Cone‐beam computed tomography‐based descriptive classification for transverse root fracture

Author:

Saini Aakriti1ORCID,Sharma Sidhartha1,Kumar Vijay1ORCID,Chawla Amrita1,Gupta Shalini2,Kahler Bill3ORCID,Logani Ajay1

Affiliation:

1. Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India

2. Department of Oral Medicine and Radiology, Centre for Dental Education and Research All India Institute of Medical Sciences New Delhi India

3. Faculty of Medicine and Health, Sydney Dental School University of Sydney Surry Hills New South Wales Australia

Abstract

AbstractTransverse root fracture (TRF) is classified as a cervical, middle or apical third root fracture on a periapical radiograph. The International Association of Dental Traumatology (IADT) suggests that cone‐beam computed tomography (CBCT) should be considered, when conventional radiographs provide ‘insufficient’ information for diagnosis and treatment planning. Considering that CBCT can divulge additional information, it would be beneficial to have a clinically pertinent three‐dimensional classification for TRF. The proposed alphanumeric classification includes the traumatised tooth number, describes the number of TRF, the facial and lingual location of each fracture line on the anatomic root, and its position relative to the crest of the alveolar bone. Further, diastasis, displacement of the coronal fragment and status of the alveolar bone at the site of TRF are also documented. This comprehensive classification system would provide a standard format for reporting, aid in referral communication and can be applied for future outcome studies on TRF.

Publisher

Wiley

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