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

Head & Face Medicine

Till Dammaschke¹  Paul Henryk Hadrossek¹ 

[1] Department of Operative Dentistry, Albert-Schweitzer-Campus 1, Building W 30, Waldeyerstr. 30, 48149 Münster, Germany

关键词: Vertical root fracture;    Treatment;    MTA;    Calcium silicate cement;    Biodentine;   

Others  :  813495
DOI  :  10.1186/1746-160X-10-9

 received in 2014-01-20, accepted in 2014-03-18,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Hadrossek and Dammaschke; licensee BioMed Central Ltd.

【 图 表 】

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