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Related Concept Videos

Computed Tomography01:10

Computed Tomography

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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
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Assessment of Bone Fracture Healing Using Micro-Computed Tomography
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Cone-beam computed tomography-based descriptive classification for transverse root fracture.

Aakriti Saini1, Sidhartha Sharma1, Vijay Kumar1

  • 1Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc
|July 1, 2024
PubMed
Summary

A new classification system for transverse root fractures (TRF) uses advanced imaging like cone-beam computed tomography (CBCT) for better diagnosis and treatment planning. This 3D approach standardizes reporting for improved communication and future research on dental trauma.

Keywords:
classificationcone‐beam computed tomographydental traumaroot fracture

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Dental Traumatology

Background:

  • Transverse root fractures (TRF) are typically classified based on periapical radiographs.
  • Conventional radiography may not provide sufficient detail for diagnosis and treatment planning of TRF.
  • Cone-beam computed tomography (CBCT) offers additional diagnostic information for complex dental fractures.

Purpose of the Study:

  • To propose a clinically relevant three-dimensional (3D) alphanumeric classification system for transverse root fractures.
  • To enhance the diagnostic and treatment planning capabilities for TRF using advanced imaging.
  • To establish a standardized format for reporting TRF cases.

Main Methods:

  • Development of a comprehensive alphanumeric classification system for TRF.
  • The classification incorporates tooth number, fracture details (number, location, bone relation), diastasis, fragment displacement, and alveolar bone status.
  • Utilizes information potentially derived from CBCT imaging for detailed characterization.

Main Results:

  • A novel alphanumeric classification system for transverse root fractures has been proposed.
  • This system comprehensively documents key features of TRF, including 3D spatial relationships.
  • The classification facilitates detailed reporting and communication of TRF cases.

Conclusions:

  • The proposed 3D classification system provides a standardized format for reporting transverse root fractures.
  • This system aids in communication between dental professionals and can be applied to future outcome studies.
  • Enhanced diagnostic information from CBCT supports the need for a more detailed TRF classification.