ArticleJournal of the American Dental Association (1939)2017
Vertical root fracture: Factors related to identification.
Article in Journal of the American Dental Association (1939), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 64 citations in OpenAlex.
- Trial
- Reasoning behind discrepancies in periodontal diagnosis and classification: A mixed-methods analysis.Journal of periodontology · 2026Observational
- Optical Coherence Tomography for Detection of Dental Cracks and Vertical Root Fracture: A Scoping Review.Clinical and experimental dental research · 2026Article
- IGMNN: a diagnosis method for vertical root fractures based on an information gated memory neural network.Scientific reports · 2026Article
- Role of periodontal endoscopy in clinical decision-making for teeth with suspected vertical root fractures.BMC oral health · 2025Article
- A Novel Surgical Treatment Approach for Vertical Root Fractures of Endodontically Treated Molars: A Report of 3 Cases.Journal of clinical medicine · 2025Article
- Article
- Position statement on longitudinal cracks and fractures of teeth.International endodontic journal · 2025Review
- Review
- Sensitivity and Specificity of MRI versus CBCT to Detect Vertical Root Fractures Using MicroCT as a Reference Standard.Journal of endodontics · 2023Article
- [Effect of various intracanal materials on the diagnostic accuracy of cone-beam computed tomography in vertical root fractures].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Article
- Detecting Vertical Root Fractures Using Modified Methylene Blue Dye: A Preliminary In Vitro Study.Healthcare (Basel, Switzerland) · 2023Article
- Detection of vertical root fractures by cone-beam computed tomography based on deep learning.Dento maxillo facial radiology · 2023Article
- Prevalence of Vertical Root Fractures in a University Endodontics Program versus a Private Endodontics Office.International journal of dentistry · 2023Article
- Minimal Detectable Width of Tooth Fractures Using Magnetic Resonance Imaging and Method to Measure.Journal of endodontics · 2022Article
- Comparison Study of Diagnosis and Treatment Planning for Dental Infections between Dental Students and Practitioners.Healthcare (Basel, Switzerland) · 2022Article
- Present status and future directions: vertical root fractures in root filled teeth.International endodontic journal · 2022Review
- Vertical Root Fracture in Non-Endodontically and Endodontically Treated Teeth: Current Understanding and Future Challenge.Journal of personalized medicine · 2021Review
- Diagnosis of root fractures using cone-beam computed tomography: difference of vertical and horizontal root fracture.Oral radiology · 2021Article
- Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVertical root fracture (VRF) requires root removal. Diagnostics for proper identification are critical. The author conducted a study to relate subjective, objective, and radiographic findings for VRF identification. They noted visual changes of root and overlying bone patterns after flap reflection.
methodsThe author examined a case series of roots with suspected VRF after flap reflection and root or root-end removal; 42 roots were identified with a fracture. Before reflection, the author obtained diagnostic and periapical radiographic data that included symptoms, soft-tissue changes, percussion, mobility, probing patterns, and radiographic findings. After flap reflection, the author evaluated bony changes and root surfaces. VRF was visually confirmed after tooth or root removal.
resultsSigns and symptoms diagnostic of VRF were inconsistent. All patients had endodontic therapy, many with posts, and for all patients, the pain was none to mild. In addition, the author found a history or presence of swelling (77%) or sinus tract (31%), that probing patterns differed (narrow-rectangular 66%), and that there was no defect in some patients (21%). Radiographic patterns varied from no change to extensive bone loss, and mobility ranged from none (55%) to slight or moderate (45%). Flap reflection revealed a "punched-out" bony lesion with granulomatous tissue (100%), and patterns were fenestration (21%) or dehiscence (79%). A fracture was visible on roots or resected root ends.
conclusionsThe author found no consistent signs, symptoms, or radiographic changes of VRF. Flap reflection was found to be predictably useful; fractured roots had bony defects filled with granulomatous tissue. PRACTICAL IMPLICATIONS: VRF may be suspected from clinical findings; however, flap reflection is usually required for identification. Characteristic bony pattern and root visualization reveals the fracture, although root-end resection and examination is occasionally required.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.