Odontiatrogenic tooth fracture

Schweitzer, Jordan L; Gutmann, James L.; Bliss, R. Q.

doi:10.1111/j.1365-2591.1989.tb00508.x

Cited by 14 publications

(9 citation statements)

References 40 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are five separate classifications (Table 1); they are, from least to most severe: (i) craze line; (ii) fractured cusp; (iii) cracked tooth; (iv) split tooth; and (v) vertical root fracture (1-4, 7, 8). These five entities differ but have frequently been confused or combined in clinical articles (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Bader et al (6) Minimize root dentin removal, avoid wedging posts, reduce condensation forces, use of carbon fiber posts have stated that no studies that characterize the severity of tooth fractures in terms of the proportion of fractures that expose dentin or pulp have been reported.…”

Section: Classificationmentioning

confidence: 99%

Longitudinal tooth cracks and fractures: an update and review

Rivera¹,

Walton²

2015

Endodontic Topics

View full text Add to dashboard Cite

The purpose of this updated review is to further discuss the diagnostic and treatment challenges related to tooth cracks and fractures that occur primarily in the vertical plane, that is, the long axis of the crown and/or root. This includes when and how to identify and determine the category and the extent of the fracture, when a coronally reinforcing restoration should be placed, when root canal treatment is needed, and when a tooth or root should be extracted based on the location and extent of the fracture. The term “longitudinal” is used because they usually represent vertical extensions of cracks or fractures over distance and time. These often present problems with diagnosis and treatment, but should be considered as findings and not as a diagnosis per se. They are pathways for bacteria that may induce pulpal and periapical inflammation or disease. Longitudinal fractures are divided into five definitive classifications from generally least to most severe: (i) craze line; (ii) fractured cusp; (iii) cracked tooth; (iv) split tooth; and (v) vertical root fracture. These differ but have frequently been confused or combined in clinical articles, creating misunderstanding and resulting in incorrect diagnosis and inappropriate treatment. These classifications have been devised to provide global definitions that researchers and clinicians can use to eliminate this confusion. This review is subdivided into these five classifications as to incidence, pathogenesis, clinical features, etiologies, diagnosis, treatment, prognosis, and prevention.

show abstract

Section: Classificationmentioning

confidence: 99%

Longitudinal tooth cracks and fractures: an update and review

Rivera¹,

Walton²

2015

Endodontic Topics

View full text Add to dashboard Cite

show abstract

“…A number of causes of root fractures have been suggested by many authors. 27 (See Chapter 12.) 27 No doubt this is probably a multifactorial problem.…”

Section: Vertical Root Fracturesmentioning

confidence: 99%

“…The etiology is said to involve anatomic, restorative, periodontal, or endodontic factors. 27 Conversely, it is very rare to see a vertical fracture in a tooth which is out of occlusion. Endodontically, excessive removal of root structure during cleaning and shaping can weaken a root.…”

Section: Vertical Root Fracturesmentioning

confidence: 99%

Problem Solving in Interpretation of Dental Radiographic Images

Gutmann

Lovdahl²

2011

Problem Solving in Endodontics

View full text Add to dashboard Cite

“…1,2 All of the teeth on the side of pain should be visually inspected. 26 Two fracture lines on different surfaces may be evidence of a complete cusp fracture. Occasionally in a case of spontaneous pain, gross caries may be observed in a tooth, almost invariably a molar, in the opposing arch from where the pain has been felt.…”

Section: Visual Inspectionmentioning

confidence: 99%