By Aviad Tamse, Igor Tsesis, Eyal Rosen
In this booklet, best specialists offer a complete evaluation of vertical root fractures (VRFs) in endodontically taken care of tooth, that may be linked to probably serious harm to the helping bone. A priceless categorization of a number of the enamel and root fractures is gifted and etiological components are pointed out, with dialogue of anatomical and biomechanical points and the dynamics of root fracture. The medical and radiographic positive aspects of VRFs are defined and illustrated intimately with a view to aid the clinician to accomplish actual prognosis in a well timed demeanour. administration of the enamel and the socket after extraction is absolutely defined, and novel therapy possible choices for the renovation of VRF tooth are proposed. The ebook concludes by means of contemplating medicolegal elements. either endodontists and basic dentists will gain significantly from the assistance provided at the universal and clinically not easy phenomenon of VRFs.
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During this e-book, major specialists offer a finished evaluate of vertical root fractures (VRFs) in endodontically taken care of enamel, that may be linked to most likely critical harm to the helping bone. A necessary categorization of a few of the the teeth and root fractures is gifted and etiological elements are pointed out, with dialogue of anatomical and biomechanical facets and the dynamics of root fracture.
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Additional info for Vertical Root Fractures in Dentistry
A randomized controlled trial of endodontically treated and restored premolars. J Dent Res. 2012;71:72S–8. 47. Fracture resisance of teeth with post retained restorations: an overview. J Endod. 2010;36:1439–49. Diagnosis and possible causes of vertical root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1980;49:243–53. A comparison of intracanal stresses in a post-restored tooth utilizing the finite element method. J Endod. 1992;18:540–4. A three- dimensional finite-element stress analysis of an endodontically prepared maxillary central incisor.
Are there any absolute signs, symptoms, tests, radiographic characteristics, or combinations that are “classic” for VRF? It is commonly believed that certain findings, for example, two narrow probing defects or two sinus tracts (one on the buccal and one on the lingual), indicate a VRF. If that is the finding, is this tooth to be extracted? The answer is probably yes, but this alone is not pathognomonic. In fact, with the evidence available, there are no noninvasive tests that are definitive for VRF.
A further complication is that the VRF is frequently problematic to diagnose; these root fractures usually mimic other conditions. Signs and symptoms, for example, dull pain or pain on mastication, mobility, presence of a sinus tract, deep probing defects, a periodontal-type abscess, and periapical radiolucencies, are often similar to those found in failing root canal treatment or in periodontal disease [3–7]. A mistake in identification would lead to other inappropriate management. An example would be periodontal treatment or root canal retreatment; the VRF has damaged the periodontium to the point that it is mistaken for another entity.
Vertical Root Fractures in Dentistry by Aviad Tamse, Igor Tsesis, Eyal Rosen