Vertical Root Fracture Findings From Cone Beam Computerized Tomography (CBCT): A Serial Case Analysis

Main Article Content

Weerapan Aunmeungtong
Kanchit Suwanalai

Abstract

The diagnosis of vertical root fracture (VRF) has been discussed as a difficult and complicate issue to make the definitive diagnosis. With the using of a new modality image diagnosis, cone-beam computed tomography (CBCT), it may help to identify the VRF.The purpose of the study was to describe the CBCT findings of the VRF and relevant clinical findings.Nine patients with tentative diagnosis of VRF were included in the report. All patients were sent for CBCT. Most of the CBCT clearly showed peri-radicular lesion.Together with the periapical film and clinical findings, the diagnosis of VRF could be made. All the extracted teeth showed the VRF. CBCT is helpful to confirm the VRF when using with the conventional periapical film and clinical symptoms.

Downloads

Download data is not yet available.

Article Details

How to Cite
Aunmeungtong, W., & Suwanalai , K. . (2021). Vertical Root Fracture Findings From Cone Beam Computerized Tomography (CBCT): A Serial Case Analysis. Chiang Mai Dental Journal, 42(3), 95–102. Retrieved from https://he01.tci-thaijo.org/index.php/cmdj/article/view/250125
Section
Case report

References

1. American Association of Endodontists (1997). Cracking the cracked tooth code; Endodontics. AAE Colleagues for Excellence. 1–13.
2. Haueisen H, Gӓrtner K, Kaiser L, Trohorsch D, Heidemann D.Vertical root fracture: prevalence, etiology, and diagnosis. Quintessence Int 2013; 44; 467–74.
3. Fuss Z, Lustig J, Tamse A. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J 1999; 32: 283–6.
4. Coppens CRM, DeMoor RJG. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J 2003; 36: 926.
5. Kositbowornchai S, Nuansakul R, Sikram S. Root fracture detection: a comparison of direct digital radiography with conventional radiography. Dentomaxillofac Radiol 2001; 30: 106–9.
6. Byakova S, Novozhilova N. The accuracy of CBCT for the detection and diagnosis of vertical root fractures in vivo. Int Endod J 2019; 52: 1255-63.
7. Hargreaves KM, Cohen S, Berman HL. Pathways of the Pulp. 10th ed. St. Louis, Mo: Mosby Elsevier, 2011.
8. Angelopoulos C, Scarfe WC, Farman AG. A comparison of maxillofacial CBCT and medical CT. Atlas Oral Maxillofac Surg Clin North Am 2012; 20: 1–17.
9. Chang E, Lam E, Shah P. Cone-beam Computed Tomography for Detecting Vertical Root Fractures in Endodontically Treated Teeth: A Systematic Review. J Endod
2016; 42: 177–185.
10. Tamse A. Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. Endodontic Topics 2006: 13, 84–94.
11. Walton RE. Vertical root fracture factors related to identification. J Am Dent Assoc 2017; 148: 100–5.
12. Kinney JH, Nalla RK, Pople JA, Breunig TM, Ritchie RO. Age-related transparent root dentin: mineral concentration, crystallite size, and mechanical properties. Biomaterials 2005; 26: 3363–76.
13. Mireku AS, Romberg E, Fouad AF, Arola D. Vertical fracture of root filled teeth restored with posts: the effects of patient age and dentine thickness. Int Endod J 2010; 43: 218–25.
14. Yan W, Montoya C, Øilo M et al. Reduction in Fracture Resistance of the Root with Aging. J Endod 2017; 43: 1494–8.
15. Chavda R, Mannocci F, Andiappan M, Patel S. Comparing the in vivo diagnostic accuracy of digital periapical radiography with cone-beam computed tomography for the detection of vertical root fracture. J Endod 2014; 40: 1524–9.