%0 Journal Article
%T The diagnostic challenge of vertical root fracture in endodontically treated teeth: a case report
%A Freitas
%A Pollyanna Queiroz
%A Rab¨ºlo-J¨²nior
%A Paulo Maria Santos
%A Alves
%A Cla¨²dia Maria Coelho
%A Souza
%A Soraia de Fatima Carvalho
%J Revista Odonto Ci¨ºncia
%D 2012
%I Scientific Electronic Library Online
%R 10.1590/S1980-65232012000100016
%X purpose: to present the diagnostic challenge of a clinical case of vertical root fracture (vrf) in an endodontically treated mandibular left lateral incisor and discuss the diagnostic methods employed to achieve the conclusive diagnosis. 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.
%K diagnosis
%K endodontics
%K vertical root fracture.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1980-65232012000100016&lng=en&nrm=iso&tlng=en