SP-16 The Evidence for Vertical Root Fracture Diagnosis in Endodontically Treated Teeth: To Have and Have Not

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CE Credits: 1.5

Course Description:   In 2008, the AAE had stated that the combination of a sinus tract, isolated probing defect with or without a dowel, is pathognomonic for vertical root fracture (VRF) in endodontically treated teeth. When the diagnosis is done, extraction of the tooth or root is needed. 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 a vertical root fracture is still confusing and perplexing at times for the clinician. A recent systematic review analysis showed the lack of evidence-based data to support the usefulness of the clinical and radiographic evaluation methods. The rapid improvements in CBCT imaging techniques may soon be one of the useful means to achieving more accurate and timely diagnosis of VRFs in endodontically treated teeth.  

At the conclusion, participants should be able to:

  • Discuss the importance of achieving timely and correct diagnosis of vertical root fractures and the difficulties in doing so.
  • Recognize the lack of evidence-based data supporting the common clinical evaluation methods for vertical root fracture diagnosis.
  • Discuss the best available data that was the basis for the AAE's 2008 statement regarding the combination of signs and symptoms to be pathognomonic for vertical root fractures in endodontically treated teeth.


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7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
1.50 CE credits  |  Certificate available
1.50 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.  

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.