title: New treatment option for an incomplete vertical root fracture--a preliminary case report.
abstract: Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture line and the retrograde preparation were filled with a calcium-silicate-cement (Biodentine). Afterwards the tooth was replanted and a titanium trauma splint was applied for 12d. A 24 months clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depths from 7 mm prior to treatment to 3 mm and gingival reattachment in the area of the fracture with no sign of ankylosis. Hence, the treatment of VRF with Biodentine seems to be a possible and promising option.
authors.forename: Paul Henryk
authors.initials: PH
authors.lastname: Hadrossek
authors.affiliation: Department of Operative Dentistry, Albert-Schweitzer-Campus 1, Building W 30, Waldeyerstr, 30, 48149 Münster, Germany. tillda@uni-muenster.de.
authors.forename: Till
authors.initials: T
authors.lastname: Dammaschke
mesh_terms: D000368:Aged; D017610:Calcium Compounds / Q000627:therapeutic use*; D005260:Female; D005889:Gingival Recession / Q000209:etiology; D006801:Humans; D010512:Periodontal Index; D057872:Pulp Capping and Pulpectomy Agents / Q000627:therapeutic use*; D017640:Silicates / Q000627:therapeutic use*; D013165:Splints; D014082:Tooth Fractures / Q000150:complications / Q000628:therapy*; D014090:Tooth Replantation; D014092:Tooth Root / Q000293:injuries*
chemical_list: D017610:Calcium Compounds; D057872:Pulp Capping and Pulpectomy Agents; D017640:Silicates; C506393:tricalcium silicate