By Aviad Tamse, Igor Tsesis, Eyal Rosen
In this booklet, top specialists supply a complete review of vertical root fractures (VRFs) in endodontically taken care of tooth, that may be linked to possibly serious harm to the helping bone. A useful categorization of many of the enamel and root fractures is gifted and etiological components are pointed out, with dialogue of anatomical and biomechanical elements and the dynamics of root fracture. The scientific and radiographic beneficial properties of VRFs are defined and illustrated intimately in an effort to support the clinician to accomplish exact prognosis in a well timed demeanour. administration of the teeth and the socket after extraction is absolutely defined, and novel therapy possible choices for the maintenance of VRF enamel are proposed. The publication concludes via contemplating medicolegal elements. either endodontists and common dentists will gain tremendously from the assistance provided at the universal and clinically hard phenomenon of VRFs.
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Additional resources for Vertical Root Fractures in Dentistry
Sample text
Fracture resisance of teeth with post retained restorations: an overview. J Endod. 2010;36:1439–49. Diagnosis and possible causes of vertical root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1980;49:243–53. A comparison of intracanal stresses in a post-restored tooth utilizing the finite element method. J Endod. 1992;18:540–4. A three- dimensional finite-element stress analysis of an endodontically prepared maxillary central incisor. J Endod. 1995;21:362–7. 51. Analysis of stress distribution in a vertically condensed maxillary central incisor root canal.
Feldman) 4 Diagnosis of Vertical Root Fractures 59 filling. This thin radiolucent line may also represent an overlying bony pattern or another radiographic structure that is easily confused with a fracture. Therefore, radiographs (including CBCT) can be helpful in identifying a suspected vertical root fracture but are seldom solely diagnostic except in those few instances when the fracture segment separation is readily visible. Dental History Identifying and considering past procedures that impact the root is very helpful in diagnosis.
Often, this “pathognomonic combination” does not exist, resulting in a high percentage of misdiagnoses [4]. Radiographic Findings Radiographs show a very wide variation of patterns of bone resorption [7, 12]. These resorptive lesions are adjacent rather than within the tooth itself. Very rarely can a tiny hair-like radiolucent fracture line be demonstrated in a root. E. Walton and A. Tamse There are no specific radiographic pathognomonic findings because there is an assortment of patterns that often resemble other entities such as periodontal or endodontic inflammatory resorptive lesions [16].