AAE Online CE
NS-7 Accurate Vertical Root Fractures Diagnosis: Facts and Speculations
CE Credits: 1.0
In 2008, the AAE stated that the combination of a sinus tract, isolated probing defect, with or without a dowel, is pathognomonic for vertical root fracture (VRF) diagnosis in endodontically treated teeth. When the VRF diagnosis is done, no further diagnostic devices are needed and extraction of the tooth or root is required. Unfortunately, this combination does not occur often because VRF can mimic other clinical entities with a variety of radiographic manifestations. As a result, accurate and timely diagnosis of VRF is still confusing and perplexing at times for the clinician. This is causing speculations as to the accurate diagnosis based on the given signs and symptoms. There is proof for the lack of evidence-based data to support the usefulness of the clinical and conventional radiographic evaluation methods. In recent years, with the improvements in CBCT imaging techniques, this diagnostic modality can be useful for better visualization of the bony resorption around the root, but not so much for the fracture itself since it depends on the fracture size and various artifacts.
At the conclusion, participants should be able to:
- Describe the difficulties in achieving accurate and timely vertical root fracture diagnosis despite the 2008 AAE "pathognomonic combination."
- Identify the variety of bony radiolucencies surrounding the fractured root.
- Discuss the facts and speculations regarding the ability of CBCT scans to show vertical root fractures in the endodontically treated tooth.
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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, B.D.S.
Disclosure: 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.
red during the proposed presentation.