Can a CT Scan Confirm a Suspected Tooth Root Fracture? - Dentistry

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Examination of dental fractures?


The doctor mentioned that the X-ray suggests a possible root fracture, but it's uncertain.
I would like to ask if a CT scan can be performed for confirmation.
What is the typical out-of-pocket cost for this? I'm not sure if the doctor recommends a microscopic examination or a CT scan to check for any cracks in the tooth.
Here is the X-ray image: https://ibb.co/g7Mp5qR.
Now that the crown and post have been removed, do you have any recommendations for the treatment plan? Thank you.

Fan, 20~29 year old female. Ask Date: 2022/04/19

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to first undergo a cone-beam CT scan at your own expense, which typically only includes the maxilla, with prices ranging from $2500 to $3500.
After that, you can decide whether to redo the root canal treatment! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/04/19

More Info


When it comes to diagnosing suspected tooth root fractures, traditional X-rays may not always provide a definitive answer. While they can show some abnormalities, they often fall short in detecting subtle fractures due to the two-dimensional nature of the images. This is where advanced imaging techniques, such as Cone Beam Computed Tomography (CBCT), come into play.

CBCT is a specialized type of X-ray equipment that produces three-dimensional images of dental structures, including the teeth, soft tissues, nerve pathways, and bone in a single scan. This technology is particularly useful for identifying complex dental issues, such as root fractures, which may not be visible on standard X-rays. The enhanced detail provided by CBCT can help dentists visualize the extent of a fracture, assess the condition of surrounding tissues, and plan appropriate treatment.

Regarding the cost of a CBCT scan, prices can vary widely depending on the location and the specific dental practice. In the United States, a CBCT scan typically ranges from $100 to $500. It's advisable to check with your dental provider for the exact pricing and whether your insurance may cover part of the cost.

If a tooth root fracture is suspected, a dentist may recommend a CBCT scan to confirm the diagnosis. This imaging can provide a clearer picture of the fracture's location and severity, which is crucial for determining the best course of action. In some cases, if a fracture is confirmed, treatment options may include root canal therapy, crown placement, or even extraction, depending on the extent of the damage.

In your situation, since the crown and post have been removed, it’s essential to evaluate the tooth's condition thoroughly. If there is a fracture, it may compromise the tooth's structural integrity, making it more susceptible to further damage or infection. If the tooth is still viable, your dentist may recommend placing a new crown or post to restore its function and protect it from additional stress.

If you are considering whether to proceed with a CBCT scan or another form of imaging, it’s best to discuss this with your dentist. They can provide personalized recommendations based on your specific symptoms and dental history. Additionally, if you have concerns about the potential for a fracture, it’s important to address these promptly to avoid complications.

In summary, while traditional X-rays can provide some insight into dental issues, CBCT scans offer a more detailed view that can confirm or rule out suspected tooth root fractures. The decision to proceed with imaging should be made in consultation with your dentist, who can guide you on the best diagnostic approach and subsequent treatment options based on the findings.

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