Vertical Root Fracture-Diagnosis, Surgical Perspectives and Management―A Review

Endodontically treated teeth are often associated with vertical ischolar_main fracture (VRF) and it becomes difficult to differentiate a tooth with this condition from an endodontically failed one or one with concomitant periodontal involvement. The cause of VRF is mainly trauma and iatrogenic reasons. Both complete and incomplete VRF constitute an ongoing problem in dentistry because they are difficult to be diagnosed in the early stages. In majority of the cases, tooth extraction is the only reasonable treatment when the VRF is finally diagnosed. Treatment options included extraction of single ischolar_mained teeth, but with the advent of adhesive dentistry. There is a paradigm shift towards preservation of these teeth.