Acute apical periodontitis and vertical root fracture of the same tooth: a case report

Touré, Babacar; Boucher, Yves

doi:10.2334/josnusd.55.187

Cited by 2 publications

(1 citation statement)

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“…Owing to the non-restorability of the case showed in the present report, the hemisection of the affected mesial root followed by its extraction was suggested to allow the preservation of the remaining tooth structure and the maintenance of a severely compromised tooth (14). Functional pain when chewing or after percussion/pressure associated to a periapical radiolucency in an endodontically treated tooth has been considered a clinical evidence of apical periodontitis or root fracture or both (15). Interestingly, the histological procedures applied to the extracted mesial root of the present clinical case showed that apical periodontitis and VRF might coexist separately in the same root.…”

Section: Discussionmentioning

confidence: 65%

Clinical and histological findings of post-treatment infection in presence of vertical root fracture and apical periodontitis: a case report

et al. 2018

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Apical periodontitis and vertical root fracture (VRF) might coexist in the same root, thus representing a diagnostic challenge in endodontics. Diagnosis should be based on detailed clinical examination and precise radiographic interpretation in addition to histological examination, if needed. The histological findings of the case presented showed the possible coexistence of a VRF in the coronal third of the root and signs of apical periodontitis caused by intracanal infection in the apical third of the same root. The presentation of this case underlines the importance of histological examination as a valid complementary diagnostic tool with clinical and radiographic examinations in reaching an accurate diagnosis once the root has been extracted.

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Section: Discussionmentioning

confidence: 65%