A new surgical technique for preservation of endodontically treated teeth with coronally located vertical root fractures: a prospective case series

The preservation of teeth with root-originated fractures

“…Anatomically, ROFs frequently develop laterally from the root canal wall to the outer root surface (Taschieri et al 2010). An incomplete fracture extends only on one side of the root surface, while a complete fracture develops in both directions of the root canal and includes two root surfaces (Taschieri et al 2010;Walton et al 1984;Tamse 2006), occasionally leading to splitting of the root to segments (Tsesis et al 2015;Taschieri et al 2010).…”

“…A timely mannered diagnosis and proper management are critical in preventing alveolar bone loss, which may impair the future reconstructive procedures, should implant therapy be the treatment of choice (Tsesis et al 2015;Tsesis et al 2010a;Taschieri et al 2010;Tamse 2006;PradeepKumar et al 2016). However, the clinical and radiographic diagnosis of ROFs is complicated and challenging for the practitioner (Tsesis et al 2010a;Corbella et al 2014) and, in certain cases, is only possible by a direct observation of the suspected site following flap elevation during surgical endodontic treatment (Tsesis et al 2015;Walton 2017) (Fig.…”

“…Traditionally, teeth with ROFs were considered to have a hopeless prognosis (Tsesis et al 2010a;Taschieri et al 2010;Floratos and Kratchman 2012). Efforts to treat ROFs in different ways, such as by a replantation procedure with bonding of the fractured segments, have been reported (Tsesis et al 2010a;Taschieri et al 2010;Floratos and Kratchman 2012;Arikan et al 2008;Kawai and Masaka 2002;Hayashi et al 2004).…”

“…Efforts to treat ROFs in different ways, such as by a replantation procedure with bonding of the fractured segments, have been reported (Tsesis et al 2010a;Taschieri et al 2010;Floratos and Kratchman 2012;Arikan et al 2008;Kawai and Masaka 2002;Hayashi et al 2004). However, most of these treatment attempts were found to be unpredictable and are not recommended as routine treatment alternatives (Tsesis et al 2010a;Taschieri et al 2010;Floratos and Kratchman 2012). Consequently, extraction was normally indicated (Tsesis et al 2015;Taschieri et al 2010;Tamse 2006).…”

“…However, most of these treatment attempts were found to be unpredictable and are not recommended as routine treatment alternatives (Tsesis et al 2010a;Taschieri et al 2010;Floratos and Kratchman 2012). Consequently, extraction was normally indicated (Tsesis et al 2015;Taschieri et al 2010;Tamse 2006).…”