E-ISSN 2548-0839
Clinical and histological findings of post-treatment infection in presence of vertical root fracture and apical periodontitis: a case report []
. Ahead of Print: EEJ-14622 | DOI: 10.14744/eej.2018.14622

Clinical and histological findings of post-treatment infection in presence of vertical root fracture and apical periodontitis: a case report

Luciano Giardino1, Nicola M. Grande2, Paolo Savadori3, Massimo Del Fabbro4, Gianluca Plotino5
1Freelance Researcher, Crotone, Italy
2School of Dentistry, University of Catanzaro Magna Graecia, Catanzaro; Private Practice, Grande Plotino and Torsello Studio di Odontoiatria, Rome, Italy
3IRCCS Galeazzi Orthopedic Institute, Milan, Italy
4IRCCS Galeazzi Orthopedic Institute, Milan; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
5Private Practice, Grande Plotino and Torsello Studio di Odontoiatria, Rome, Italy

Apical periodontitis and vertical root fracture might coexist in the same root, thus representing a diagnostic challenge in endodontics. Diagnosis should be based on clinical and radiographic signs and symptoms and also completed through further more accurate and detailed investigation, such as a histological examination. The histological findings of the case presented showed the possible coexistence of a vertical root fracture in the coronal third of the root and signs of apical periodontitis caused by intracanal infection in the apical third of the same root. The presentation of this case underlines the importance of the histological examination as a valid aid to be combined with clinical and radiographic signs and symptoms in performing an accurate diagnosis once the root has been extracted.

Keywords: vertical root fracture, apical periodontitis, histological examination, root canal.



Corresponding Author: Gianluca Plotino

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