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Case Reports in Dentistry
Volume 2012 (2012), Article ID 985215, 5 pages
http://dx.doi.org/10.1155/2012/985215
Case Report

Treatment of a Vertical Root Fracture Using Dual-Curing Resin Cement: A Case Report

1Department of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, Iran
2Iranian Center for Endodontic Research, Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran
3Dental Research Center, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran

Received 15 October 2012; Accepted 5 December 2012

Academic Editors: M. Feichtinger and A. Kasaj

Copyright © 2012 Nima Moradi Majd et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Vertical root fracture (VRF) is one of the most frustrating complications of root canal treatment. The prognosis of the root with VRF is poor therefore tooth extraction and root amputation are usually the only treatment options. However, bonding of the fracture line with adhesive resin cement during the intentional replantation procedure was recently suggested as an alternative to tooth extraction. Methods. A vertically fractured left maxillary incisor was carefully extracted, fracture line was treated with adhesive resin cement, a retrograde cavity was produced and filled with calcium-enriched mixture (CEM) cement, and tooth was replanted. Results. After 12 months the tooth was asymptomatic. The size of periapical radiolucency was noticeably reduced and there was no clinical sign of ankylosis. Conclusion. Using adhesive resin cement to bond the fracture lines extraorally in roots with VRF and intentional replantation of the reconstructed teeth could be considered as an alternative to tooth extraction, especially for anterior teeth.