Although it is challenging, the early diagnosis of a vertical root fracture (VRF) is crucial in order to ensure tooth preservation. The purpose of this clinical case report was to describe reparative surgery performed to treat a tooth affected by an incomplete VRF. A 26 year old male patient was suspected to have a VRF in a maxillary left central incisor, and an exploratory flap was performed in order to confirm the diagnosis. After detecting the fracture, the lesion was surgically treated, the fracture and the infected root-end were removed, and a platelet-rich plasma membrane was used to cover the defect in order to prevent bacterial migration. A 24 month clinical and radiological follow-up examination showed that the tooth was asymptomatic and that the healing process was in progress. The surgical approach described here may be considered an effective treatment for a combined endodontic-periodontal lesion originating from an incomplete VRF and a recurrent periapical lesion.

Citations

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• Biomechanical perspectives on dentine cracks and fractures: Implications in their clinical management
  Sishi Chen, Dwayne Arola, Domenico Ricucci, Brian E. Bergeron, John A. Branton, Li-sha Gu, Franklin R. Tay
  Journal of Dentistry.2023; 130: 104424.     CrossRef
• Efficacy of Autologous Platelet Concentrates in Regenerative Endodontic Treatment: A Systematic Review of Human Studies
  Joanna Metlerska, Irini Fagogeni, Alicja Nowicka
  Journal of Endodontics.2019; 45(1): 20.     CrossRef
• The preservation of teeth with root-originated fractures
  Eyal Rosen, Ilan Beitlitum, Igor Tsesis
  Evidence-Based Endodontics.2018;[Epub]     CrossRef