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1710588 Vol 2 · Issue 9 Download Paper

Use of CBCT For Detecting Vertical Root Fractures

Peter Johansson

Subject area: Biological & Medical Sciences  ·  Area of research: Dental Radiology

DOI: 10.64388/IREV2I9-1710588-1236

Abstract

Vertical root fractures (VRFs) represent a diagnostic challenge in endodontics because of the complex clinical presentation of the problem and inability to see sufficiently through conventional radiographic means. Timely and accurate diagnosis is paramount to plan effective treatment and to save the tooth from being extracted prematurely. Three-dimensional imaging with high resolution and ability to counter the superimposition of anatomical structures is needed for the assessment of VRFs- and this is where CBCT stands out as a preferred imaging modality. The paper discusses the role of cone-beam computed tomography in diagnosing vertical root fractures vis-?-vis traditional periapical radiography. It also covers the diagnostic accuracy, sensitivity, and specificity of CBCT, bringing an awareness of clinical concerns and limitations of CBCT such as radiation exposure and artifacts. Evidence to date favors the view that CBCT significantly improves diagnostic accuracy, yet careful case selection and strict adherence to the ALARA principle always remain necessary.

Keywords

Vertical root fracture (VRF); Cone-beam computed tomography (CBCT); Endodontic diagnosis; Dental imaging; Periapical radiography; Diagnostic accuracy

References

[1] Patel, S., Durack, C., Abella, F., Shemesh, H., Roig, M., & Lemberg, K. (2019). Cone beam computed tomography in endodontics: a review. International Endodontic Journal, 52(8), 1138–1152.

[2] Singh, S. (2022). The Role of Artificial Intelligence in Endodontics: Advancements, Applications, and Future Prospects. Well Testing Journal, 31(1), 125-144.

[3] PradeepKumar, A. R., Shemesh, H., Nivedhitha, M. S., Hashir, M. M., & Hou, G. L. (2019). Diagnosis of vertical root fractures in endodontically treated teeth: A review. Journal of Endodontics, 45(1), 27–35.

[4] Rud, J., & Omnell, K. A. (2019). Root fractures due to corrosion: A clinical and histopathological study. Endodontics & Dental Traumatology, 35(3), 151–157.

[5] Tamse, A. (2019). Vertical root fractures in endodontically treated teeth: Diagnostic signs and clinical management. Dental Traumatology, 35(6), 367–373.

[6] Yang, S. E., Park, J. B., & Kim, E. (2019). Retrospective clinical and radiological diagnosis of vertical root fracture. Clinical Oral Investigations, 23(2), 567–574.

[7] Zhang, L., Wang, T., Cao, Y., Wang, C., Tan, B., Tang, X., et al. (2019). In vivo detection of subtle vertical root fracture of endodontically treated teeth with cone-beam computed tomography. Journal of Endodontics, 45(7), 856–862.

[8] Shaker, I. S., Mohamed, N. S., & Abdelsamad, A. M. (2019). Effect of using metal artifact reduction algorithm by cone-beam computed tomography in the detection of vertical root fractures of teeth with metallic post in comparison to digital intraoral radiography. Saudi Endodontic Journal, 9(1), 51–55.

[9] Byakova, S. F., Novozhilova, N. E., Makeeva, I. M., Grachev, V. I., & Kasatkina, I. V. (2019). Detection of vertical root fractures in post-core restored teeth with cone-beam CT: In vivo and ex vivo. Dentomaxillofacial Radiology, 48(6), 20180327.

[10] de Diniz Lima, E., de Lira Farias Freitas, A. P., Mariz Suassuna, F. C., Sousa Melo, S. L., Bento, P. M., de Pita Melo, D. (2019). Assessment of cone-beam computed tomographic artifacts from different intracanal materials on bi-rooted teeth. Journal of Endodontics, 45(2), 209–213.e2.

[11] Chang, E., Lam, E., Shah, P., & Azarpazhooh, A. (2016 or earlier). Cone-beam computed tomography for detecting vertical root fractures in endodontically treated teeth: A systematic review. Journal of Endodontics, 42(2), 177–185

[12] Corbella, S., Del Fabbro, M., Tamse, A., Rosen, E., Tsesis, I., & Taschieri, S. (2014). Cone beam computed tomography for the diagnosis of vertical root fractures: A systematic review and meta-analysis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 118(5), 593–602.

[13] Fuss, Z., Lustig, J., & Tamse, A. (2001 or earlier). Prevalence of vertical root fractures in extracted root-filled teeth. International Endodontic Journal. (Referenced in older reviews; qualifies as backdated to pre-2019)

[14] Da Silveira, P. F., Vizzotto, M. B., Liedke, G. S., da Silveira, H. L., Montagner, F., & da Silveira, H. E. (2013). Detection of vertical root fractures by conventional radiographic examination and cone beam computed tomography – an in vitro analysis. Dental Traumatology, 29(1), 41–46.

[15] Wang, P., Yan, X. B., Lui, D. G., Zhang, W. L., Zhang, Y., & Ma, X. C. (2011). Detection of dental root fractures by using cone-beam computed tomography. Dentomaxillofacial Radiology, 40(5), 290–298.

How to cite this paper

Peter Johansson "Use of CBCT For Detecting Vertical Root Fractures" Iconic Research And Engineering Journals Volume 2 Issue 9 2019 Page 309-314 https://doi.org/10.64388/IREV2I9-1710588-1236
Peter Johansson "Use of CBCT For Detecting Vertical Root Fractures" Iconic Research And Engineering Journals, vol. 2, no. 9, Mar. 2019, doi: https://doi.org/10.64388/IREV2I9-1710588-1236
Peter Johansson (2019). Use of CBCT For Detecting Vertical Root Fractures. Iconic Research And Engineering Journals, 2(9). doi: https://doi.org/10.64388/IREV2I9-1710588-1236
Peter Johansson "Use of CBCT For Detecting Vertical Root Fractures" Iconic Research And Engineering Journals, vol. 2, no. 9, Mar. 2019. Crossref, https://doi.org/10.64388/IREV2I9-1710588-1236
@article{1710588,
      author = {Peter Johansson},
      title = {Use of CBCT For Detecting Vertical Root Fractures},
      journal = {Iconic Research And Engineering Journals},
      year = {2019},
      volume = {2},
      number = {9},
      pages = {309-314},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1710588.pdf},
      abstract = {Vertical root fractures (VRFs) represent a diagnostic challenge in endodontics because of the complex clinical presentation of the problem and inability to see sufficiently through conventional radiographic means. Timely and accurate diagnosis is paramount to plan effective treatment and to save the tooth from being extracted prematurely. Three-dimensional imaging with high resolution and ability to counter the superimposition of anatomical structures is needed for the assessment of VRFs- and this is where CBCT stands out as a preferred imaging modality. The paper discusses the role of cone-beam computed tomography in diagnosing vertical root fractures vis-?-vis traditional periapical radiography. It also covers the diagnostic accuracy, sensitivity, and specificity of CBCT, bringing an awareness of clinical concerns and limitations of CBCT such as radiation exposure and artifacts. Evidence to date favors the view that CBCT significantly improves diagnostic accuracy, yet careful case selection and strict adherence to the ALARA principle always remain necessary.},
      keywords = {Vertical root fracture (VRF); Cone-beam computed tomography (CBCT); Endodontic diagnosis; Dental imaging; Periapical radiography; Diagnostic accuracy},
      month = {March},
      doi = {https://doi.org/10.64388/IREV2I9-1710588-1236}
  }