Diagnosis of Vertical Root Fracture with Cone-Beam Computerized Tomography in Endodontically Treated Teeth: Three Case Reports
نویسندگان
چکیده
A definitive diagnosis of vertical root fracture (VRF) is often a challenging task for clinicians. This is because two dimensional periapical radiographs are usually unable to detect the fracture line due to the direction of the X-ray beam. This report presents a set of 3 cases of endodontically treated teeth that were diagnosed with VRFs based on findings from clinical, radiographic, and cone-beam computerized tomographic (CBCT) examinations. After extraction, VRFs were confirmed in all cases. The presence of periodontal pockets or other signs which would compromise the correct diagnosis could not be detected in all three cases. Fracture lines were only visible with the aid of CBCT which provided useful information for the diagnosis and management of VRF. However, the clinical and radiographic data should not be discarded, but used in conjunction with CBCT.
منابع مشابه
Comparison of Diagnostic Accuracy of Cone Beam Computed Tomography and Digital Radiography for Detection of Vertical Root Fractures with and without Gutta Percha
Objective: Diagnosis of vertical root fractures (VRFs) is critical in endodontics which most of the times occurs in endodontically treated teeth with root canal fillings such as gutta percha. Despite Cone Beam Computed Tomography (CBCT) has significantly enhanced image quality compared to digital radiography (DR) which aid the diagnosis, artifacts has remained as a problem in VRF detection . ...
متن کاملDiagnostic Accuracy of Different Resolutions of Cone Beam Computed Tomography Imaging System for Detection of Vertical Root Fractures In Presence of Casting Posts
Objective: The diagnosis of vertical root fracture (VRF) in endodontically treated teeth is a clinical challenge due to lack of specific clinical and radiographic signs. Although radiographic evaluation such as CBCT is helpful, intracanal posts can produce artifacts and may impair the quality of CBCT scans. This study aimed to compare the diagnostic accuracy of different resolutions of CBCT i...
متن کاملThe ability of cone-beam computerized tomography to detect vertical root fractures in endodontically treated and nonendodontically treated teeth: a report of 3 cases.
A definitive diagnosis of vertical root fracture (VRFs) is often a challenging task for clinicians. Two-dimensional periapical radiographs (PRs) may be not helpful in such a diagnosis when the x-ray beam is not parallel to the plane of the fracture line. This report presents a set of 3 cases in which 1 endodontically treated and 2 nonendodontically treated mandibular molars were diagnosed with ...
متن کاملDetection of vertical root fractures in non-endodontically treated molars using cone-beam computed tomography: a report of four representative cases.
Vertical root fractures (VRFs) in teeth without endodontic treatment are relatively uncommon. The diagnosis is based on clinical and radiographic presentations. It might be difficult to detect VRFs in non-endodontically treated molars by conventional radiographs in certain situations because of the limitations of 2D images and many others factors such as the VRFs being in their early stages. Ro...
متن کاملVertical Root Fracture : A Review
Vertical root fractures associated with endodontically treated teeth present as one of the most difficult clinical problems to diagnose and treat .Prognosis most often is hopeless and differential diagnosis from other pathoses may be difficult at times. Nevertheless, proper diagnosis is critical to distinguish a fracture from clinical manifestations of periodontal and endodontic diseases. In as...
متن کامل