Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery
Background/purpose: Early diagnosis of vertical root fracture (VRF) has been a great challenge. Since there is no single specific etiology identified, prevention of VRFs in endodontically treated teeth is quite difficult. The study aimed to evaluate the clinical associated factors of VRFs. Materials...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | Journal of Dental Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1991790219306579 |
| _version_ | 1811314063517417472 |
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| author | Li-Ting Hsiao Jung-Chun Ho Chiung-Fang Huang Wei-Chiang Hung Chun-Wei Chang |
| author_facet | Li-Ting Hsiao Jung-Chun Ho Chiung-Fang Huang Wei-Chiang Hung Chun-Wei Chang |
| author_sort | Li-Ting Hsiao |
| collection | DOAJ |
| description | Background/purpose: Early diagnosis of vertical root fracture (VRF) has been a great challenge. Since there is no single specific etiology identified, prevention of VRFs in endodontically treated teeth is quite difficult. The study aimed to evaluate the clinical associated factors of VRFs. Materials and methods: A retrospective observational study of medical charts was conducted in the Department of Endodontics of Taipei Medical University Hospital in Taiwan from January 2012 to July 2018. Logistic regression model was performed to determine the association between VRF and its clinical associated factors, inclusive of the tooth characteristics (age, gender and tooth type) and iatrogenic risk factors (history of root canal treatment, restoration and post). Results: A total of 359 teeth were included in the study. The prevalence of VRF on a tooth basis was 18.7%. The result showed that age of more than 50 years (adjusted OR = 3.20, 95% CI: 1.81–5.64, p < 0.001) had significant higher risk of VRFs than those of less than 50 years. The subjects of molars (adjusted OR = 4.31; 95%CI = 2.24–8.27; P value < 0.001) and premolars (adjusted OR = 2.61; 95%CI = 1.16–5.86; P value = 0.021) had significant higher risk of VRFs than those of incisors. However, other variables such as gender, history of root canal treatment, restoration and post had no significant association with the VRF. Conclusion: Age and tooth type are significant clinical associated factors of VRF. In the presence of these factors as well as predominant diagnostic factors, clinical practitioners should be aware of the possible diagnosis of VRFs. |
| first_indexed | 2024-04-13T11:05:18Z |
| format | Article |
| id | doaj.art-45be084d55a0427ab0099e485ea392e0 |
| institution | Directory Open Access Journal |
| issn | 1991-7902 |
| language | English |
| last_indexed | 2024-04-13T11:05:18Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Dental Sciences |
| spelling | doaj.art-45be084d55a0427ab0099e485ea392e02022-12-22T02:49:16ZengElsevierJournal of Dental Sciences1991-79022020-06-01152200206Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgeryLi-Ting Hsiao0Jung-Chun Ho1Chiung-Fang Huang2Wei-Chiang Hung3Chun-Wei Chang4Division of Endodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, TaiwanSchool of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, TaiwanDivision of Family Dentistry, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan; School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, TaiwanDivision of Endodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan; School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, TaiwanDivision of Endodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan; Corresponding author. Division of Endodontics, Department of Dentistry, Taipei Medical University Hospital, No. 252, Wuxing St, Xinyi District, Taipei City, 110, Taiwan. Fax: +02 27372181 3211.Background/purpose: Early diagnosis of vertical root fracture (VRF) has been a great challenge. Since there is no single specific etiology identified, prevention of VRFs in endodontically treated teeth is quite difficult. The study aimed to evaluate the clinical associated factors of VRFs. Materials and methods: A retrospective observational study of medical charts was conducted in the Department of Endodontics of Taipei Medical University Hospital in Taiwan from January 2012 to July 2018. Logistic regression model was performed to determine the association between VRF and its clinical associated factors, inclusive of the tooth characteristics (age, gender and tooth type) and iatrogenic risk factors (history of root canal treatment, restoration and post). Results: A total of 359 teeth were included in the study. The prevalence of VRF on a tooth basis was 18.7%. The result showed that age of more than 50 years (adjusted OR = 3.20, 95% CI: 1.81–5.64, p < 0.001) had significant higher risk of VRFs than those of less than 50 years. The subjects of molars (adjusted OR = 4.31; 95%CI = 2.24–8.27; P value < 0.001) and premolars (adjusted OR = 2.61; 95%CI = 1.16–5.86; P value = 0.021) had significant higher risk of VRFs than those of incisors. However, other variables such as gender, history of root canal treatment, restoration and post had no significant association with the VRF. Conclusion: Age and tooth type are significant clinical associated factors of VRF. In the presence of these factors as well as predominant diagnostic factors, clinical practitioners should be aware of the possible diagnosis of VRFs.http://www.sciencedirect.com/science/article/pii/S1991790219306579Clinical associated factorsDental proceduresIatrogenic risk factorsTooth characteristicsVertical root fractures |
| spellingShingle | Li-Ting Hsiao Jung-Chun Ho Chiung-Fang Huang Wei-Chiang Hung Chun-Wei Chang Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery Journal of Dental Sciences Clinical associated factors Dental procedures Iatrogenic risk factors Tooth characteristics Vertical root fractures |
| title | Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| title_full | Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| title_fullStr | Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| title_full_unstemmed | Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| title_short | Analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| title_sort | analysis of clinical associated factors of vertical root fracture cases found in endodontic surgery |
| topic | Clinical associated factors Dental procedures Iatrogenic risk factors Tooth characteristics Vertical root fractures |
| url | http://www.sciencedirect.com/science/article/pii/S1991790219306579 |
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