A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report
Introduction: Vertical root fracture is one of the conditions prevalent in endodontically treated teeth. The treatment options include extraction of the fracture fragment or the affected tooth as a whole. This case report highlights the successful management of vertical root fracture in an endodonti...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijdr.ijdr_104_22 |
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| author | Chellaswamy Savrimalai Karumaran M. R. Srinivasan Anil Kumar Ramachandran Remya Venkatesan Chandrasekaran Nirmala P.S. Sreelakshmi |
| author_facet | Chellaswamy Savrimalai Karumaran M. R. Srinivasan Anil Kumar Ramachandran Remya Venkatesan Chandrasekaran Nirmala P.S. Sreelakshmi |
| author_sort | Chellaswamy Savrimalai Karumaran |
| collection | DOAJ |
| description | Introduction:
Vertical root fracture is one of the conditions prevalent in endodontically treated teeth. The treatment options include extraction of the fracture fragment or the affected tooth as a whole. This case report highlights the successful management of vertical root fracture in an endodontically treated mandibular first premolar.
Method:
Surgical intervention was initiated, and a full-thickness flap was elevated. The separated fracture segment was safely retrieved, and the existing caries were removed and then reattached to the main fragment with the help of a titanium screw. The tooth was rehabilitated with a composite resin core followed by a porcelain-fused metal crown and the patient was followed up for 7 years.
Result:
The tooth was functional with evidence of new bone formation.
Conclusion:
Reattachment of the fracture fragments with a titanium screw might be considered as an option for managing vertical root fracture cases with poor prognosis. |
| format | Article |
| id | doaj-art-8ae27ce1ee71452a952cb3d99fba43fc |
| institution | Kabale University |
| issn | 0970-9290 1998-3603 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj-art-8ae27ce1ee71452a952cb3d99fba43fc2025-02-10T07:19:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032023-07-0134334434710.4103/ijdr.ijdr_104_22A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case ReportChellaswamy Savrimalai KarumaranM. R. SrinivasanAnil Kumar RamachandranRemya VenkatesanChandrasekaran NirmalaP.S. SreelakshmiIntroduction: Vertical root fracture is one of the conditions prevalent in endodontically treated teeth. The treatment options include extraction of the fracture fragment or the affected tooth as a whole. This case report highlights the successful management of vertical root fracture in an endodontically treated mandibular first premolar. Method: Surgical intervention was initiated, and a full-thickness flap was elevated. The separated fracture segment was safely retrieved, and the existing caries were removed and then reattached to the main fragment with the help of a titanium screw. The tooth was rehabilitated with a composite resin core followed by a porcelain-fused metal crown and the patient was followed up for 7 years. Result: The tooth was functional with evidence of new bone formation. Conclusion: Reattachment of the fracture fragments with a titanium screw might be considered as an option for managing vertical root fracture cases with poor prognosis.https://journals.lww.com/10.4103/ijdr.ijdr_104_22case reportcomposite resinhealingscrewsvertical root fracture |
| spellingShingle | Chellaswamy Savrimalai Karumaran M. R. Srinivasan Anil Kumar Ramachandran Remya Venkatesan Chandrasekaran Nirmala P.S. Sreelakshmi A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report Indian Journal of Dental Research case report composite resin healing screws vertical root fracture |
| title | A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report |
| title_full | A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report |
| title_fullStr | A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report |
| title_full_unstemmed | A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report |
| title_short | A Novel Management of Vertical Root Fracture in an Endodontically Treated Mandibular Premolar with Titanium Screw: A Case Report |
| title_sort | novel management of vertical root fracture in an endodontically treated mandibular premolar with titanium screw a case report |
| topic | case report composite resin healing screws vertical root fracture |
| url | https://journals.lww.com/10.4103/ijdr.ijdr_104_22 |
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