Diagnosis of Crown and Root Fractures: Facts and Speculations

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CE Hours:


In this presentation, a new classification of tooth fractures will be presented based on origination and propagation coupled with identification of the crowns and roots susceptible to fracture. The presentation will stress the importance of achieving timely and accurate diagnosis of root fractures and the factors that are making diagnosing root fractures at times elusive and frustrating. It is important for the clinician to adopt evidence-based information regarding the diagnosis and treatment modalities in general and diagnosis of root fractures. Evidence-based information regarding the clinical and radiographic diagnosis of root fractures will be presented. The "pathognomonic combination" for root fractures diagnosis (AAE 2008) will be elaborated and explained in depth. The evidence and speculation regarding the diagnostic ability of CBCT scans to diagnose crowns and root fractures in the endodontically treated tooth will be discussed by challenging the AAE position statement on this topic and by describing relevant cases.

At the conclusion, participants should be able to:

  • Explain the importance of timely and accurate diagnosis of crown and vertical root fractures of the chronic nature.
  • List the three pathognomonic signs and symptoms for vertical root fracture of the endodontically treated tooth.
  • Describe the best available and updated evidence for the use of CBCT scans in cases of crowns and vertical root fractures.


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7 Questions
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
2.00 CE credits  |  Certificate available
2.00 CE credits  |  Certificate available

Aviad Tamse, D.M.D.

Dr Aviad Tamse received his DMD degree in 1969, and from 1971 to 1973, he attended Harvard Dental school in Boston, Massachusetts, where he received his endodontic training. Dr. Tamse was President of the Israel Endodontic Society, ,and chair of the Accreditation Committee of Graduate Dental Programs in Israel. Dr Tamse served as chair of the department of Endodontology Tel-Aviv University School of Dental Medicine from 2000-2008 , and in 1982 was a co-founder of the European Society of Endodontology. Dr. Tamse has authored and co-authored over 90 scientific articles in peer-reviewed journals and 5 chapters in books.Recently he served as the senior editor of a book on vertical root fractures in dentistry. He served on the Editorial Board of the International Endodontic Journal . His primary research interest has been vertical root fractures in endodontically treated teeth and is the editor of a new book on root fractures. Currently Dr. Tamse is Professor Emeritus at the Department of Endodontology, School of Dental Medicine, Tel-Aviv University.

Aviad Tamse, D.M.D.

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation