The vertical fracture of the tooth detected by:
a- periodontal pocket.***
b- radiographically.
c- vertical percussion.
1. Transillumination with fiberoptic light
2. Persistent periodontal defects in otherwise healthy teeth
3. Wedging and staining of defects
4. Radiographs rarely show vertical fractures but do show a radiolucent Defect laterally from sulcus to apex (which can be probed).
Vertical Fracture
A vertical fracture of a tooth may result in communication between the gingival sulcus (oral cavity) and the apical periodontium. The fracture line will be a portal of entry for bacteria from the mouth into the tissues, causing inflammation and bone destruction. A periapical lesion often forms which may have the appearance radiographically of a pulpally related lesion. Since a vertical fracture may be incomplete, its diagnosis in many instances is extremely difficult. Sometimes it is recognized clinically because a periodontal pocket forms along the fracture line and in other instances a simple exploratory surgical procedure may aid in establishing the correct diagnosis.
a- periodontal pocket.***
b- radiographically.
c- vertical percussion.
1. Transillumination with fiberoptic light
2. Persistent periodontal defects in otherwise healthy teeth
3. Wedging and staining of defects
4. Radiographs rarely show vertical fractures but do show a radiolucent Defect laterally from sulcus to apex (which can be probed).
Vertical Fracture
A vertical fracture of a tooth may result in communication between the gingival sulcus (oral cavity) and the apical periodontium. The fracture line will be a portal of entry for bacteria from the mouth into the tissues, causing inflammation and bone destruction. A periapical lesion often forms which may have the appearance radiographically of a pulpally related lesion. Since a vertical fracture may be incomplete, its diagnosis in many instances is extremely difficult. Sometimes it is recognized clinically because a periodontal pocket forms along the fracture line and in other instances a simple exploratory surgical procedure may aid in establishing the correct diagnosis.
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Community dentistry