Endodontics · single question
A tooth is diagnosed with a confirmed vertical root fracture (VRF). What is the definitive treatment?
Show answer and explanation
Correct answer: B. Extraction of the tooth
- A. Splinting root fragments is not a predictable clinical option for VRF — the fracture cannot be stabilized sufficiently to allow healing, and the periodontal destruction continues.
- B. CORRECT. Vertical root fracture (VRF) has a hopeless prognosis — there is no effective way to predictably treat or retain a tooth with a VRF. The fracture line runs along the long axis of the root, preventing proper sealing of the root canal space and causing irreversible periodontal destruction along the fracture. EXTRACTION is the only definitive treatment.
- C. Endodontic retreatment does not address the mechanical fracture of the root — it would not resolve the VRF or the associated bone loss.
- D. Apicoectomy may be performed for apical pathology in endodontically treated teeth, but it does not address a vertical fracture extending from the apex toward the crown.