Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography

The purpose of this study was to investigate the characteristics and the detection ability of vertical root fractures in endodontically treated teeth by intraoral radiography and cone-beam computed tomography (CBCT). CBCT images of 50 patients with root fractures in endodontically treated teeth were...

Full description

Bibliographic Details
Main Authors: Fumi Mizuhashi, Yuko Watarai, Ichiro Ogura
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/8/3/51
_version_ 1797470371279011840
author Fumi Mizuhashi
Yuko Watarai
Ichiro Ogura
author_facet Fumi Mizuhashi
Yuko Watarai
Ichiro Ogura
author_sort Fumi Mizuhashi
collection DOAJ
description The purpose of this study was to investigate the characteristics and the detection ability of vertical root fractures in endodontically treated teeth by intraoral radiography and cone-beam computed tomography (CBCT). CBCT images of 50 patients with root fractures in endodontically treated teeth were reviewed, and 36 vertical root fractures were taken in this study. The cause of fracture, core construction, kind of teeth, and fracture direction (bucco-lingual and mesio-distal fractures) were investigated. Detection ability of vertical root fractures by intraoral radiography and CBCT was also examined. Statistical analyses concerning the characteristics were performed by χ<sup>2</sup> test, and the detection ability was analyzed by cross-tabulation. All of the fractured teeth were nontraumatized teeth. The vertical root fracture occurrence was not differed by core construction. The vertical root fracture number was largest at the premolar teeth (<i>p</i> = 0.005), and the number of the bucco-lingual fracture was larger than the mesio-distal fracture (<i>p</i> = 0.046). Vertical root fractures were detectable using CBCT, while undetectable by intraoral radiography (<i>p</i> < 0.001). Vertical root fractures occurred easily in premolar teeth with bucco-lingual direction, and CBCT is an adequate radiographic method to diagnose vertical root fracture.
first_indexed 2024-03-09T19:35:36Z
format Article
id doaj.art-6bf1c059e56e46bc95d58a0af83d0f7f
institution Directory Open Access Journal
issn 2313-433X
language English
last_indexed 2024-03-09T19:35:36Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Journal of Imaging
spelling doaj.art-6bf1c059e56e46bc95d58a0af83d0f7f2023-11-24T01:54:38ZengMDPI AGJournal of Imaging2313-433X2022-02-01835110.3390/jimaging8030051Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed TomographyFumi Mizuhashi0Yuko Watarai1Ichiro Ogura2Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, JapanDepartment of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, JapanDepartment of Oral and Maxillofacial Radiology, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, JapanThe purpose of this study was to investigate the characteristics and the detection ability of vertical root fractures in endodontically treated teeth by intraoral radiography and cone-beam computed tomography (CBCT). CBCT images of 50 patients with root fractures in endodontically treated teeth were reviewed, and 36 vertical root fractures were taken in this study. The cause of fracture, core construction, kind of teeth, and fracture direction (bucco-lingual and mesio-distal fractures) were investigated. Detection ability of vertical root fractures by intraoral radiography and CBCT was also examined. Statistical analyses concerning the characteristics were performed by χ<sup>2</sup> test, and the detection ability was analyzed by cross-tabulation. All of the fractured teeth were nontraumatized teeth. The vertical root fracture occurrence was not differed by core construction. The vertical root fracture number was largest at the premolar teeth (<i>p</i> = 0.005), and the number of the bucco-lingual fracture was larger than the mesio-distal fracture (<i>p</i> = 0.046). Vertical root fractures were detectable using CBCT, while undetectable by intraoral radiography (<i>p</i> < 0.001). Vertical root fractures occurred easily in premolar teeth with bucco-lingual direction, and CBCT is an adequate radiographic method to diagnose vertical root fracture.https://www.mdpi.com/2313-433X/8/3/51root fracturediagnosisvertical root fracturecone-beam computed tomographyendodontically treated teeth
spellingShingle Fumi Mizuhashi
Yuko Watarai
Ichiro Ogura
Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
Journal of Imaging
root fracture
diagnosis
vertical root fracture
cone-beam computed tomography
endodontically treated teeth
title Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
title_full Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
title_fullStr Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
title_full_unstemmed Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
title_short Diagnosis of Vertical Root Fractures in Endodontically Treated Teeth by Cone-Beam Computed Tomography
title_sort diagnosis of vertical root fractures in endodontically treated teeth by cone beam computed tomography
topic root fracture
diagnosis
vertical root fracture
cone-beam computed tomography
endodontically treated teeth
url https://www.mdpi.com/2313-433X/8/3/51
work_keys_str_mv AT fumimizuhashi diagnosisofverticalrootfracturesinendodonticallytreatedteethbyconebeamcomputedtomography
AT yukowatarai diagnosisofverticalrootfracturesinendodonticallytreatedteethbyconebeamcomputedtomography
AT ichiroogura diagnosisofverticalrootfracturesinendodonticallytreatedteethbyconebeamcomputedtomography