Surgical decision making in coronally located vertical root fracture.

S. Taschieri, Z. Laster, G. Rosano, T. Weinstein, M. Del Fabbro

Research output: Contribution to journalArticle

Abstract

AIM: The purpose of this study was to present an intrasurgical decision making in teeth showing clinical signs and symptoms of incomplete vertical root fracture. METHODS: Sixteen patients with one tooth in which an incomplete vertical root fracture was diagnosed, involving only the buccal side, underwent a flap elevation procedure to visualize the pattern of bone loss and assess the type of root fracture. If the intraoperative diagnosis confirmed the presurgical one, a new root fracture repair technique was used. If the intraoperative diagnosis consisted of a complete or multiple fracture, the tooth was extracted and a postextraction implant insertion procedure was performed, in combination with the use of plasma rich in growth factors in order to enhance implant osseointegration. RESULTS: A total of nine vertical root fracture repair procedures were performed. The mean patient follow-up was 22.5 months. All patients reported full satisfaction for mastication function and phonetics. One patient was not satisfied for the esthetic result. A total of seven implants were immediately inserted in fresh postextraction sockets, and loaded four months later. The mean patient follow-up was 25.2 months. Overall implant success and survival was 100% after one year of functional loading. All patients reported full satisfaction for mastication function, phonetics and esthetics. CONCLUSIONS: Intraoperative diagnosis allowed to choose an appropriate surgical approach that led to excellent results in terms of clinical outcomes and patient satisfaction.

Original languageEnglish
Pages (from-to)399-413
Number of pages15
JournalMinerva Stomatologica
Volume58
Issue number9
Publication statusPublished - Sep 2009

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Decision Making
Tooth
Phonetics
Mastication
Esthetics
Osseointegration
Cheek
Patient Satisfaction
Signs and Symptoms
Intercellular Signaling Peptides and Proteins
Bone and Bones
Survival

ASJC Scopus subject areas

  • Medicine(all)

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Surgical decision making in coronally located vertical root fracture. / Taschieri, S.; Laster, Z.; Rosano, G.; Weinstein, T.; Del Fabbro, M.

In: Minerva Stomatologica, Vol. 58, No. 9, 09.2009, p. 399-413.

Research output: Contribution to journalArticle

Taschieri, S. ; Laster, Z. ; Rosano, G. ; Weinstein, T. ; Del Fabbro, M. / Surgical decision making in coronally located vertical root fracture. In: Minerva Stomatologica. 2009 ; Vol. 58, No. 9. pp. 399-413.
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