Review of Cracked Tooth Syndrome: Etiology, Diagnosis, Management, and Prevention

Abstract

Cracked tooth syndrome refers to a series of symptoms caused by cracked teeth. This article reviews the current literature on cracked tooth syndrome from four aspects, etiology, diagnosis, management, and prevention, to provide readers integrated information about this. The article begins with an introduction to the odontiatrogenic factors and then covers the noniatrogenic factors that induce cracked tooth syndrome. While the former discusses inappropriate root canal therapy and improper restorative procedures, the latter covers the topics such as the developmental and functional status of cracked tooth syndrome. This is then followed by the description of common clinical diagnosis methods, the prospects of new technologies, and summaries of current clinical management methods, including immediate management and direct and indirect restoration. In the final section, preventive methods and their importance are proposed, with the aim of educating the common population.

Survival and prognostic factors of managing vital cracked teeth with occlusal veneer restoration: A 1-to 2 years prospective clinical study

“…Full-coverage crown could protect the cracked tooth [4,18,19]. 21-29% of the reversible cracked tooth were restored by crown-required RCT in a period of 3 to 6 years [16,17].…”

“…Factors contributing to a cracked tooth include steep cusps, weakened developmental grooves, repetitive heavy mastication, and so on [2,3]. Initially, patients may suffer from biting and/or thermal sensitivity, spontaneous pain may occurs later, ultimately leading to split [4]. In addition, diagnosing a cracked tooth is challenging, and observation of the crack lines (CL) does not necessarily indicate the actual fracture plane size and shape [2,5].…”

Untitled

“…Stress, anxiety syndromes and genetic disposition seem to be dominant factors leading to increased muscle tension [9] . Aging is one of the most important factors in the etiology of dental cleft syndrome [2] .…”

“…Patients' habits may have increased during the pandemic as a result of increased anxiety or depressive symptoms [1] . Cracked tooth syndrome is defined as "a flat fracture of unknown depth and direction through the tooth structure that, if not already involved, may progress to communicate with the pulp and/or periodontal ligament" [2] . Cracked tooth syndrome is a common presentation in general dental practice.…”

El Valor De Un Ajuste Oclusal, ¿por Qué, Cómo, Cuándo?: Reporte De Caso

“…Si bien es cierto que la evolución y los conceptos del AO no han tenido cambios significativos, no existe un protocolo estandarizado para realizar de manera correcta. Para la detección de puntos de contacto, existen dispositivos como el T-scan y materiales como el Arti-Spray, el papel de articular, la cera, la silicona, entre otros, que le permiten al clínico realizar un correcto AO ( 6 ); pero aún no están estandarizadas y, debido a eso, el clínico no tiene un buen control de este tratamiento, lo cual tiene como posibles consecuencias las interferencias, que a su vez generan una mayor posibilidad de chipping (fractura de cerámicas en coronas) y cracked (fractura a nivel de amalgama o del propio diente) ( 7,8 Por último, el estudio realizado por Solow ( 3 ) afirma que el AO permite la estabilidad en el cierre mandibular y una correcta guía anterior y canina en las excursiones mandibulares.…”