Vertical root fracture diagnosis of crowned premolars with root canal treatment - Two case reports

Diagnosing a vertical root fracture may be a challenge because of the similarities with other pathologies. In the presented cases, endodontic treatments were performed as part of the overall treatment plan for full arch rehabilitation. The symptoms and signs were recorded and the extracted teeth analyzed. The fractured teeth were from bruxer patients. All teeth had deep located periodontal pockets, gingival swelling, tenderness to percussion and radiographic bone loss. Because the fracture line may not be visible in the crowned teeth with vertical root fracture, special attention has to be given to the clinical symptoms and signs. The clinical features of this pathology may vary from case to case. The purpose of this work is to contribute to a better knowledge of the signs and symptoms of this pathology. (C) 2013 Sociedade Portuguesa de Estomatologia e Medicina Dentaria. Published byElsevier Espana, S.L. All rights reserved.