Vertical root fracture

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

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

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 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 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 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

• Dental trauma
• Root canal therapy
• Endodontic surgery
• Dental crown