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Endodontically treated posterior teeth are more susceptible to fracture than untreated posterior teeth. The best explanation for this is

A. moisture loss.
B. loss of root vitality.
C. plastic deformation of dentin.
D. destruction of the coronal architecture.
E. increased susceptibility of the enamel to fracture.

User Vincent
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1 Answer

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Final answer:

Endodontically treated posterior teeth are more susceptible to fracture due to the destruction of the coronal architecture, not because of moisture loss, loss of root vitality, plastic deformation of dentin, or increased susceptibility of the enamel to fracture. The process of endodontic treatment often entails significant removal of tooth structure which can weaken the tooth's ability to withstand masticatory forces.

Step-by-step explanation:

Endodontically treated posterior teeth are more susceptible to fracture than untreated posterior teeth. The best explanation for this increased susceptibility is D. destruction of the coronal architecture. This refers to the loss of the tooth's original structure as a result of the endodontic treatment process, which includes the removal of decayed or infected tooth material, and potentially the removal of a significant amount of tooth structure to access the root canals. Removing this structural material can weaken the tooth, making it less resistant to the forces of biting and chewing.

Another important factor to consider is the loss of the tooth's vitality; though B. loss of root vitality contributes to a tooth's health and susceptibility to future problems, it is not the primary reason for the increased fracture risk. Vitality loss refers to the lack of blood supply and living tissue within the tooth after a root canal. While vitality is important for the health of the tooth, it does not directly relate to the mechanical strength of the tooth structure that remains after treatment.

It is also important to differentiate between factors such as moisture loss, plastic deformation of dentin, and increased susceptibility of the enamel to fracture, which are not the primary reasons for an increased fracture risk in teeth that have undergone endodontic treatment. These factors could play a role in the overall health and stability of a tooth but are less significant in the context of the structural compromise that results from endodontic procedures.

User JRV
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