Diagnosis of Vertical Root Fractures with Optical Coherence Tomography

Hagay Shemesh*, Gijs van Soest, Min Kai Wu, Paul R. Wesselink

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

112 Citations (Scopus)

Abstract

The purpose of this experiment was to evaluate the ability of optical coherence tomography (OCT) to image vertical root fractures (VRFs). Twenty-five mandibular premolars were prepared to size 50. Five teeth served as controls. Group 1 (n = 10) was treated with ethylenediaminetetraacetic acid and ultrasonic irrigation, whereas group 2 (n = 10) received no further treatments. Teeth from groups 1 and 2 were fractured, and the presence of a fracture line was demonstrated microscopically. Control group teeth were not subjected to any force. Teeth were pooled and scanned with an OCT fiber. The resulting video files were blindly interpreted by 2 observers .No fractures were detected in the control teeth. The overall sensitivity for detection of VRFs with OCT was 93% for group 1 and 84% group 2, whereas the specificity was 95% for group 1 and 96% for group 2. OCT is a promising nondestructive imaging method for the diagnosis of VRFs.

Original languageEnglish
Pages (from-to)739-742
Number of pages4
JournalJournal of Endodontics
Volume34
Issue number6
Early online dateMay 2008
DOIs
Publication statusPublished - Jun 2008

Bibliographical note

© 2008 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

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