterization of set intermediate restorative material, biodentine, bioaggregate and a prototype calcium silicate cement for use as root-end filling materials. Int Endod J. 2013, 46: 632-641. 10.1111/iej.12039.CrossRefPubMed
31.
Torabinejad M, Hong CU, McDonald F, Pitt Ford TR: Physical and chemical properties of a new root-end filling material. J Endod. 1995, 21: 349-353. 10.1016/S0099-2399(06)80967-2.CrossRefPubMed
32.
Pradelle-Plasse N, Tran X-V, Colon P: Physico-chemical properties. Biocompatibility or Cytotoxic Effects of Dental Composites. Edited by: Goldberg M. 2009, Oxford: Coxmoor, 184-194.
33.
Fuentes V, Toledano M, Osorio R, Carvalho RM: Microhardness of superficial and deep sound human dentin. J Biomed Mater Res A. 2003, 66: 850-853.CrossRefPubMed
34.
Lai YL, Yang ML, Lee SY: Microhardness and color changes of human dentin with repeated intracoronal bleaching. Oper Dent. 2003, 28: 786-792.PubMed
35.
Danesh G, Dammaschke T, Gerth HU, Zandbiglari T, Schäfer E: A comparative study of selected properties of ProRoot mineral trioxide aggregate and two Portland cements. Int Endod J. 2006, 39: 213-219. 10.1111/j.1365-2591.2006.01076.x.CrossRefPubMed
36.
Koubi G, Colon P, Franquin J-C, Hartmann A, Richard G, Faure M-O, Lambert G: Clinical evaluation of the performance and safety of a new dentine substitute, biodentine, in the restoration of posterior teeth - a prospective study. Clin Oral Investig. 2013, 17: 243-249. 10.1007/s00784-012-0701-9.CrossRefPubMed
37.
Han L, Okiji T: Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J. 2011, 44: 1081-1087. 10.1111/j.1365-2591.2011.01924.x.CrossRefPubMed
38.
Han L, Okiji T: Bioactivity evaluation of three calcium silicate-based endodontic materials. Int Endod J. 2013, 46: 808-814. 10.1111/iej.12062.CrossRefPubMed
39.
Carlisle EM: Silicon: a possible factor in bone calcification. Science. 1970, 167: 279-280. 10.1126/science.167.3916.279.CrossRefPubMed
40.
Carlisle EM: Silicon as a trace nutrient. Sci Total Environ. 1988, 73: 95-106. 10.1016/0048-9697(88)90190-8.CrossRefPubMed
41.
Patel N, Best SM, Bonfield W, Gibson IR, Hing KA, Damien E, Revell PA: A comparative study on the in vivo behavior of hydroxyapatite and silicon substituted hydroxyapatite granules. J Mater Sci Mater Med. 2002, 13: 1199-1206. 10.1023/A:1021114710076.CrossRefPubMed
42.
Porter AE, Best SM, Bonfield W: Ultrastructural comparison of hydroxyapatite and silicon-substituted hydroxyapatite for biomedical applications. J Biomed Mater Res A. 2004, 68: 133-141.CrossRefPubMed
43.
Porter AE, Bothelo CM, Lopes MA, Santos JD, Best SM, Bonfield W: Ultrastructural comparison of dissolution and apatite precipitation on hydroxyapatite and silicon-substituted hydroxyapatite in vitro and in vivo. J Biomed Mater Res A. 2004, 69: 670-679.CrossRefPubMed
44.
Saito T, Toyooka H, Ito S, Crenshaw MA: In vitro study of remineralization of dentin: effects of ions on mineral induction by decalcified dentin matrix. Caries Res. 2003, 37: 445-449. 10.1159/000073398.CrossRefPubMed
45.
Gandolfi MG, van Lunduyt K, Taddei P, Modena E, van Meerbeek B, Prati C: Environmental scanning electron microscopy connected with energy dispersive X-ray analysis and Raman techniques to study ProRoot mineral trioxide aggregate and calcium silicate cements in wet conditions and in real time. J Endod. 2010, 36: 851-857. 10.1016/j.joen.2009.12.007.CrossRefPubMed
46.
Andreasen JO, Andreasen FM, Andersson L: Textbook and Color Atlas of Traumatic Injuries to the Teeth. 2007, London: Wiley-Blackwell Publishing, 4
47.
Olsburgh S, Jacoby T, Krejci I: Crown fractures in the permanent dentition: pulpal and restorative consideration. Dent Traumatol. 2002, 18: 103-115. 10.1034/j.1600-9657.2002.00004.x.CrossRefPubMed
48.
Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M: International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012, 28: 88-96. 10.1111/j.1600-9657.2012.01125.x.CrossRefPubMed
49.
Andreasen JO, Hjorting-Hansen E: Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontol Scand. 1966, 24: 287-306. 10.3109/00016356609028223.CrossRefPubMed
50.
Andreasen J: The effect of splinting upon periodontal healing after replantation of permanent incissors in monkeys. Acta Odontol Scand. 2013, 33: 313-323.CrossRef
51.
Andersson L, Lindskog S, Blomlof L, Hedstrom KG, Hammarstrom L: Effect of masticatory stimulation on dentoalveolar ankylosis after experimental tooth replantation. Endod Dent Traumatol. 1985, 1: 13-16. 10.1111/j.1600-9657.1985.tb00552.x.CrossRefPubMed
52.
Andreasen JO, Jensen SS, Sae-Lim V: The role of antibiotics in preventing healing complications after traumatic dental injuries: a literature review. Endod Topics. 2006, 14: 80-92. 10.1111/j.1601-1546.2008.00231.x.CrossRef
Metadata
Title
New treatment option for an incomplete vertical root fracture–a preliminary case report
Authors
Paul Henryk Hadrossek
Till Dammaschke
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2014
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-10-9

Other articles of this Issue 1/2014

Head & Face Medicine 1/2014 Go to the issue

Research

A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation

Research

Use of porous high-density polyethylene grafts in open rhinoplasty: no infectious complication seen in spreader and dorsal grafts

Research

A comparison study between periosteum and resorbable collagen membrane on iliac block bone graft resorption in the rabbit calvarium

Case report

Dislocated dental bridge covering the larynx: usefulness of tracheal tube guides under video-assisted laryngoscopy for induction of general anesthesia, thus avoiding tracheostomy

Research

Lip closing force of Class III patients with mandibular prognathism: a case control study

Research

Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison