Abstract
Objectives: Vertical root fracture (VRF) is
one of the complications of endodontic treatment which results extraction of
the related tooth. The purpose of this prospective study was to evaluate
prevalence of VRF in extracted endodontically treated teeth.
Materials and Methods: During a 1 year period 241 teeth
were observed. All of the cases were from extracted teeth after endodontic
treatment. Clinical signs, symptoms, the informations about patient and related
tooth were recorded.
Results: A total of 17 (7.02%) cases of
VRF occurring among 241 cases were observed. The VRF occurred most frequently
in the mesial roots of the mandibular first molars (23.5%) and they were the
most frequently extracted teeth (35.2%). The VRF prevalence of maxillary first
molars was 23.5%, maxillary first and second premolars with a same frequency
(11.7%) were the following most fractured teeth. The fractures were
predominantly buccolingual and were more frequent in female patients (58.8%).
The mean patient age was 36 years and the mean time to VRF was 45 months. Most
of the teeth which undergo VRF had a composite restoration (41.1%). 23.5% of
the teeth had a post restoration and from among these posted teeth 75% were
fully crowned. VRF was found similar frequency in mandibular teeth and in
maxillary teeth (P>0.05).
Conclusions: After average of 45 months from endodontic treatment,
mandibular first molar teeth were found most frequently prone to extraction due
to VRF. Further investigation is necessary to determine the possible causes and
evidence of fracture development.
References
- Referans1. Walton RE, Michelich RJ, Smith GN. The histopathogenesis of vertical root fractures. J Endod 1984;10:48–56.
- Referans2. Tsesis I, Rosen E, Tamse A, Taschieri S, Kfir A. Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review. J Endod 2010;36:1455-8.
- Referans3. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999;25:506–8.
- Referans4. Llena-Puy MC, Forner-Navarro L, Barbero-Navarro I. Vertical root fracture in endodontically treated teeth: a review of 25 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:553-5.
- Referans5. Fuss Z, Lustig J, Katz A, Tamse A. An evaluation of endodontically treated vertical root fractured teeth: impact of operative procedures. J Endod 2001;27:46-8.
- Referans6. Guzy GE, Nicholls JI. In vitro comparison of intact endodontically treated teeth with and without endo-post reinforcement. J Prosthet Dent 1979;42:39-44.
- Referans7. Wilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader–induced vertical root fracture. J Endod 1997;23:533-4.
- Referans8. Meister F, Lommel TJ, Gerstein H. Diagnosis and possible causes of vertical root fracture. Oral Surg Oral Med Oral Pathol 1980;49:243–53.
- Referans9. Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod 1992;18:332–5.
- Referans10. Joyce AP, Loushine RJ, West LA, Runyan DA, Cameron SM. Photoelastic comparison of stress induced by using stainless steel versus nickel-titanium spreaders in vitro. J Endod 1998;24:714-5.
- Referans11. Telli C, Gulkan P, Raab W. Additional studies on the distribution of stresses during vertical compaction of gutta-percha in the root canal. Braz Dent J 1999;187:32-7.
- Referans12. Chan CP, Lin CP, Tseng SC, Jeng JH. Vertical root fracture in endodontically versus nonendodontically treated teeth: a survey of 315 cases in Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:504-7.
- Referans13. Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink R. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod 2009;35:719–22.
- Referans14. Ozer SY. Detection of vertical root fractures of different thicknesses in endodontically enlarged teeth by cone beam computed tomography versus digital radiography. J Endod 2010;36:1245-9.
- Referans15. Testori T, Badino M, Castagnola M. Vertical root fractures in endodontically treated teeth: a clinical survey of 36 cases. J Endod 1993;19:87-91.
- Referans16. Song M, Kim HC, Lee W, Kim E. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod 2011;37:1516-9.
- Referans17. Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:31-5.
- Referans18. Fuss Z, Lustig J, Tamse A. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J 1999;32:283-6.
- Referans19. Touré B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod 2011;37:1512-5.
- Referans20. Hansen EK, Asmussen E, Christiansen N. In vivo fractures of endodontically treated posterior teeth restored with amalgam. Endod Dent Traumatol 1990;6:49–55.
- Referans21. Morfis AS. Vertical root fractures. Oral Surg Oral Med, Oral Pathol 1990;69:631-5.
- Referans22. SjoÈgren U, HoÈgglund B, Sundqvist G, Wing K. Factors affecting long term results of endodontic treatment. J Endod 1990;16:498-504.
Endodontik Tedavi Görmüş Çekim Endikasyonu Olan Dişlerde Dikey Kök Kırığı Görülme Sıklığı: İleriye Dönük Bir Çalışma
Abstract
Amaç: Dikey kök kırığı (VRF), ilgili
dişin çekimini gerektiren, endodontik
tedavinin komplikasyonlarından biridir. Bu ileriye dönük çalışmanın
amacı, çekim endikasyonu bulunan endodontik tedavi görmüş dişler arasında VRF
görülme sıklığını değerlendirmektir.
Gereç ve Yöntem: 1 yıllık bir süre boyunca 241 diş
gözlendi. Tüm vakalar çekim endikasyonu bulunan endodontik tedavi görmüş dişler
arasından seçildi. Hasta ve ilgili diş ile ilgili klinik belirtiler, işaretler
ve bilgiler kaydedildi.
Bulgular: 241 vaka arasında toplam 17
(%7.02) VRF vakası gözlendi. VRF, en sık alt çene birinci büyük azı dişlerin
mesial köklerinde (% 23,5) meydana gelmiş ve bu dişlerin en sık çekilen dişler
olduğu bulunmuştur (%35,2). Üst çene birinci büyük azı dişlerde VRF görülme
sıklığı % 23,5; takiben, üst çene birinci ve ikinci küçük azı dişler aynı
oranla (% 11,7), en sık kırılan dişler olmuştur. Kırıklar ağırlıklı olarak
bukko-lingual idi ve kadın hastalarda daha sıktı (% 58,8). Ortalama hasta yaşı
36 idi ve VRF oluşana dek geçen ortalama sure 45 ay idi. VRF görülen dişlerin
çoğunda kompozit onarım (% 41,1) vardı. Dişlerin % 23.5'inde post restorasyon
vardı ve bu postlu dişlerin % 75'inde tam kron vardı. VRF alt çenedeki dişlerde
ve üst çenedeki dişlerde benzer frekansta bulundu (p>0. 05). Sonuç: Endodontik tedaviden ortalama 45
ay sonra, alt çene birinci büyük azı dişler VRF nedeniyle sıklıkla çekime daha
yatkın bulundu. Kırık gelişiminin olası nedenlerini ve kanıtlarını belirlemek
için daha ileri araştırmalar gereklidir.
References
- Referans1. Walton RE, Michelich RJ, Smith GN. The histopathogenesis of vertical root fractures. J Endod 1984;10:48–56.
- Referans2. Tsesis I, Rosen E, Tamse A, Taschieri S, Kfir A. Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review. J Endod 2010;36:1455-8.
- Referans3. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999;25:506–8.
- Referans4. Llena-Puy MC, Forner-Navarro L, Barbero-Navarro I. Vertical root fracture in endodontically treated teeth: a review of 25 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:553-5.
- Referans5. Fuss Z, Lustig J, Katz A, Tamse A. An evaluation of endodontically treated vertical root fractured teeth: impact of operative procedures. J Endod 2001;27:46-8.
- Referans6. Guzy GE, Nicholls JI. In vitro comparison of intact endodontically treated teeth with and without endo-post reinforcement. J Prosthet Dent 1979;42:39-44.
- Referans7. Wilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader–induced vertical root fracture. J Endod 1997;23:533-4.
- Referans8. Meister F, Lommel TJ, Gerstein H. Diagnosis and possible causes of vertical root fracture. Oral Surg Oral Med Oral Pathol 1980;49:243–53.
- Referans9. Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod 1992;18:332–5.
- Referans10. Joyce AP, Loushine RJ, West LA, Runyan DA, Cameron SM. Photoelastic comparison of stress induced by using stainless steel versus nickel-titanium spreaders in vitro. J Endod 1998;24:714-5.
- Referans11. Telli C, Gulkan P, Raab W. Additional studies on the distribution of stresses during vertical compaction of gutta-percha in the root canal. Braz Dent J 1999;187:32-7.
- Referans12. Chan CP, Lin CP, Tseng SC, Jeng JH. Vertical root fracture in endodontically versus nonendodontically treated teeth: a survey of 315 cases in Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:504-7.
- Referans13. Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink R. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod 2009;35:719–22.
- Referans14. Ozer SY. Detection of vertical root fractures of different thicknesses in endodontically enlarged teeth by cone beam computed tomography versus digital radiography. J Endod 2010;36:1245-9.
- Referans15. Testori T, Badino M, Castagnola M. Vertical root fractures in endodontically treated teeth: a clinical survey of 36 cases. J Endod 1993;19:87-91.
- Referans16. Song M, Kim HC, Lee W, Kim E. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod 2011;37:1516-9.
- Referans17. Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:31-5.
- Referans18. Fuss Z, Lustig J, Tamse A. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J 1999;32:283-6.
- Referans19. Touré B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod 2011;37:1512-5.
- Referans20. Hansen EK, Asmussen E, Christiansen N. In vivo fractures of endodontically treated posterior teeth restored with amalgam. Endod Dent Traumatol 1990;6:49–55.
- Referans21. Morfis AS. Vertical root fractures. Oral Surg Oral Med, Oral Pathol 1990;69:631-5.
- Referans22. SjoÈgren U, HoÈgglund B, Sundqvist G, Wing K. Factors affecting long term results of endodontic treatment. J Endod 1990;16:498-504.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | May 12, 2017 |
| Submission Date | April 20, 2017 |
| Published in Issue | Year 2017 |
Cited By
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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