Abstract

LEYVA INFANTE, Maité; NARANJO VELAZQUEZ, Yudy; GARCIA BIDOPIA, Mariela  and  ZALDIVAR PUPO, Olga Lilia. Root Hemisection, Therapeutic Alternative in Vertical Root Fractures. A Case Report. ccm [online]. 2017, vol.21, n.4, pp. 1233-1239. ISSN 1560-4381.

The vertical root fractures are the traumatisms of worse prognosis for the tooth, since the conventional treatment is constituted by exodontia. We report a case of a 57-year-old male patient who attended the emergency room of the Artemio Mastrapa Rodríguez Stomatological Clinic, Holguin with pain at chewing in 14, to the clinical examination vertical fracture between the cusps that separates the roots, pain to percussion and mobility of the palatal fragment. Hemisection of the palatal root was performed, treatment of vestibular root canal of 14, then carving and final restoration of vestibular cusp with photopolymerisable resin.  After surgery, the vestibular cuspid was carved and received a definite restoration with light cure resin. In this case, the hemisection of the palatal root of 14 maintained aesthetics in a completely dentate patient without using other appliances or producing alterations in the orofacial balance. The radicular hemisection can be a conservative alternative in cases of upper premolars with verticals roots fractures. It was concluded that radicular hemisection can be a conservative alternative in cases of vertical root fractures in upper premolars.

Keywords : vertical root fracture; radicular hemisection; roots resection.

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