Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography

Vertical root fracture (VRF) is defined as a root fracture in the longitudinal direction, extending from the root to the crown on facial or lingual surfaces. Most VRFs occur in endodontically treated teeth, and the symptoms are similar to those of chronic apical periodontitis or chronic periodontiti...

Full description

Bibliographic Details
Main Authors: Chih-Chia Huang, Bor-Shiunn Lee
Format: Article
Language:English
Published: Elsevier 2015-09-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790215000033
_version_ 1819169465660604416
author Chih-Chia Huang
Bor-Shiunn Lee
author_facet Chih-Chia Huang
Bor-Shiunn Lee
author_sort Chih-Chia Huang
collection DOAJ
description Vertical root fracture (VRF) is defined as a root fracture in the longitudinal direction, extending from the root to the crown on facial or lingual surfaces. Most VRFs occur in endodontically treated teeth, and the symptoms are similar to those of chronic apical periodontitis or chronic periodontitis. Diagnosing VRF with periapical radiography is difficult. Conversely, cone beam computed tomography (CBCT) provides three-dimensional images and is better at diagnosing VRF than periapical radiography. Therefore, dentists should know how to operate CBCT to obtain clear images and reduce image artifact interferences, thus achieving higher diagnostic accuracy. CBCT imaging includes acquisition configuration, image detection, image reconstruction, and image display. We retrospectively examined four human studies and 19 in vitro studies and focused on certain imaging parameters: field of view selection, voxel size, proper detectors, different image processing methods, and the influence of posts on clear image acquisition. Finally, we discuss the experimental design faults in the reviewed in vitro studies and suggest improvements for future CBCT techniques to achieve higher VRF diagnostic accuracy.
first_indexed 2024-12-22T19:19:56Z
format Article
id doaj.art-b6c2504b0c5148029a693f53683e423b
institution Directory Open Access Journal
issn 1991-7902
language English
last_indexed 2024-12-22T19:19:56Z
publishDate 2015-09-01
publisher Elsevier
record_format Article
series Journal of Dental Sciences
spelling doaj.art-b6c2504b0c5148029a693f53683e423b2022-12-21T18:15:25ZengElsevierJournal of Dental Sciences1991-79022015-09-0110322723210.1016/j.jds.2015.01.002Diagnosis of vertical root fracture in endodontically treated teeth using computed tomographyChih-Chia Huang0Bor-Shiunn Lee1Department of Dentistry, Cardinal Tien Hospital, Taipei, TaiwanGraduate Institutes of Oral Biology, School of Dentistry, National Taiwan University and National Taiwan University Hospital, Taipei, TaiwanVertical root fracture (VRF) is defined as a root fracture in the longitudinal direction, extending from the root to the crown on facial or lingual surfaces. Most VRFs occur in endodontically treated teeth, and the symptoms are similar to those of chronic apical periodontitis or chronic periodontitis. Diagnosing VRF with periapical radiography is difficult. Conversely, cone beam computed tomography (CBCT) provides three-dimensional images and is better at diagnosing VRF than periapical radiography. Therefore, dentists should know how to operate CBCT to obtain clear images and reduce image artifact interferences, thus achieving higher diagnostic accuracy. CBCT imaging includes acquisition configuration, image detection, image reconstruction, and image display. We retrospectively examined four human studies and 19 in vitro studies and focused on certain imaging parameters: field of view selection, voxel size, proper detectors, different image processing methods, and the influence of posts on clear image acquisition. Finally, we discuss the experimental design faults in the reviewed in vitro studies and suggest improvements for future CBCT techniques to achieve higher VRF diagnostic accuracy.http://www.sciencedirect.com/science/article/pii/S1991790215000033cone beam computed tomographyfield of viewperiapical radiographvertical root fracturevoxel
spellingShingle Chih-Chia Huang
Bor-Shiunn Lee
Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
Journal of Dental Sciences
cone beam computed tomography
field of view
periapical radiograph
vertical root fracture
voxel
title Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
title_full Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
title_fullStr Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
title_full_unstemmed Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
title_short Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
title_sort diagnosis of vertical root fracture in endodontically treated teeth using computed tomography
topic cone beam computed tomography
field of view
periapical radiograph
vertical root fracture
voxel
url http://www.sciencedirect.com/science/article/pii/S1991790215000033
work_keys_str_mv AT chihchiahuang diagnosisofverticalrootfractureinendodonticallytreatedteethusingcomputedtomography
AT borshiunnlee diagnosisofverticalrootfractureinendodonticallytreatedteethusingcomputedtomography