Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2022; 10(17): 5816-5824
Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5816
New approach for the treatment of vertical root fracture of teeth: A case report and review of literature
Xue Zhong, Ping Yan, Wei Fan
Xue Zhong, Ping Yan, Wei Fan, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, Hubei Province, China
Author contributions: Zhong X collected the information, assisted in the treatment of this case, and prepared the manuscript; Fan W and Yan P designed the treatment procedure, performed the surgery, and reviewed the manuscript.
Informed consent statement: Signed informed consent has been obtained from the patient.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Fan, PhD, Chief Physician, Reader (Associate Professor), School and Hospital of Stomatology, Wuhan University, No. 237 Luoyu Road, Wuhan 430079, Hubei Province, China. weifan@whu.edu.cn
Received: December 15, 2021
Peer-review started: December 15, 2021
First decision: January 26, 2022
Revised: January 31, 2022
Accepted: April 4, 2022
Article in press: April 4, 2022
Published online: June 16, 2022
Abstract
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.

Keywords: Vertical root fracture, Intentional replantation, iRoot BP Plus, Resin, Teeth, Treatment, Case report

Core Tip: This case report proposes a new approach for the treatment of teeth with vertical root fracture (VRF) using both resin and iRoot BP Plus through intentional replantation. This approach may be developed as an effective method to save teeth with VRF.