NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH

Background: Vertical root fractures (VRF) can be defined as either complete or incomplete fractures that occur predominantly in endodontically treated teeth (ETT). The clinical symptoms and conventional radiographic techniques are not always accurate, which can lead to diagnostic errors. This motiva...

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Main Authors: Еkaterina Karteva, Neshka Manchorova-Veleva, Vesela Stefanova, Marin Atanasov, Angel Atanasov, Dessislava Pashkouleva, Petya Kanazirska, Tsvetanka Babeva, Violeta Madjarova, Stoyan Vladimirov
Format: Article
Language:English
Published: Peytchinski Publishing 2016-09-01
Series:Journal of IMAB
Subjects:
Online Access:http://www.journal-imab-bg.org/issues-2016/issue3/JofIMAB-2016-22-3p1308-1313.pdf
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author Еkaterina Karteva
Neshka Manchorova-Veleva
Vesela Stefanova
Marin Atanasov
Angel Atanasov
Dessislava Pashkouleva
Petya Kanazirska
Tsvetanka Babeva
Violeta Madjarova
Stoyan Vladimirov
author_facet Еkaterina Karteva
Neshka Manchorova-Veleva
Vesela Stefanova
Marin Atanasov
Angel Atanasov
Dessislava Pashkouleva
Petya Kanazirska
Tsvetanka Babeva
Violeta Madjarova
Stoyan Vladimirov
author_sort Еkaterina Karteva
collection DOAJ
description Background: Vertical root fractures (VRF) can be defined as either complete or incomplete fractures that occur predominantly in endodontically treated teeth (ETT). The clinical symptoms and conventional radiographic techniques are not always accurate, which can lead to diagnostic errors. This motivated us to seek new, better techniques that can improve the prognosis and treatment of ETT with vertical fractures. Objective: The aim of this study was to investigate the potential of three novel techniques: Cone Beam Computed Tomography (CBCT), Optical Computed Tomography (OCT) and 3D Profilometry for the visualization and assessment of VRF. Methods: The study involved intact human premolars, extracted for orthodontic or periodontal reasons. The teeth were then endodontically treated and restored with prefabricated metal posts. No additional preparation of the coronal hard dental tissues was performed, apart from the access cavity. After thermocycling, their fracture resistance was evaluated in a standard testing machine. The resulted vertical fractures and crack propagation were evaluated using CBCT, OCT and 3D Profilometry. Results: The CBCT provided visualization of the tooth in three planes: axial, coronal and sagittal. Root fractures were observed at the coronal and middle 1/3 of the root. The OCT provided highly-detailed, biomicroscopic cross-sectional images of the mesial and distal root surfaces. The images, obtained with 3D Profilometry showed the surface topography and provided precise information about the width and depth of the VRF. Conclusion: All of the techniques used in this study proved to be highly informative, non-invasive and non-contact methods, suitable for the evaluation of VRF.
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spelling doaj.art-ad98baeade2c4540a39f9352aa90accb2022-12-22T00:21:00ZengPeytchinski PublishingJournal of IMAB1312-773X2016-09-012231308131310.5272/jimab.2016223.1308NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETHЕkaterina Karteva0Neshka Manchorova-Veleva1Vesela Stefanova2Marin Atanasov3Angel Atanasov4Dessislava Pashkouleva5Petya Kanazirska6Tsvetanka Babeva7Violeta Madjarova8Stoyan Vladimirov9Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Department of Ophthalmology, Faculty of Medicine, Medical University - Plovdiv, Bulgaria.Department of Ophthalmology, Faculty of Medicine, Medical University - Plovdiv, Bulgaria.Institute of Mechanics, Bulgarian Academy of Sciences, Sofia, Bulgaria.Department of Radiology, Dental Allergology and Physiotherapy, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.Institute of Optical Materials and Technologies, Bulgarian Academy of Sciences, Sofia, Bulgaria.Institute of Optical Materials and Technologies, Bulgarian Academy of Sciences, Sofia, Bulgaria.Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria.Background: Vertical root fractures (VRF) can be defined as either complete or incomplete fractures that occur predominantly in endodontically treated teeth (ETT). The clinical symptoms and conventional radiographic techniques are not always accurate, which can lead to diagnostic errors. This motivated us to seek new, better techniques that can improve the prognosis and treatment of ETT with vertical fractures. Objective: The aim of this study was to investigate the potential of three novel techniques: Cone Beam Computed Tomography (CBCT), Optical Computed Tomography (OCT) and 3D Profilometry for the visualization and assessment of VRF. Methods: The study involved intact human premolars, extracted for orthodontic or periodontal reasons. The teeth were then endodontically treated and restored with prefabricated metal posts. No additional preparation of the coronal hard dental tissues was performed, apart from the access cavity. After thermocycling, their fracture resistance was evaluated in a standard testing machine. The resulted vertical fractures and crack propagation were evaluated using CBCT, OCT and 3D Profilometry. Results: The CBCT provided visualization of the tooth in three planes: axial, coronal and sagittal. Root fractures were observed at the coronal and middle 1/3 of the root. The OCT provided highly-detailed, biomicroscopic cross-sectional images of the mesial and distal root surfaces. The images, obtained with 3D Profilometry showed the surface topography and provided precise information about the width and depth of the VRF. Conclusion: All of the techniques used in this study proved to be highly informative, non-invasive and non-contact methods, suitable for the evaluation of VRF.http://www.journal-imab-bg.org/issues-2016/issue3/JofIMAB-2016-22-3p1308-1313.pdfOCTCBCTProfilometryfracturespremolarsendodontically treated teeth
spellingShingle Еkaterina Karteva
Neshka Manchorova-Veleva
Vesela Stefanova
Marin Atanasov
Angel Atanasov
Dessislava Pashkouleva
Petya Kanazirska
Tsvetanka Babeva
Violeta Madjarova
Stoyan Vladimirov
NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
Journal of IMAB
OCT
CBCT
Profilometry
fractures
premolars
endodontically treated teeth
title NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
title_full NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
title_fullStr NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
title_full_unstemmed NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
title_short NOVEL METHODS FOR THE ASSESSMENT OF CRACK PROPAGATION IN ENDODONTICALLY TREATED TEETH
title_sort novel methods for the assessment of crack propagation in endodontically treated teeth
topic OCT
CBCT
Profilometry
fractures
premolars
endodontically treated teeth
url http://www.journal-imab-bg.org/issues-2016/issue3/JofIMAB-2016-22-3p1308-1313.pdf
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