Samuel Kratchman

Surgical Management of Vertical Root Fractures for Posterior Teeth: Report of Four Cases

INTRODUCTION The objective of this article was to present a surgical treatment option for teeth with incomplete vertical root fracture in maxillary and mandibular posterior teeth. METHODS Four cases are presented in which 1 endodontically treated maxillary or mandibular molar had an incomplete vertical root fracture involving 1 of the roots. The tooth underwent a flap elevation procedure to visualize the pattern of bone loss and assess the extent of root fracture. The fracture line was eliminated by resecting the root in a beveled manner, after which root-end preparation and root-end filling were performed by using mineral trioxide aggregate. The osteotomy was covered with an absorbable collagen membrane. Cases were followed up for 8-24 months after surgery. RESULTS The procedure was shown to be predictable and successful in this series. Root length was preserved, and tooth extraction was avoided. CONCLUSIONS The microsurgical treatment option for multirooted teeth with incomplete vertical root fracture resulted in long-term clinical success.

Microsurgery in Endodontics

Microsurgery in Endodontics provides the definitive reference to endodontic microsurgery, with instructive photographs and illustrations. • Provides a definitive reference work on endodontic microsurgery • Includes contributions from pioneers and innovators in the field of microsurgical endodontics • Describes techniques for a wide range of microsurgical procedures • Includes more than 600 instructive illustrations and photographs