Abstract
Teeth with vertical root fracture (VRF) have complete or incomplete fractures that begin in the root and extend toward the occlusal surface. The most frequent causes of VRF originate from physical trauma, occlusal prematurity, inadequate endodontic treatment, and iatrogenic causes. Diagnose is difficult and delay can cause stomatognathic system problem. The purpose of this case report was to evaluate immediate implant placement after extraction of teeth with vertical root fracture. For the 1st case, the VRF in 1st left lower molar was confirmed during surgical flap and at the same time, the tooth was removed and immediate implant was placed. For the 2nd case, the VRF 1st left lower molar was confirmed during endodontic access and at the same appointment, the tooth was removed and the immediate implant is placed. Several studies have shown that immediate implants have similar success rates when compared with late implants. Consider that this approach is a safe procedure with favorable prognosis. In cases of VRF, the main factor to be considered is the presence of adequate bone support and immediate implants can preserve the vertical bone height, adding the fact that good patient compliance reduces the number of surgical interventions and promotes the functionality of stomatognathic system.
Highlights
IntroductionVertical root fracture (VRF) according to the American Academy of Endodontics is only located in the root portion dental, directed buccoingual/palatal and is treating the removal of the dental element placement of a fixed or removable prosthesis or a placement implant osseointegrated [1]
Vertical root fracture (VRF) according to the American Academy of Endodontics is only located in the root portion dental, directed buccoingual/palatal and is treating the removal of the dental element placement of a fixed or removable prosthesis or a placement implant osseointegrated [1].A vertical root fracture can present the complete or incomplete form, extending the root portion which may protrude into the enamel to the long axis of the dental element
In cases of VRF, the main factor to be considered is the presence of adequate bone support for determining the prognosis
Summary
Vertical root fracture (VRF) according to the American Academy of Endodontics is only located in the root portion dental, directed buccoingual/palatal and is treating the removal of the dental element placement of a fixed or removable prosthesis or a placement implant osseointegrated [1]. A vertical root fracture can present the complete or incomplete form, extending the root portion which may protrude into the enamel to the long axis of the dental element. It extends from the pulp to the periodontal ligament, affecting more often the proximal surfaces. A definitive diagnosis of VRF can only be done by periodontal probing, radiographic, and surgical exposure (inspection of the root surface). When we find conditions favorable, alveolar bone affected plus the ability to restore the system stomatognathic immediate implant placement may be the therapy of choice
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