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Vertical Root Fractures (vertical + root_fractures)
Selected AbstractsThe effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: a systematic reviewJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2 2009Guy Huynh-Ba Abstract Objective: To systematically review the survival rate and incidence of complications of furcation-involved multirooted teeth following periodontal therapy after at least 5 years. Material and methods: Electronic and manual searches were performed up to and including January 2008. Publication selection, data extraction and validity assessment were performed independently by three reviewers. Results: Twenty-two publications met the inclusion criteria. Because of the heterogeneity of the data, a meta-analysis could not be performed. The survival rate of molars treated non-surgically was >90% after 5,9 years. The corresponding values for the different surgical procedures were: Surgical therapy: 43.1% to 96%, observation period: 5,53 years. Tunnelling procedures: 42.9% to 92.9%, observation period: 5,8 years. Surgical resective procedures including amputation(s) and hemisections: 62% to 100%, observation period: 5,13 years. Guided tissue regeneration (GTR): 83.3% to 100%, observation period: 5,12 years. The most frequent complications included caries in the furcation area after tunnelling procedures and root fractures after root-resective procedures. Conclusions: Good long-term survival rates (up to 100%) of multirooted teeth with furcation involvement were obtained following various therapeutic approaches. Initial furcation involvement (Degree I) could be successfully managed by non-surgical mechanical debridement. Vertical root fractures and endodontic failures were the most frequent complications observed following resective procedures. [source] Timeliness and effectiveness in the surgical management of persistent post-treatment periapical pathosisENDODONTIC TOPICS, Issue 1 2005MIN-KAI WU Common problems that cause persistent post-treatment periapical pathosis include infection remaining in the apical inaccessible areas, extraradicular infection including apically extruded dentine debris with bacteria present in dentinal tubules, radicular true cysts, foreign body reactions, inadequate non-surgical root canal treatment with or without iatrogenically altered root canal morphology, and vertical root fractures. Inadequate root canal treatment may be corrected non-surgically, while more complex problems may require surgical intervention. The important factors that warrant a successful surgery include good quality of the orthograde root canal treatment, deep retrograde preparation of the apical canal, and carefully cleaning and filling of the exposed isthmuses and accessory canals. Ideally, apical surgery and orthograde retreatment are performed simultaneously. In a recent study, 97% of the lesions including large ones of >10 mm in diameter healed completely within 1 year after surgical intervention. Of the teeth that showed ,complete healing' at 4 years more than 85% already ,completely healed' at 2 years; thus, the endodontic post-treatment disease might be treated surgically or non-surgically within 2 years after the previous treatment. [source] Detection of artificially induced vertical radicular fractures using Tuned Aperture Computed TomographyEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 6 2001Madhu K. Nair This study compared the accuracy of three imaging modalities for the detection of artificially induced vertical root fractures (VRF) on teeth in cadaver mandibles. Fifty-four single-rooted, endodontically treated mandibular teeth being prepared to carry posts were evaluated using direct digital radiography (DDI) with a Schick sensor, unprocessed Tuned Aperture Computed Tomography® (TACT-U) images and iteratively restored TACT (TACT-IR) images. Twenty-eight of these teeth had been subjected to fracture induction using an apically driven force. Nine basis images were used for each TACT image generation. Eight observers used a five-point confidence rating scale to record the confidence with which they considered a fracture to be present or not. Sensitivity and specificity values were computed and receiver operating characteristic (ROC) curves were generated. The areas under the curves (Az) used as an indication of the diagnostic accuracy of the imaging system were as follows: DDI: 0.37; TACT-U: 0.77 and TACT-IR: 0.81. DDI was significantly inferior to the TACT modalities. Differences in detection efficacy based on observers and observation sessions were noted on ANOVA and post-hoc Tukey's tests. This study indicates that TACT is the imaging modality of choice for VRF in endodontically treated teeth. [source] Effects of new adhesive resin root canal filling materials on vertical root fracturesAUSTRALIAN ENDODONTIC JOURNAL, Issue 1 2010Takahiro Hanada dds Abstract The aim of this study was to compare the fracture resistance of roots following root canal therapy using the RC Sealer system, the Epiphany system and the conventional system of gutta-percha and Sealapex. Fifty-six maxillary central incisors were divided into eight groups of seven teeth each, according to master apical file size and obturation systems. Obturation materials in the root canal were vertically loaded using a universal testing machine. Fracture loads were analysed by anova and Tukey comparison, and fracture patterns were analysed with ordinal logistic regression. Master apical file size 80 had a significantly lower fracture load than size 40 (P < 0.05). The groups obturated using the Resilon Cone and the Epiphany Sealer had significantly lower fracture loads than the other groups (P < 0.05). There was no significant improvement in resistance to vertical root fractures using the examined adhesive resin root canal filling systems, compared with conventional gutta-percha and sealer. [source] Accuracy of three different electronic apex locators in detecting simulated horizontal and vertical root fracturesAUSTRALIAN ENDODONTIC JOURNAL, Issue 2 2006Aqeel K. Ebrahim bds Abstract The aim of this in vitro study was to evaluate the accuracy of three electronic apex locators (EALs): Root ZX, Foramatron D10 and Apex NRG, in the detection of fractures in teeth having simulated horizontal and vertical root fractures. A total of 90 extracted intact, straight, single-rooted teeth were divided into six groups of 15 teeth each. In Groups A, B and C, an incomplete horizontal fracture was simulated by preparing a horizontal incision in the coronal, middle or apical portion of the root until the circumferential half of the canal was exposed in the horizontal plane respectively. In Groups D, E and F, an incomplete vertical root fracture was simulated by preparing a vertical straight incision to expose the canal in the coronal, middle or apical portion of the root all the way in the longitudinal plane respectively. The simulated fractures were 0.25 mm in thickness in all groups. The teeth were embedded in 1% agar and the canals were irrigated with saline solution during electronic measurement. Detection of the simulated root fractures was established with a size 10 K-file when the meter value reached ,APEX' on each EAL. In Groups A, B and C, Kruskal,Wallis tests revealed that there were no statistically significant differences between the three EALs. However, statistically significant differences were found among the EALs in Groups D, E and F (P < 0.0001, one-way anova and Tukey's post-hoc test). In conclusion, the three EALs tested were accurate and acceptable clinical tools in the detection of horizontal root fractures. However, the three EALs were unreliable in detecting the position of vertical root fractures. [source] | ||||||||||