An Evaluation of Endodontically Treated Vertically Fractured Teeth

By Tamse A, Fuss Z, Lustig J, Kaplavi J

Date: 01/1999
Journal: JOE


To identify clinical and radiographic manifestations to aid in diagnosis of vertical root fracture (VRF) in endodontically treated teeth


N- 92 teeth

Patients were sent to the oral surgeon with diagnosis of VRF or failed RCT for extraction. Patients were examined for signs/symptoms of VRF. Palpation/Percussion/Fistula, Presence/depth of pocket as well as location and swelling. Diagnostic PA’s taken.


The maxillary second premolars (27.2%) and mesial roots of the mandibular molars (24%) were the most fractured teeth. The most predominant clinical sign was deep pockets in 62 cases (67.4%), usually located at the buccal side of the tooth or the root involved

Clinical Significance:

Endodontically treated teeth with a VRF usually have a combination of symptoms and are only correctly diagnoses 1/3 of the time.