Detection of vertical root fracture using cone beam computed tomography: report of two cases. 2011

Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
State Key Laboratory of Oral Diseases, West China College of Stomatology, Sichan University, Chengdu, China.

Vertical root fractures (VRFs) often occur in endodontically treated teeth and in patients older than 40 years of age. However, VRFs in teeth without endodontic treatment are relatively uncommon. VRFs are difficult to diagnose as the symptoms are non-specific or often delayed. The most common radiographic findings are thickening of the periodontal ligament, deep, localized, vertical bone loss, and localized periradicular bone loss. The explicit feature for detecting VRFs is direct visualization of a radiolucent fracture line on radiographs. However, the fracture line can be difficult to directly visualize in conventional diagnostic methods such as periapical radiographs. If unrecognized, VRFs can lead to frustration and inappropriate endodontic treatment. The two cases reported here demonstrate that the use of cone beam computed tomography (CBCT) successfully diagnoses VRFs on teeth without representative clinical and periapical radiographic findings. The clear fracture line can be discerned from the images of CBCT. Thus, CBCT imaging is useful in rapid diagnosis of VRFs and designing of further treatment.

UI MeSH Term Description Entries
D007091 Image Processing, Computer-Assisted A technique of inputting two-dimensional or three-dimensional images into a computer and then enhancing or analyzing the imagery into a form that is more useful to the human observer. Biomedical Image Processing,Computer-Assisted Image Processing,Digital Image Processing,Image Analysis, Computer-Assisted,Image Reconstruction,Medical Image Processing,Analysis, Computer-Assisted Image,Computer-Assisted Image Analysis,Computer Assisted Image Analysis,Computer Assisted Image Processing,Computer-Assisted Image Analyses,Image Analyses, Computer-Assisted,Image Analysis, Computer Assisted,Image Processing, Biomedical,Image Processing, Computer Assisted,Image Processing, Digital,Image Processing, Medical,Image Processings, Medical,Image Reconstructions,Medical Image Processings,Processing, Biomedical Image,Processing, Digital Image,Processing, Medical Image,Processings, Digital Image,Processings, Medical Image,Reconstruction, Image,Reconstructions, Image
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003790 Dental Pulp Necrosis Death of pulp tissue with or without bacterial invasion. When the necrosis is due to ischemia with superimposed bacterial infection, it is referred to as pulp gangrene. When the necrosis is non-bacterial in origin, it is called pulp mummification. Dental Pulp Autolysis,Dental Pulp Gangrene,Necrosis, Dental Pulp,Pulp Gangrene,Pulp Mummification,Pulp Necrosis,Autolysis, Dental Pulp,Gangrene, Dental Pulp,Necroses, Pulp,Pulp Autolysis, Dental,Pulp Gangrene, Dental,Pulp Necroses,Pulp Necrosis, Dental,Autolyses, Dental Pulp,Dental Pulp Autolyses,Dental Pulp Necroses,Gangrene, Pulp,Gangrenes, Pulp,Mummification, Pulp,Mummifications, Pulp,Necroses, Dental Pulp,Necrosis, Pulp,Pulp Autolyses, Dental,Pulp Gangrenes,Pulp Mummifications,Pulp Necroses, Dental
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001641 Bicuspid One of the eight permanent teeth, two on either side in each jaw, between the canines (CUSPID) and the molars (MOLAR), serving for grinding and crushing food. The upper have two cusps (bicuspid) but the lower have one to three. (Jablonski, Dictionary of Dentistry, 1992, p822) Premolar,Bicuspids,Premolars
D014081 Tooth Extraction The surgical removal of a tooth. (Dorland, 28th ed) Extraction, Tooth,Extractions, Tooth,Tooth Extractions

Related Publications

Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
March 2014, Imaging science in dentistry,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
April 2021, Oral radiology,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
July 2017, Journal of endodontics,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
January 2015, Iranian endodontic journal,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
January 2010, The Chinese journal of dental research,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
June 2011, Journal of endodontics,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
February 2010, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
July 2018, Journal of endodontics,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
January 2015, Iranian endodontic journal,
Lu Tang, and Xue-dong Zhou, and Yao Wang, and Lan Zhang, and Qing-hua Zheng, and Ding-ming Huang
August 2012, Dental traumatology : official publication of International Association for Dental Traumatology,
Copied contents to your clipboard!