Vertical root fracture: Difference between revisions

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{{Infobox medical condition
| name = Vertical root fracture
| synonyms = VRF
| field = [[Endodontics]]
| symptoms = Pain, swelling, sinus tract, mobility of the tooth
| complications = [[Tooth loss]], [[infection]], [[abscess]]
| onset = Can occur after [[root canal treatment]] or due to [[trauma]]
| duration = Chronic
| causes = [[Trauma]], [[occlusal forces]], [[endodontic treatment]]
| risks = [[Age]], [[tooth anatomy]], [[dental procedures]]
| diagnosis = [[Clinical examination]], [[radiographic imaging]], [[cone beam computed tomography]]
| differential = [[Periodontal disease]], [[endodontic failure]], [[cracked tooth syndrome]]
| prevention = Proper [[endodontic techniques]], avoiding excessive [[occlusal forces]]
| treatment = [[Extraction]], [[surgical repair]]
| prognosis = Poor if untreated, may lead to [[tooth loss]]
| frequency = More common in [[endodontically treated teeth]]
}}
'''Vertical root fracture''' is a type of [[dental trauma]] that involves a crack in the tooth that extends from the root tip towards the chewing surface. It is a serious condition that can lead to the loss of the tooth if not treated promptly.  
'''Vertical root fracture''' is a type of [[dental trauma]] that involves a crack in the tooth that extends from the root tip towards the chewing surface. It is a serious condition that can lead to the loss of the tooth if not treated promptly.  
== Causes ==
== Causes ==
Vertical root fractures are typically caused by [[trauma]] to the tooth, such as a blow to the face or biting down on a hard object. They can also occur as a result of [[bruxism]] (teeth grinding), large fillings, or root canal treatment.  
Vertical root fractures are typically caused by [[trauma]] to the tooth, such as a blow to the face or biting down on a hard object. They can also occur as a result of [[bruxism]] (teeth grinding), large fillings, or root canal treatment.  
== Symptoms ==
== Symptoms ==
The symptoms of a vertical root fracture can vary depending on the severity of the fracture and the individual's pain tolerance. Common symptoms include pain when biting down, sensitivity to hot and cold, and swelling or inflammation of the gum around the affected tooth.  
The symptoms of a vertical root fracture can vary depending on the severity of the fracture and the individual's pain tolerance. Common symptoms include pain when biting down, sensitivity to hot and cold, and swelling or inflammation of the gum around the affected tooth.  
== Diagnosis ==
== Diagnosis ==
Diagnosis of a vertical root fracture can be challenging, as the fracture line is often not visible on a [[dental radiograph]]. The dentist may use a variety of diagnostic tools, including visual examination, palpation, and percussion testing. In some cases, a [[dental cone-beam computed tomography]] (CBCT) scan may be used to confirm the diagnosis.  
Diagnosis of a vertical root fracture can be challenging, as the fracture line is often not visible on a [[dental radiograph]]. The dentist may use a variety of diagnostic tools, including visual examination, palpation, and percussion testing. In some cases, a [[dental cone-beam computed tomography]] (CBCT) scan may be used to confirm the diagnosis.  
== Treatment ==
== Treatment ==
Treatment for a vertical root fracture depends on the severity of the fracture and the overall health of the tooth. In some cases, the tooth may need to be extracted. If the tooth can be saved, treatment options may include [[root canal therapy]], [[endodontic surgery]], or placement of a [[dental crown]].  
Treatment for a vertical root fracture depends on the severity of the fracture and the overall health of the tooth. In some cases, the tooth may need to be extracted. If the tooth can be saved, treatment options may include [[root canal therapy]], [[endodontic surgery]], or placement of a [[dental crown]].  
== Prevention ==
== Prevention ==
Prevention of vertical root fractures involves maintaining good oral hygiene, wearing a mouthguard during sports activities, and avoiding biting down on hard objects. Regular dental check-ups can also help to detect any potential issues early.  
Prevention of vertical root fractures involves maintaining good oral hygiene, wearing a mouthguard during sports activities, and avoiding biting down on hard objects. Regular dental check-ups can also help to detect any potential issues early.  
== See also ==
== See also ==
* [[Dental trauma]]
* [[Dental trauma]]
* [[Root canal therapy]]
* [[Root canal therapy]]
* [[Endodontic surgery]]
* [[Endodontic surgery]]
* [[Dental crown]]
* [[Dental crown]]
[[Category:Dental trauma]]
[[Category:Dental trauma]]
[[Category:Oral health]]
[[Category:Oral health]]
[[Category:Endodontics]]
[[Category:Endodontics]]
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{{dental-stub}}
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Latest revision as of 03:27, 4 April 2025


Vertical root fracture
Synonyms VRF
Pronounce N/A
Specialty N/A
Symptoms Pain, swelling, sinus tract, mobility of the tooth
Complications Tooth loss, infection, abscess
Onset Can occur after root canal treatment or due to trauma
Duration Chronic
Types N/A
Causes Trauma, occlusal forces, endodontic treatment
Risks Age, tooth anatomy, dental procedures
Diagnosis Clinical examination, radiographic imaging, cone beam computed tomography
Differential diagnosis Periodontal disease, endodontic failure, cracked tooth syndrome
Prevention Proper endodontic techniques, avoiding excessive occlusal forces
Treatment Extraction, surgical repair
Medication N/A
Prognosis Poor if untreated, may lead to tooth loss
Frequency More common in endodontically treated teeth
Deaths N/A


Vertical root fracture is a type of dental trauma that involves a crack in the tooth that extends from the root tip towards the chewing surface. It is a serious condition that can lead to the loss of the tooth if not treated promptly.

Causes[edit]

Vertical root fractures are typically caused by trauma to the tooth, such as a blow to the face or biting down on a hard object. They can also occur as a result of bruxism (teeth grinding), large fillings, or root canal treatment.

Symptoms[edit]

The symptoms of a vertical root fracture can vary depending on the severity of the fracture and the individual's pain tolerance. Common symptoms include pain when biting down, sensitivity to hot and cold, and swelling or inflammation of the gum around the affected tooth.

Diagnosis[edit]

Diagnosis of a vertical root fracture can be challenging, as the fracture line is often not visible on a dental radiograph. The dentist may use a variety of diagnostic tools, including visual examination, palpation, and percussion testing. In some cases, a dental cone-beam computed tomography (CBCT) scan may be used to confirm the diagnosis.

Treatment[edit]

Treatment for a vertical root fracture depends on the severity of the fracture and the overall health of the tooth. In some cases, the tooth may need to be extracted. If the tooth can be saved, treatment options may include root canal therapy, endodontic surgery, or placement of a dental crown.

Prevention[edit]

Prevention of vertical root fractures involves maintaining good oral hygiene, wearing a mouthguard during sports activities, and avoiding biting down on hard objects. Regular dental check-ups can also help to detect any potential issues early.

See also[edit]


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