PDF(Pubmed)
Abstract：
A vertical root fracture (VRF) is a complex condition in which the fracture lines can be partial or complete and extend along the long axis of the tooth. Considering the nature of the damage and the low likelihood of a successful outcome, such fractures can be difficult to manage. Their management typically involves complex endodontic or surgical procedures, which can be technically challenging for general dentists. Recent advancements introduce promising techniques, such as intentional replantation, adhesive methodologies, and regenerative procedures, showcasing potential in salvaging teeth affected by VRFs. Nonetheless, the imprecise nature of symptoms necessitates meticulous case evaluation by clinicians. Comprehensive patient counseling regarding diverse treatment options and potential ramifications remains crucial to preserving the affected tooth. Preserving a vertically fractured tooth aids in improving both function and aesthetics while safeguarding the arch\'s integrity by maintaining the height of the alveolar bone. It is important to note that the success of the treatment procedures depends on the extent and location of the fracture, the condition of the tooth and fragment, and the skill of the dental professional performing the treatment. This review highlights the complexity of VRF management, emphasizing the necessity for precise evaluation, patient education, and the exploration of innovative techniques. It aims to review the treatment of VRFs, ranging from classical to contemporary methods, with a focus on tooth preservation. The establishment of standardized protocols and conduct of further research to ascertain long-term efficacy are imperative in optimizing outcomes and retaining natural dentition in cases of VRFs.
摘要：
垂直根部断裂（VRF）是一种复杂的情况，其中断裂线可以是部分或完整的，并且沿着牙齿的长轴延伸。考虑到损害的性质和成功结果的可能性很小，这种骨折很难处理。他们的管理通常涉及复杂的牙髓或外科手术，这对普通牙医来说可能是技术上的挑战。最近的进步引入了有前途的技术，例如有意再植，粘合剂方法，和再生程序，展示了受VRF影响的挽救牙齿的潜力。尽管如此，症状的不精确性质需要临床医生进行细致的病例评估.关于不同治疗方案和潜在后果的全面患者咨询对于保留受影响的牙齿仍然至关重要。保留垂直断裂的牙齿有助于改善功能和美观，同时通过保持牙槽骨的高度来维护牙弓的完整性。重要的是要注意，治疗程序的成功取决于骨折的程度和位置，牙齿和碎片的状况，以及牙科专业人员进行治疗的技能。这篇综述强调了VRF管理的复杂性，强调精确评估的必要性，患者教育,以及创新技术的探索。它旨在回顾VRF的治疗，从古典到当代的方法，专注于牙齿保存。在VRF病例中，必须建立标准化方案并进行进一步研究以确定长期疗效，以优化结果并保留自然牙列。
