Abstract
Aim: The objectives of this study were to review the existing literature of vertical root fractures (VRFs) dealing with its management and to describe a classification for the bone defects resulting after extraction. Methodology: An electronic search was performed on biomedical databases using a combination of appropriated search terms combined through the use of Boolean operators. A classification of the bone defects associated with vertical root fracture (VRF) was also proposed. Results: Outcomes data extracted from the selected articles were summarized. Conventional radiography could fail in directly detecting the presence of VRF but can allow finding bone resorption areas which are related to the fracture itself. Tridimensional radiography (CBCT) may allow a better visualization of such bone defects. The bone defects associated to VRF could be classified on the basis of the number of walls affected and of the depth (in apico-coronal direction). Conclusions: The diagnosis of VRF is a challenging process that includes both clinical and radiographic examination. In most cases, when postextraction implant was placed, guided bone regeneration is required to compensate the bone defect caused by VRF. A deep knowledge of the characteristics of the associated bone defect may allow an immediate and predictable substitution with dental implants, when tooth extraction is the only option.
| Original language | English |
|---|---|
| Pages (from-to) | 91-96 |
| Number of pages | 6 |
| Journal | Giornale Italiano di Endodonzia |
| Volume | 28 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Nov 1 2014 |
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Keywords
- CBCT
- Diagnosis
- Postextraction implant
- Vertical root fracture
ASJC Scopus subject areas
- Dentistry(all)
Cite this
Diagnostic issues dealing with the management of teeth with vertical root fractures : A narrative review. / Corbella, Stefano; Tamse, Aviad; Nemcovsky, Carlos; Taschieri, Silvio.
In: Giornale Italiano di Endodonzia, Vol. 28, No. 2, 01.11.2014, p. 91-96.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnostic issues dealing with the management of teeth with vertical root fractures
T2 - A narrative review
AU - Corbella, Stefano
AU - Tamse, Aviad
AU - Nemcovsky, Carlos
AU - Taschieri, Silvio
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Aim: The objectives of this study were to review the existing literature of vertical root fractures (VRFs) dealing with its management and to describe a classification for the bone defects resulting after extraction. Methodology: An electronic search was performed on biomedical databases using a combination of appropriated search terms combined through the use of Boolean operators. A classification of the bone defects associated with vertical root fracture (VRF) was also proposed. Results: Outcomes data extracted from the selected articles were summarized. Conventional radiography could fail in directly detecting the presence of VRF but can allow finding bone resorption areas which are related to the fracture itself. Tridimensional radiography (CBCT) may allow a better visualization of such bone defects. The bone defects associated to VRF could be classified on the basis of the number of walls affected and of the depth (in apico-coronal direction). Conclusions: The diagnosis of VRF is a challenging process that includes both clinical and radiographic examination. In most cases, when postextraction implant was placed, guided bone regeneration is required to compensate the bone defect caused by VRF. A deep knowledge of the characteristics of the associated bone defect may allow an immediate and predictable substitution with dental implants, when tooth extraction is the only option.
AB - Aim: The objectives of this study were to review the existing literature of vertical root fractures (VRFs) dealing with its management and to describe a classification for the bone defects resulting after extraction. Methodology: An electronic search was performed on biomedical databases using a combination of appropriated search terms combined through the use of Boolean operators. A classification of the bone defects associated with vertical root fracture (VRF) was also proposed. Results: Outcomes data extracted from the selected articles were summarized. Conventional radiography could fail in directly detecting the presence of VRF but can allow finding bone resorption areas which are related to the fracture itself. Tridimensional radiography (CBCT) may allow a better visualization of such bone defects. The bone defects associated to VRF could be classified on the basis of the number of walls affected and of the depth (in apico-coronal direction). Conclusions: The diagnosis of VRF is a challenging process that includes both clinical and radiographic examination. In most cases, when postextraction implant was placed, guided bone regeneration is required to compensate the bone defect caused by VRF. A deep knowledge of the characteristics of the associated bone defect may allow an immediate and predictable substitution with dental implants, when tooth extraction is the only option.
KW - CBCT
KW - Diagnosis
KW - Postextraction implant
KW - Vertical root fracture
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U2 - 10.1016/j.gien.2014.10.002
DO - 10.1016/j.gien.2014.10.002
M3 - Article
VL - 28
SP - 91
EP - 96
JO - Giornale Italiano di Endodonzia
JF - Giornale Italiano di Endodonzia
SN - 1121-4171
IS - 2
ER -