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Stomatologija 2025; 27 (3): 63-7 106 KB

Periodontal and endodontic perspectives of vertical root fracture: A case report

Nina Shenoy¹, Arvind Shenoy²

Summary

A 35-year-old patient reported with sharp pain on biting and sensitivity to cold concerning the first right premolar. On recording the history, clinical examination and tests such as vitality, bite test, transillumination, periodontal probing and radiographs a diagnosis of cracked tooth syndrome (CTS) was made. The root canal treatment was completed, but the patient did not turn up for the coronal restoration, resulting in a vertical root fracture and extraction. VRF’s (Vertical Root Fracture) are more commonly encountered following endodontic treatment. Also, in teeth without endodontic treatment, with habits like bruxism and eating coarse, hard food. Early diagnosis of cracked teeth and fractures is critical for a clinician since it permits a conservative and preventive approach. Delay in diagnosis and treatment will result in involvement of the underlying periodontium, causing periodontal pockets, abscess formation and bone loss thereby further complicating the outcome

Key words: VRF (Vertical root fracture), cracked tooth, probing depth, bruxism periodontal abscess.

Received: 01 11 2022

Accepted for publishing: 22 09 2025

¹Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences(ABSMIDS), Nitte (Deemed to be University), Mangalore, India

²Smiles by Shenoy, Dental Clinic, Balmatta Road, Karnataka, Mangalore, India

Address correspondence to Nina Shenoy, Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore – 575018, India.

E-mail address: drninavijaykumar@nitte.edu.in



	Baltic Dental and Maxillofacial Journal

2025, Vol. 27, No. 3 CONTENTS SCIENTIFIC ARTICLES Changes in the architectonics of the lower jaw in children depending on age Rostyslav Yehorov, Oleksandr Kaniura, Andrii Kopchak, Alona Melnyk 51-57 Retrospective clinical evaluation of pterygoid implants: A patient study 6-96 months post-implantation Gabrielė Berniūtė, Laurynas Skirbutis, Elžbieta Skirbutytė, Dainius Karpavičius, Dainius Razukevičius, Juozas Žilinskas 58-62 CASE REPORTS Periodontal and endodontic perspectives of vertical root fracture: A case report Nina Shenoy, Arvind Shenoy 63-67 Craniofacial features associated with Hutchinson – Gilford progeria syndrome – A case report Devika S. Pillai, Kumuda Rao, Renita Lorina Castelino, G. Subhas Babu 68-72 © 2026 Stomatologija		Stomatologija 2025; 27 (3): 63-7 106 KB Periodontal and endodontic perspectives of vertical root fracture: A case report Nina Shenoy¹, Arvind Shenoy² Summary A 35-year-old patient reported with sharp pain on biting and sensitivity to cold concerning the first right premolar. On recording the history, clinical examination and tests such as vitality, bite test, transillumination, periodontal probing and radiographs a diagnosis of cracked tooth syndrome (CTS) was made. The root canal treatment was completed, but the patient did not turn up for the coronal restoration, resulting in a vertical root fracture and extraction. VRF’s (Vertical Root Fracture) are more commonly encountered following endodontic treatment. Also, in teeth without endodontic treatment, with habits like bruxism and eating coarse, hard food. Early diagnosis of cracked teeth and fractures is critical for a clinician since it permits a conservative and preventive approach. Delay in diagnosis and treatment will result in involvement of the underlying periodontium, causing periodontal pockets, abscess formation and bone loss thereby further complicating the outcome Key words: VRF (Vertical root fracture), cracked tooth, probing depth, bruxism periodontal abscess. Received: 01 11 2022 Accepted for publishing: 22 09 2025 ¹Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences(ABSMIDS), Nitte (Deemed to be University), Mangalore, India ²Smiles by Shenoy, Dental Clinic, Balmatta Road, Karnataka, Mangalore, India Address correspondence to Nina Shenoy, Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore – 575018, India. E-mail address: drninavijaykumar@nitte.edu.in