In case of a vertical root fracture, what is usually the end result for the tooth?

A vertical root fracture typically results in significant structural damage to the tooth, leading to the loss of integrity and function. Once a vertical root fracture occurs, it creates a pathway for bacteria to enter the tooth, resulting in infection and eventual necrosis of the pulp tissue.

In most cases, the prognosis for saving the tooth is poor, especially if the fracture extends below the bone level. The inability to effectively seal the root canal system due to the fracture makes it challenging to achieve endodontic success. Consequently, the tooth may experience symptoms such as pain or swelling, indicating that continued attempts to treat the tooth are likely futile.

Extraction is generally the recommended course of action to alleviate pain, prevent further complications, and address any resulting infections. While reconstructive surgery can sometimes help save teeth in certain conditions, it is not typically viable for cases involving vertical root fractures. The nature of a vertical root fracture often leads to the conclusion that extraction is necessary, making this the most logical and typical end result.