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An evaluation of endodontically treated vertically fractured teeth
1Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
Journal of Endodontics
|February 25, 2000
Summary
This survey found vertical root fractures in endodontically treated teeth, with premolars and molar roots most affected. General practitioners often misdiagnosed these common vertical root fractures.
Area of Science:
- Endodontics
- Dental Diagnostics
- Oral Surgery
Background:
- Vertical root fractures (VRF) are a significant cause of tooth loss in endodontically treated teeth.
- Accurate diagnosis of VRF is crucial for appropriate treatment planning and patient outcomes.
Purpose of the Study:
- To evaluate the clinical and radiographic characteristics of vertically fractured endodontically treated teeth.
- To assess the diagnostic accuracy of general practitioners in identifying vertical root fractures.
Main Methods:
- A clinical and radiographic evaluation of 92 extracted, endodontically treated teeth with suspected vertical root fractures.
- Analysis of fracture location, presence of periodontal pockets, fistulas, and radiolucencies.
- Comparison of clinical findings with the diagnoses made by general practitioners.
Main Results:
- Maxillary second premolars and mesial roots of mandibular molars were the most commonly fractured teeth.
- A solitary buccal pocket was observed in 67.4% of cases, and fistulas in 34.8%.
- Over half of the cases exhibited lateral or combined lateral and periapical radiolucencies.
- General practitioners correctly diagnosed only one-third of the vertical root fractures.
Conclusions:
- Vertical root fractures present with characteristic clinical and radiographic signs, including specific tooth types and periodontal involvement.
- There is a notable diagnostic challenge for general practitioners in identifying vertical root fractures, highlighting a need for improved awareness and diagnostic skills.