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Root fracture on coronal slice - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Terry Pannkuk
To: ROOTS
Sent: Thursday, October 07, 2010 1:39 AM
Subject: [roots] Rare Fx visualization on a CT

Hereís one of the few CTís Iíve ever taken that shows probable  root fracture on the coronal slice.
I couldnít probe a pocket on this one, but suspected from the presentation (buccal swelling near
the furcation (not apical) that it was possibly fractured.  I prescribed a CBCT for this one.
This woman is one of the most severe gaggers Iíve ever had;  she needs IV sedation for the extraction.
If I hadnít seen the crack line,  it would have been a difficult decision to try and retreat her tooth;
very limited jaw opening, gagging.  Iím glad I saw a crack on the CBCT, itís the one additional bit of
info creating a COD.  We all would  have been extremely frustrated setting up the IV sedation,
accessing this and finding out it was cracked.

I bet this root cracked due to spreader loading so it propagated apicocoronally. - Terry

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