The Journal
Treatment
Vrf inolve gingival sulcus→ ingress of bacteria
and irrigants→destruction of
periodontium→alveolar bone loss.
Aim of treatment is to eliminate the fracture or
leakage of bacteria along the fracture plane.
A fractured root ( has bone loss) has to be
distinguished from cracked root ( no bone
loss).
Prognosis of multirooted tooth is good while
single rooted tooth is poor.
A variety of approaches have been attempted
and used to treat the VRF, including:
• The use of cyanoacrylates to bond the
fragments
• Glass-ionomer cement with guided tissue
regeneration therapy
• Adhesive resin cement (4-META/)
• Repositioning;
• Fixation with wire and mineral trioxide
aggregate
• Biodentine (tri and dicalcium silicate)
SYMPTOMS
•
•
Expanded polytetraflouroethylene Goretex
membrane to establish new periodontal
attachment has been used after bonding
fragments with glass ionomer
ADVANTAGES OF USING BIODENTIN
OVER MTA INCLUDES FASTER SETING
TIME OF BIODENTIN,ITS VICKERS
MIC ROHARDNESS NUMBER IS SIMILAR
TO THAT OF DENTIN
Biodentine showed significantly higher levels of
calcium and siliconion release than MTA
However, in most cases of VRF in anterior
teeth, extraction is the only available treatment
option. For posterior teeth, Luebke has
proposed four basic categories of treatment.
Conclusion
The treatment of root fracture may be a
painstaking job for both dentists and patients.
Therefore, an evidence-based clinical
approach should be followed for the successful
treatment of root fractures.
TREATMENT
Supraosseous, viable pulp, No Radiographic
changes / Periodontal defects Full coverage temporary or permanent crowns
Incomplete supraosseous fractures with non-viable
pulp but no radiographic changes or periodontal
defects. 9–12 months Calcium hydroxide therapy, if the
bone level is unchanged, endodontic therapy is
performed & permanent crown is placed.
For incomplete intraosseous fractures with non-
viable pulp and a periodontal pocket along the
fracture line. Exploratory Surgery followed by Periodontal Surgical
Procedure.
For complete intraosseous fractures with non-viable
pulp, bone loss and periodontal pocket. Either root amputation, hemi section or extraction is
indicated.
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Vol. 13
12 No. 2
3
May-August
Sept-Dec 2016
May-August
2016
2017