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Article: Patterns of periodontal destruction associated with incomplete root fractures

TitlePatterns of periodontal destruction associated with incomplete root fractures
Authors
Issue Date1997
PublisherBritish Institute of Radiology. The Journal's web site is located at http://dmfr.birjournals.org/
Citation
Dentomaxillofacial Radiology, 1997, v. 26 n. 6, p. 321-326 How to Cite?
AbstractObjectives: To clarify the differential radiographic diagnostics of teeth with incomplete root fracture. Methods: Information on 88 teeth with either a vertical root fracture without displacement of the fractured fragments (n = 22), a vertical periodontal defect (n = 22), a periodontal-endodontic lesion (n = 22) or an endodontic-periapical lesion (n = 22) was collected retrospectively from the patients' records. Results: Significant differences in the mean probing pocket depths were found between each of the four groups of lesions. Teeth with root fractures demonstrated smaller mean probing pocket depths than those with either periodontal or periodontal-endodontic lesions. Radiographic bone loss was significantly greater in teeth with periodontal and periodontal-endodontic lesions when compared with those with fractures. In teeth with vertical root fractures, there was no correlation between the probing depth and the radiographic bone loss (r = 0.01). The correlation coefficient between the greatest probing depth and alveolar bone loss was r= -0.16 in the fractured teeth, with higher values for the other three groups of lesions. 86.4% of the teeth with fractures had a complete root canal filling. Posts were present in 22.7% of the fractured teeth and in 13% of those with an endodontic periapical lesion. 91 % of the teeth with vertical fractures were crowned or fixed-bridge abutments. Only 5% of the fractured teeth had no evidence of periapical bone changes. Conclusions: Incomplete root fractures mainly involve teeth which have undergone successful endodontic treatment. An isolated pocket on one aspect of a suspected tooth is reliably diagnostic for a root fracture. © 1997 Stockton Press All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/154007
ISSN
2015 Impact Factor: 1.919
2015 SCImago Journal Rankings: 0.897
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNicopoulouKarayianni, Ken_US
dc.contributor.authorBragger, Uen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:22:47Z-
dc.date.available2012-08-08T08:22:47Z-
dc.date.issued1997en_US
dc.identifier.citationDentomaxillofacial Radiology, 1997, v. 26 n. 6, p. 321-326en_US
dc.identifier.issn0250-832Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/154007-
dc.description.abstractObjectives: To clarify the differential radiographic diagnostics of teeth with incomplete root fracture. Methods: Information on 88 teeth with either a vertical root fracture without displacement of the fractured fragments (n = 22), a vertical periodontal defect (n = 22), a periodontal-endodontic lesion (n = 22) or an endodontic-periapical lesion (n = 22) was collected retrospectively from the patients' records. Results: Significant differences in the mean probing pocket depths were found between each of the four groups of lesions. Teeth with root fractures demonstrated smaller mean probing pocket depths than those with either periodontal or periodontal-endodontic lesions. Radiographic bone loss was significantly greater in teeth with periodontal and periodontal-endodontic lesions when compared with those with fractures. In teeth with vertical root fractures, there was no correlation between the probing depth and the radiographic bone loss (r = 0.01). The correlation coefficient between the greatest probing depth and alveolar bone loss was r= -0.16 in the fractured teeth, with higher values for the other three groups of lesions. 86.4% of the teeth with fractures had a complete root canal filling. Posts were present in 22.7% of the fractured teeth and in 13% of those with an endodontic periapical lesion. 91 % of the teeth with vertical fractures were crowned or fixed-bridge abutments. Only 5% of the fractured teeth had no evidence of periapical bone changes. Conclusions: Incomplete root fractures mainly involve teeth which have undergone successful endodontic treatment. An isolated pocket on one aspect of a suspected tooth is reliably diagnostic for a root fracture. © 1997 Stockton Press All rights reserved.en_US
dc.languageengen_US
dc.publisherBritish Institute of Radiology. The Journal's web site is located at http://dmfr.birjournals.org/en_US
dc.relation.ispartofDentomaxillofacial Radiologyen_US
dc.subject.meshAlveolar Bone Loss - Radiographyen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshHumansen_US
dc.subject.meshLinear Modelsen_US
dc.subject.meshPeriapical Diseases - Radiographyen_US
dc.subject.meshPeriodontal Pocket - Radiographyen_US
dc.subject.meshPeriodontium - Radiographyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRoot Resorption - Radiographyen_US
dc.subject.meshTooth Fractures - Radiographyen_US
dc.subject.meshTooth Root - Injuries - Radiographyen_US
dc.titlePatterns of periodontal destruction associated with incomplete root fracturesen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid9482006-
dc.identifier.scopuseid_2-s2.0-0031263595en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031263595&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume26en_US
dc.identifier.issue6en_US
dc.identifier.spage321en_US
dc.identifier.epage326en_US
dc.identifier.isiWOS:A1997YG24000002-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridNicopoulouKarayianni, K=6601946017en_US
dc.identifier.scopusauthoridBragger, U=7005538598en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US

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