Extraction of an upper premolar due to a root fracture and subsequent implant positioning: a case report

Abstract

Objectives Root fracture, from an etiological point of view, constitutes the progression of the incomplete lesion. The treatment of this type of lesion involves the root fragments extraction, as in the case below, in their entirety. Vertical fractures can in fact include the entire thickness of the root, if complete. They may involve the buccal surface, the lingual surface or both surfaces, also extending to the periodontal attachment. In this case there was a fistula at the buccal level, in fact the presence of fistulas in this type of lesions can be detected in 35–42% of cases of root fractures1. The following article presents the clinical case of a patient who had the fractured root residue of element 1.5 with vestibular fistula that required masticatory and element aesthetic restoration.