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Vertical Root Fracture in Non-Endodontically and Endodontically Treated Teeth: Current Understanding and Future
Wan-Chuen Liao1,2, Chi-Hung Chen1,2, Yu-Hwa Pan3
1School of Dentistry, College of Medicine, National Taiwan University, Taipei 100229, Taiwan.
Journal of Personalized Medicine
|December 24, 2021
Summary
Vertical root fractures (VRFs) are common in patients over 40, particularly males, and can affect both treated and untreated teeth. Diagnosis involves identifying specific radiographic and clinical signs, with varied treatment options available beyond extraction.
Area of Science:
- Endodontics
- Dental Traumatology
- Oral Surgery
Background:
- Vertical root fractures (VRFs) are a significant cause of tooth loss, necessitating a comprehensive understanding of their characteristics.
- Differentiating between VRFs in endodontically treated teeth (VRFETT) and non-endodontically treated teeth (VRFNETT) is crucial for diagnosis and management.
Purpose of the Study:
- To review the prevalence, demography, distribution, diagnostic methods, etiology, clinical features, radiographic characteristics, and treatment strategies of VRFs.
- To elucidate the common features of VRFNETT and VRFETT to aid in their recognition and diagnosis.
Main Methods:
- A systematic literature search was conducted using MEDLINE, PubMed, and Google Scholar.
- Reviewed systematic reviews, retrospective cohort studies, demographic research, clinical studies, case reports, and case series related to VRFs.
Main Results:
- VRFs are more prevalent in patients over 40, with VRFNETT more common in older males compared to VRFETT.
- Initial signs include radiolucent lines, widened PDL space, bony destruction, or root resorption; indicative signs include sinus tracts, periodontal defects, fragment displacement, and radiolucent halos.
- VRFNETT are more frequently observed in the Chinese population, and multiple VRFs suggest potential genetic or developmental predisposing factors.
Conclusions:
- VRFs require a multidisciplinary approach for management, with treatment options including repair, root amputation, or extraction.
- Further long-term prognosis studies are needed for various therapeutic strategies for VRFs.
Keywords:
clinical featuresdiagnosisendodontically treated teethtreatmentvertical root fracturevital root fractureMore Related Videos
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