Root fissure visualized with cone beam computed tomography
DOI:
https://doi.org/10.60094/RID.20220101-7Keywords:
Dental fissure, endodontics, cone beam computed tomographyAbstract
A dental fissure is defined as a thin superficial rupture of enamel and dentin, and possibly cementum, of unknown depth or extension. In the presence of internal fissures, it is essential to detect them because they can be associated with a greater risk that the tooth develops symptoms and need invasive dental treatment. The case of a 34-year-old male patient with a crown in 25 tooth which is constantly dislodged is showed. In the radiographic evaluation, a delimited radiolucent area was observed and adjacent to the end of the adapted metal nucleus, an increase in the periodontal ligament space and loss of continuity of the lamina dura. The imaging study is complemented with in vivo cone beam computed tomography (CBCT). In the axial and transaxial slices and 3D reconstruction, a hypodense area defined in the distal medullary bone was visualized, perpendicular and coinciding with the length ofthe metal nucleus; bone remodeling, widening of the periodontal ligament space and localized loss of lamina dura, image compatible with localized osteolysis, the treating dentist decided to perform the extraction and the exvivo CBCT confirmed the existence of horizontal root fissure in the middle third of the root.
Downloads
References
Leong DJX, de Souza NN, Sultana R, Yap AU. Outcomes of endodontically treated cracked teeth: a systematic review and meta-analysis. Clin Oral Investig. 2020 Jan;24(1):465-73. DOI: 10.1007/s00784-019-03139-w. https://doi.org/10.1007/s00784-019-03139-w
Ferracane JL, Funkhouser E, Hilton TJ, Gordan VV, Graves CL, Giese KA, Shea W, Pihlstrom D, Gilbert GH. Observable characteristics coincident with internal cracks in teeth: findings from The National Dental Practice-Based Research Network. JADA. 2018;149(10):885-92.e6. 1. https://doi.org/10.1016/j.adaj.2018.06.013
Aristizabal-Elejalde D, Arriola-Guillén LE, Aliaga-Del Castillo A, Ruíz-Mora GA, Rodríguez-Cárdenas YA. Assessment of fractures in endodontically treated teeth restored with and without root canal posts using high-resolution cone beam computed tomography. J Clin Exp Dent. 2020 Jun 1;12(6):e547-e554. DOI: 10.4317/jced.56854.
Shah H, Hernandez P, Budin F, et al. Automatic quantification framework to detect cracks in teeth. Proc SPIE Int Soc Opt Eng. 2018;10578:105781K. https://doi.org/10.4317/jced.56854
Olivieri JG, Elmsmari F, Miró Q, Ruiz XF, Krell KV, García-Font M, Durán-Sindreu F. Outcome and survival of endodontically treated cracked posterior permanent teeth: a systematic review and meta-analysis. J Endod. 2020 Apr;46(4):455-63. https://doi.org/10.1016/j.joen.2020.01.006
Alzamzami ZT, Abulhamael AM, Talim DJ, Khawaji H, Barzanji S, Roges RA. Cone-beam computed tomographic usage: survey of American endodontists. J Contemp Dent Pract. 2019 Oct 1;20(10):1132-7.
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Reporte Imagenológico Dentomaxilofacial
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
AUTHORS RETAIN THEIR RIGHTS:
You are free to:
- Share: copy and redistribute the material in any medium or format for any purpose, including commercially.
Adapt: remix, transform and build upon the material for any purpose, including commercially.
The licensor cannot revoke these freedoms as long as you follow the terms of the license under the following terms:
- Attribution : you must give proper credit , provide a link to the license, and indicate if changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is supported by the licensor.
- No additional restrictions: you may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.
