Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5816
Peer-review started: December 15, 2021
First decision: January 26, 2022
Revised: January 31, 2022
Accepted: April 4, 2022
Article in press: April 4, 2022
Published online: June 16, 2022
Processing time: 175 Days and 17.9 Hours
Vertical root fracture (VRF) is one of the most common reasons for tooth extraction, although various methods have been applied for saving teeth with VRF.
This case report describes a woman who had a sinus tract on the labial gingiva of the left maxillary central incisor for past two months. Periodontal probing revealed an 8–10 mm deep, narrow, isolated pocket on the palatal side of the tooth. Clinical and radiographic examination confirmed a longitudinal root fracture. A new approach using a combination of resin and iRoot BP Plus through intentional replantation was used for the treatment of the tooth. At one-year follow-up, the tooth remained asymptomatic with normal periodontal probing depth, and radiographic images showed almost normal bone and periodontal structures around the root.
This new approach may be developed as an effective method for saving teeth with VRF.
Core Tip: This case report proposes a new approach for the treatment of teeth with vertical root fracture (VRF) using both resin and iRoot BP Plus through intentional replantation. This approach may be developed as an effective method to save teeth with VRF.