Vertical root fracture(VRF)in molars is a complex and frequently encountered dental condition.Successful management relies on accurate diagnosis,sequential treatment strategies,and systematic care.This paper provides ...Vertical root fracture(VRF)in molars is a complex and frequently encountered dental condition.Successful management relies on accurate diagnosis,sequential treatment strategies,and systematic care.This paper provides a comprehensive review of the sequential therapeutic approaches and systematic management models for molar VRF over the past five years.Particular attention is given to the diagnostic value of cone-beam computed tomography(CBCT),recent advances in tooth-preserving techniques,and the establishment of full-course management frameworks.By constructing an integrated pathway encompassing diagnostic assessment,treatment decision-making,clinical intervention,and long-term maintenance,a“dentist–nurse–patient community”model is proposed to promote standardized clinical guidance.This collaborative model aims to extend the lifespan of affected teeth and restore optimal masticatory function.展开更多
BACKGROUND Vertical root fracture(VRF)is one of the most common reasons for tooth extraction,although various methods have been applied for saving teeth with VRF.CASE SUMMARY This case report describes a woman who had...BACKGROUND Vertical root fracture(VRF)is one of the most common reasons for tooth extraction,although various methods have been applied for saving teeth with VRF.CASE SUMMARY This case report describes a woman who had a sinus tract on the labial gingiva of the left maxillary central incisor for past two months.Periodontal probing revealed an 8–10 mm deep,narrow,isolated pocket on the palatal side of the tooth.Clinical and radiographic examination confirmed a longitudinal root fracture.A new approach using a combination of resin and iRoot BP Plus through intentional replantation was used for the treatment of the tooth.At one-year follow-up,the tooth remained asymptomatic with normal periodontal probing depth,and radiographic images showed almost normal bone and periodontal structures around the root.CONCLUSION This new approach may be developed as an effective method for saving teeth with VRF.展开更多
文摘Vertical root fracture(VRF)in molars is a complex and frequently encountered dental condition.Successful management relies on accurate diagnosis,sequential treatment strategies,and systematic care.This paper provides a comprehensive review of the sequential therapeutic approaches and systematic management models for molar VRF over the past five years.Particular attention is given to the diagnostic value of cone-beam computed tomography(CBCT),recent advances in tooth-preserving techniques,and the establishment of full-course management frameworks.By constructing an integrated pathway encompassing diagnostic assessment,treatment decision-making,clinical intervention,and long-term maintenance,a“dentist–nurse–patient community”model is proposed to promote standardized clinical guidance.This collaborative model aims to extend the lifespan of affected teeth and restore optimal masticatory function.
文摘BACKGROUND Vertical root fracture(VRF)is one of the most common reasons for tooth extraction,although various methods have been applied for saving teeth with VRF.CASE SUMMARY This case report describes a woman who had a sinus tract on the labial gingiva of the left maxillary central incisor for past two months.Periodontal probing revealed an 8–10 mm deep,narrow,isolated pocket on the palatal side of the tooth.Clinical and radiographic examination confirmed a longitudinal root fracture.A new approach using a combination of resin and iRoot BP Plus through intentional replantation was used for the treatment of the tooth.At one-year follow-up,the tooth remained asymptomatic with normal periodontal probing depth,and radiographic images showed almost normal bone and periodontal structures around the root.CONCLUSION This new approach may be developed as an effective method for saving teeth with VRF.
