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VERTICAL FRACTURE: A CHALLENGE IN DENTISTRY…

The problem of Vertically fractured teeth happens when extreme forces are placed over the teeth; Commonly emerges with root canal treated teeth, worn out teeth (due to age, diet habits, night grinding).

The fracture line passes longitudinally as shown below and is often too elusive to recognize.

Unlike a simple fractured bone, teeth cannot be self-healed or fixed easily. The damage is crucial and forever.

WHAT ARE THE DANGERS OF VERTICAL FRACTURE?
Minute cracks in the teeth causes no problem. But as the fracture line augments or if it passes deep, the bacterial ingrowth potentially causes extreme pain. Still no visible signs will be evident and the adjacent gums show sign of infection.

HOW TO DEAL WITH VERTICALLY FRACTURED TEETH ?

  • PRIOR TO DENTAL VISITS:
    DOING NOTHING.
    Ignoring that teeth will be the best thing to do until you schedule your dental visit. Avoid chewing on that particular side even accidentally. Be extremely cautious with that.

  • AT THE DENTAL VISIT:
    Identifying a vertical fracture is always a challenging task for dentists as x-ray fails to portray the underlying culprit. Your dentist may use a magnifying microscope/dyes under good illumination to detect the fracture line.
    Removing the teeth will be the only left option if the fracture line goes into the root. Root canal treatment can be performed only if the teeth can be restored to its function.
    Researches have found ways to save these teeth …but the success rates for long term remains questionable.

Vertical fracture, why is it a mystery for dentists?


  • Pain in a root canal teeth may resemble that of a root canal failure.
  • Fracture within a crowned root canal treated teeth is like a black cat in a dark room.
  • In vital teeth, the pain resembles gum infection.

HOW TO AVOID …?


  • Get a crown for your root canal treated teeth.
  • Your dentists may suggest a night guard if you are a bruxer with worn out teeth.
  • Avoid chewing on extreme hard foods like ice cubes.


REMEMBER THAT IT’S NOT YOUR FAULT IF YOU GOT A VERTICAL FRACTURE IN A VITAL TEETH ESPECIALLY IF YOUR JAW BONES ARE PLIABLE.