JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i12.12802ArticleSequential Treatment and Systematic Management of Vertical Root Fracture in Molarshttps://artdesignp.com/journal/JCNR/9/12/10.26689/jcnr.v9i12.12802WeiJiajia,WangAoshuang20259122025-12-31Vertical root fracture (VRF) in molars is a complex and frequently encountered dental condition. Successful management relies on accurate diagnosis, sequential treatment strategies, and systematic care. This paper provides a comprehensive review of the sequential therapeutic approaches and systematic management models for molar VRF over the past five years. Particular attention is given to the diagnostic value of cone-beam computed tomography (CBCT), recent advances in tooth-preserving techniques, and the establishment of full-course management frameworks. By constructing an integrated pathway encompassing diagnostic assessment, treatment decision-making, clinical intervention, and long-term maintenance, a "dentist–nurse–patient community" model is proposed to promote standardized clinical guidance. This collaborative model aims to extend the lifespan of affected teeth and restore optimal masticatory function.

Salihu B, Stavileci M, 2024, Review of Approaches to the Management of Vertical Dental Root Fractures and Tooth Preservation. Medical Science Monitor, 30: e943100.

Zhong X, Yan P, Fan W, 2022, New Approach for the Treatment of Vertical Root Fracture of Teeth: A Case Report and Review of Literature. World Journal of Clinical Cases, 10(17): 5816–5824.

Hsiao L, Ho J, Huang C, et al., 2020, Analysis of Clinical Associated Factors of Vertical Root Fracture Cases Found in Endodontic Surgery. Journal of Dental Sciences, 15(2): 200–206.

Sun Q, Han F, Fan W, 2024, A Novel Surgical Treatment Approach for the Vertical Root Fracture of Posterior Teeth: A Case Report with 24-Month Review. BMC Oral Health, 24(1): 489.

Goldberger T, Rosen E, Blau-Venezia N, et al., 2021, Pathognomonic Combination of Clinical Signs for Diagnosis of Vertical Root Fracture: Systematic Review of the Literature. Applied Sciences, 11(22): 10893.

Patel S, Bhuva B, Bose R, 2022, Present Status and Future Directions: Vertical Root Fractures in Root Filled Teeth. International Endodontic Journal, 55(Suppl 3): 804–826.

Liao W, Chen C, Pan Y, et al., 2021, Vertical Root Fracture in Non-Endodontically and Endodontically Treated Teeth: Current Understanding and Future Challenge. Journal of Personalized Medicine, 11(12): 1375.

Scardini I, Zamalloa S, Paiva H, et al., 2025, Diagnosis Approaches and Clinical Management of Suspected Vertical Root Fractures: A Questionnaire-Based Study. Journal of Clinical and Experimental Dentistry, 17(8): e980–e988.