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Case Reports in Dentistry
Volume 2018, Article ID 4056390, 8 pages
Case Report

Diagnosis and Managment of Maxillary Incisor with Vertical Root Fracture: A Clinical Report with Three-Year Follow-Up

1Department of Dental Medicine, Faculty of Dentistry, Hospital Sahloul, Sousse, Tunisia
2Laboratory of Research in Oral Healh and Maxillo Facial Rehabilitation (LR12ES11), Monastir, Tunisia
3Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia

Correspondence should be addressed to Ines Kallel; rf.oohay@lellakseni

Received 19 September 2017; Revised 6 December 2017; Accepted 17 January 2018; Published 6 February 2018

Academic Editor: Jiiang H. Jeng

Copyright © 2018 Ines Kallel 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.


According to the American Association of Endodontists, “a ‘true’ vertical root fracture is defined as a complete or incomplete fracture initiated from the root at any level, usually directed buccolingually.” Vertical root fracture (VRF) usually starts from an internal dentinal crack and develops over time, due to masticatory forces and occlusal loads. When they occur in teeth, those types of fractures can present difficulties in diagnosis, and there are however many clinic and radiographical signs which can guide clinicians to the existence of the fracture. Prognosis, most often, is hopeless, and differential diagnosis from other etiologies may be difficult sometimes. In this paper, we present a case of VRF diagnosed after surgical exploration; the enlarged fracture line was filled with a fluid resin. A 36-month clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depth from 7 mm prior to treatment to 4 mm with no signs of ankylosis. In this work, the diagnosis and treatment alternatives of vertical root fracture were discussed through the presented clinical case.