The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report

Detalhes bibliográficos
Autor(a) principal: Freitas, Pollyanna Queiroz
Data de Publicação: 2012
Outros Autores: Rabêlo-Júnior, Paulo Maria Santos, Alves, Claúdia Maria Coelho, Souza, Soraia de Fatima Carvalho
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista odonto ciência (Online)
Texto Completo: https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980
Resumo: Purpose: To present the diagnostic challenge of a clinical case of vertical root fracture (VRF) in an endodontically treated mandibular left lateral incisor. Case Description: At 16 months after endodontic treatment, a 60-year-old female patient reported pain during mastication. Clinically, she presented with an active distolingual fistula and a probing depth of 9 mm on the distal aspect of tooth 32. A radiographic examination indicated pear-shaped distal bone loss. The fistula was mapped, which confirmed that the lesion had a periodontal origin. A diagnostic hypothesis of a VRF was established. Exploratory surgery revealed the VRF on the distolingual aspect of the root without separation of the root fragments. Conclusion: Knowledge of the diagnostic aspects and the correct interpretation of radiographic images was enough to establish the diagnostic hypothesis of a VRF. However, the conclusive diagnosis was only confirmed during exploratory surgery.
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spelling The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case reportO desafio diagnóstico de fratura radicular vertical em dentes endodonticamente tratados: relato de casoDiagnosisEndodonticsvertical root fractureDental fractureDiagnósticoEndodontiafratura radicular verticalPurpose: To present the diagnostic challenge of a clinical case of vertical root fracture (VRF) in an endodontically treated mandibular left lateral incisor. Case Description: At 16 months after endodontic treatment, a 60-year-old female patient reported pain during mastication. Clinically, she presented with an active distolingual fistula and a probing depth of 9 mm on the distal aspect of tooth 32. A radiographic examination indicated pear-shaped distal bone loss. The fistula was mapped, which confirmed that the lesion had a periodontal origin. A diagnostic hypothesis of a VRF was established. Exploratory surgery revealed the VRF on the distolingual aspect of the root without separation of the root fragments. Conclusion: Knowledge of the diagnostic aspects and the correct interpretation of radiographic images was enough to establish the diagnostic hypothesis of a VRF. However, the conclusive diagnosis was only confirmed during exploratory surgery.Objetivo: Apresentar o desafio de diagnosticar Fratura Radicular Vertical (FRV) em um incisivo lateral inferior esquerdo tratado endodonticamente e discutir os métodos diagnósticos empregados para obtenção do diagnóstico conclusivo. Descrição do Caso: Após 16 meses do término do tratamento, a paciente relatou dor à mastigação. Clinicamente apresentava uma fístula disto-lingual ativa e profundidade de sondagem de 9-mm na face distal do dente 32. Radiograficamente apresentava perda óssea distal em forma de “pêra”. Foi realizado o mapeamento da fístula, confirmando tratar-se de uma lesão de origem periodontal. Estabeleceu-se a hipótese diagnóstica de FRV. Para a confirmação do diagnóstico realizou-se cirurgia exploratória. Foi constatada a FRV na face disto-lingual da raiz sem o afastamento dos fragmentos radiculares. Conclusão: Concluiu-se que o conhecimento dos achados semiotécnicos e a correta interpretação das imagens radiográficas foram suficientes para se estabelecer a hipótese diagnóstica de FRV. Entretanto, o diagnóstico conclusivo só foi confirmado durante a cirurgia exploratória.EDIPUCRS - Editora Universitária da PUCRS2012-01-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleClinical case reportRelato de caso clínicoapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980Revista Odonto Ciência; Vol. 27 No. 1 (2012); 82 - 86Revista Odonto Ciência; v. 27 n. 1 (2012); 82 - 861980-65230102-9460reponame:Revista odonto ciência (Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980/7693Freitas, Pollyanna QueirozRabêlo-Júnior, Paulo Maria SantosAlves, Claúdia Maria CoelhoSouza, Soraia de Fatima Carvalhoinfo:eu-repo/semantics/openAccess2013-11-11T11:36:13Zoai:ojs.revistaseletronicas.pucrs.br:article/9980Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/foPRIhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/oai||odontociencia@pucrs.br1980-65230102-9460opendoar:2013-11-11T11:36:13Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
O desafio diagnóstico de fratura radicular vertical em dentes endodonticamente tratados: relato de caso
title The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
spellingShingle The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
Freitas, Pollyanna Queiroz
Diagnosis
Endodontics
vertical root fracture
Dental fracture
Diagnóstico
Endodontia
fratura radicular vertical
title_short The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
title_full The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
title_fullStr The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
title_full_unstemmed The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
title_sort The diagnostic challenge of vertical root fracture in endodontically treated teeth: A case report
author Freitas, Pollyanna Queiroz
author_facet Freitas, Pollyanna Queiroz
Rabêlo-Júnior, Paulo Maria Santos
Alves, Claúdia Maria Coelho
Souza, Soraia de Fatima Carvalho
author_role author
author2 Rabêlo-Júnior, Paulo Maria Santos
Alves, Claúdia Maria Coelho
Souza, Soraia de Fatima Carvalho
author2_role author
author
author
dc.contributor.author.fl_str_mv Freitas, Pollyanna Queiroz
Rabêlo-Júnior, Paulo Maria Santos
Alves, Claúdia Maria Coelho
Souza, Soraia de Fatima Carvalho
dc.subject.por.fl_str_mv Diagnosis
Endodontics
vertical root fracture
Dental fracture
Diagnóstico
Endodontia
fratura radicular vertical
topic Diagnosis
Endodontics
vertical root fracture
Dental fracture
Diagnóstico
Endodontia
fratura radicular vertical
description Purpose: To present the diagnostic challenge of a clinical case of vertical root fracture (VRF) in an endodontically treated mandibular left lateral incisor. Case Description: At 16 months after endodontic treatment, a 60-year-old female patient reported pain during mastication. Clinically, she presented with an active distolingual fistula and a probing depth of 9 mm on the distal aspect of tooth 32. A radiographic examination indicated pear-shaped distal bone loss. The fistula was mapped, which confirmed that the lesion had a periodontal origin. A diagnostic hypothesis of a VRF was established. Exploratory surgery revealed the VRF on the distolingual aspect of the root without separation of the root fragments. Conclusion: Knowledge of the diagnostic aspects and the correct interpretation of radiographic images was enough to establish the diagnostic hypothesis of a VRF. However, the conclusive diagnosis was only confirmed during exploratory surgery.
publishDate 2012
dc.date.none.fl_str_mv 2012-01-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
Clinical case report
Relato de caso clínico
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980
url https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/9980/7693
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
dc.source.none.fl_str_mv Revista Odonto Ciência; Vol. 27 No. 1 (2012); 82 - 86
Revista Odonto Ciência; v. 27 n. 1 (2012); 82 - 86
1980-6523
0102-9460
reponame:Revista odonto ciência (Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Revista odonto ciência (Online)
collection Revista odonto ciência (Online)
repository.name.fl_str_mv Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv ||odontociencia@pucrs.br
_version_ 1754820875913265152

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