Cracked tooth syndrome diagnosis part 1: integrating the old with the new (original) (raw)
Related papers
Cracked Tooth Syndrome: Assessment, Prognosis and Predictable Management Strategies
2021
Cracked tooth syndrome (CTS) is a common presentation in general practice. The diagnosis and management of teeth with CTS may be difficult due to the unknown extent of the crack. This article reviews the aetiology, diagnosis, management and prognosis of teeth with CTS. A thorough examination is required to effectively assess CTS. Intervention should aim to relieve symptoms and brace the remaining tooth structure effectively against further flexion. Restored teeth with CTS have a guarded prognosis due to the risk of further crack propagation, but the chances of survival at 5-years is acceptable (74.1-96.8%).
2015
Cracked Tooth Syndrome is a common condition. In a major percent of cases etiology is primarily the after effect of a dental procedure .The patient is often unable to identify the offending tooth or quadrant involved, and may report a history of a dental procedure with unsatisfactory results. Clinicians need to have a thorough understanding regarding this concept to mitigate the commencement of crack propagation in tooth after a restorative procedure. This article is a comprehensive literature review about the incidence, prevalence, etiology and pathogenesis of CTS from contemporarily available data.
“Cracked Tooth Syndrome – A Diagnostic Enigma”
Saudi Journal of Oral and Dental Research, 2019
Cracked Tooth Syndrome is a relatively common occurrence in general practice. The term cracked tooth syndrome is misleading as there are a range of symptoms that do not form a distinct and reliable pattern. A lack of awareness of the condition coupled with its varied clinical features can make diagnosis of cracked tooth difficult. Crack may initiate from coronal tooth structure or from within the root and affect healthy, restored or root treated teeth. The location, direction and extent of a crack have a profound effect on the choice of treatment, so clarity is important. With these considerations, many teeth with cracks can be saved! This clinical report describes the diagnostic procedures and management of incompletely fractured and unrestored mandibular molar in a 32 year old male patient. Clinical examination revealed teeth with crack line and associated pulpal inflammation. The tooth was splinted with orthodontic stainless steel band and root canal treatment was carried out. The tooth was then restored. Thus, the key factor in the management of cracked tooth is early diagnosis and immediate splinting so as to limit the propagation of the crack.
Cracked tooth syndrome: A report of three cases
Journal of Pharmacy And Bioallied Sciences, 2015
Cracked tooth syndrome (CTS), the term was coined by Cameron in 1964, which refers to an incomplete fracture of a vital posterior tooth extending to the dentin and occasionally into the pulp. CTS has always been a nightmare to the patient because of its unpredictable symptoms and a diagnostic dilemma for the dental practitioner due to its variable, bizarre clinical presentation. The treatment planning and management of CTS has also given problems and challenges the dentist as there is no specific treatment option. The management of CTS varies from one case to another or from one tooth to another in the same individual based on the severity of the symptoms and depth of tooth structure involved. After all, the prognosis of such tooth is still questionable and requires continuous evaluation. This article aims at presenting a series three cases of CTS with an overview on the clinical presentation, diagnosis and the different treatment options that varies from one case to another.
Cracked Tooth Syndrome Management Part 2: Integrating the Old with the New
Dental Update
This article follows on from Part 1 which looked at the pathogenesis and diagnosis of cracked tooth syndrome (CTS). It combines a review of the available evidence with a discussion of established and more modern concepts of management, aiming to provide a clear, rational approach to the predictable management of CTS with the aid of case studies and a decision-tree. CPD/Clinical Relevance: Allows the clinician to manage CTS predictably.
Management of Cracked tooth syndrome: A case Report
Cracked tooth is a distinct type of longitudinal tooth fracture which occurs very commonly and its diagnosis can be challenging. This type of fracture tends to grow and change over time. Clinical diagnosis is difficult because the signs and symptoms are variable or nonspecific and may even resemble post-treatment disease following root canal treatment or periodontal disease. This variety and unpredictability make the cracked tooth a challenging diagnostic entity. In this paper we present a case of cracked tooth and emphasise on the timely proper diagnosis and management.
Correlation between symptoms and external characteristics of cracked teeth
Journal of the American Dental Association, 2017
Background-Cracked teeth are ubiquitous in the adult dentition. The objective of this study was to determine which patient traits/behaviors and external tooth/crack characteristics correlate with cracked teeth being symptomatic. Methods-Dentists in the National Dental Practice-Based Research enrolled a convenience sample of subjects each with a single, vital posterior tooth with at least one observable external crack in this observational study; 2,975 cracked teeth, from 209 practitioners, were enrolled. Data were collected at the patient-, tooth-, and crack-level. Generalized estimating equations were used to obtain significant (p<0.05) independent odds ratios (OR) associated with teeth presenting as symptomatic. Results-Characteristics positively associated with cracked tooth symptoms, after adjusting for demographics, included individuals who clenched, ground or pressed their teeth together (OR=1.30; 95%CI: 1.12-1.50), molar teeth (OR=1.58; 95%CI: 1,30-1.92), teeth with a wear facet through enamel (OR=1.22; 95%CI: 1.01-1.40), caries lesions (OR=1.31; 95%CI: 1.07-1.60), cracks that were on the distal surface of the tooth (OR=1.31; 95%CI: 1.13-1.52) and cracks that blocked transilluminated light (OR=1.31; 95%CI: 1.09-1.57). Teeth with stained cracks were negatively associated with having cracked tooth symptoms (OR=0.68; 95%CI:0.55-0.84). Conclusions and Practical Implications-The greatest likelihood of a cracked tooth being symptomatic was found when patients reported clenching and/or grinding their teeth and had a molar tooth with a distal crack that blocked transilluminated light. This information can help inform dentists in the decision-making process regarding the prognosis for a cracked tooth. An incomplete tooth fracture, or "cracked tooth", can be a source of pain and impaired function and present diagnostic and restorative problems 1. An assessment of cracked teeth by the NW PRECEDENT network revealed that nearly 70% of patients in general dental practices had at least one cracked posterior tooth, 21% of which were symptomatic 2. Because teeth with an incomplete tooth fracture can result in the need for major restoration, root canal therapy (RCT), or extraction, the development of a crack poses a significant problem to patients and dentists.
CRACK TOOTH SYNDROME AND ITS MANAGEMENT.
Cracks and fractures in teeth are relatively common problems in general and specialist dental practices. The CTS presents both a challenge and an opportunity for the dentist. The possibility of CTS must always be considered when a patient complains of pain or discomfort on chewing or biting. In spite of CTS being a diagnostic challenge, having knowledge and awareness of CTS should enable the dental practitioner to detect the same, thereby preventing further crack propagation and complications associated with crack tooth.