Restoration of endodontically treated cracked maxillary teeth: A case series

Mahgoli, Hosseinali; Arshad, Mahnaz; Rasouli, Kamran

doi:10.1002/ccr3.2391

Cited by 8 publications

(17 citation statements)

References 6 publications

(13 reference statements)

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“…On the other hand, certain investigators proceeded directly to coronal restoration of previously endodontically treated cracked teeth without providing retreatment (Mahgoli et al, 2019;Michaelson, 2015Michaelson, , 2017 while others did not explain whether secondary endodontic treatment was part of their management (Abou-Rass, 1983;Liao et al, 2022;Malentacca et al, 2021).…”

Section: Indications For Endodontic Treatmentmentioning

confidence: 99%

“…In a case series with previously endodontically treated teeth having cracks involving the pulpal floor, crack line was sealed with a self‐cure resin cement after being disinfected with chlorhexidine (Mahgoli et al, 2019 ). The authors claimed that cement selection was based on its similarity of elasticity to that of dentine, which would result in superior stress distribution and prevention of stress concentration at the crack site.…”

Section: Management Of Crack Lines and Associated Periodontal Pocketsmentioning

confidence: 99%

“…Particularly, with regard to teeth with previous endodontic treatment, the overwhelming majority of researchers provided retreatment (Chen et al, 2021 ; Davis & Shariff, 2019 ; de Toubes et al, 2022 ; Kang et al, 2016 ; Krell & Caplan, 2018 ; Nguyen Thi & Jansson, 2021 ), but did not clarify the exact reasons, for example, whether the teeth had inadequate root canal fillings, developing or persisting periapical pathoses and/or symptoms or if the retreatment was performed for prevention of the above due to secondary caries or the presence of the crack line itself, which could act as a pathway for bacterial invasion. On the other hand, certain investigators proceeded directly to coronal restoration of previously endodontically treated cracked teeth without providing retreatment (Mahgoli et al, 2019 ; Michaelson, 2015 , 2017 ) while others did not explain whether secondary endodontic treatment was part of their management (Abou‐Rass, 1983 ; Liao et al, 2022 ; Malentacca et al, 2021 ).…”

Section: Endodontic Treatment In Cracked Teethmentioning

confidence: 99%

“…Between endodontic sessions, other authors preferred direct intra‐coronal restorations using composite resin (de Toubes et al, 2020 , 2022 ) or temporary filling materials (de Toubes et al, 2022 ; Fawzy et al, 2020 ; Lu et al, 2021 ). In addition to the aforementioned methods, occlusal adjustment was suggested to protect the cracked tooth from excessive masticatory forces (de Toubes et al, 2020 , 2022 ; Fawzy et al, 2020 ; Gutmann & Rakusin, 1994 ; Mahgoli et al, 2019 ; Malentacca et al, 2021 ) while a stabilization splint was provided in the presence of parafunctional habits (Liu & Sidhu, 1995 ).…”

Section: Restorative Approaches For Cracked Teeth Requiring Endodonti...mentioning

confidence: 99%

“…The vast majority of clinical studies reported crowns as permanent post‐endodontic restorations for cracked teeth (Table 2 ) (Figures 4 and 5 ) with a broad variation regarding materials, including metal‐ceramic (Liu & Sidhu, 1995 ; Mahgoli et al, 2019 ), full ceramic (de Toubes et al, 2020 , 2022 ; Lee et al, 2021a ; Lu et al, 2021 ) and full metal (Ito et al, 1998 ; Jun et al, 2019 ; Kanamaru et al, 2017 ; Lee et al, 2021a ; Liu & Sidhu, 1995 ), although most investigators did not share specific details as for the crown material (Davis & Shariff, 2019 ; Kim et al, 2013 ; Lee et al, 2021b ; Sim et al, 2016 ; Tan et al, 2006 ). What is more, given the etiological relationship between cracks and occlusal interferences (de Toubes et al, 2022 ; Kanamaru et al, 2017 ), it was suggested that definitive full coverage restorations receive meticulous occlusal adjustment (Davis & Shariff, 2019 ; Gutmann & Rakusin, 1994 ) with minimal centric and no excursive contacts (Abou‐Rass, 1983 ).…”

Section: Restorative Approaches For Cracked Teeth Requiring Endodonti...mentioning

confidence: 99%

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Treatment of cracked teeth: A comprehensive narrative review

Kakka

Gavriil

Whitworth

2022

Clinical & Exp Dental Res

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Objectives The term “cracked tooth” is used to describe an incomplete fracture initiated from the crown and progressing towards a subgingival direction. Despite the high prevalence of cracked teeth and their frequent association with symptoms and pulpal or periapical pathoses, there is still no consensus in the literature with regard to their restorative and endodontic management. Therefore, the aim of this narrative review was to evaluate the most relevant research and provide an up‐to‐date comprehensive overview regarding the treatment of cracked teeth. Materials and Methods An electronic literature search was carried out in MEDLINE (via Ovid), Embase (via Ovid), Scopus, and Web of Science as well as several “Grey literature” sources up to February 22nd 2022 using a combination of pre‐specified ‘free‐text' terms (keywords) and “subject headings.” The search process was supplemented by handsearching in relevant dental journals and reference lists. This narrative review focused on clinical follow‐up studies (observational or interventional studies, case series/reports), laboratory studies and systematic reviews written in English language that reported data on treatment of permanent cracked teeth. The selection of relevant studies was carried out by two reviewers (AK and DG) working independently in two consecutive stages: title/abstract screening and full‐text retrieval. Any discrepancies in the study selection were resolved by discussion between the reviewers. Results In total, 64 articles were selected for inclusion in this narrative review. Conclusions Cracked teeth with normal pulp or reversible pulpitis have exhibited high pulp and tooth survival rates by the provision of direct or indirect composite restorations. Besides, recent data favour monitoring, especially in the absence of symptoms or compromised tooth structure. When endodontic intervention is required, current evidence suggests that along with appropriate restorative management, outcomes of cracked teeth may be comparable to those of non‐cracked root filled teeth.

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Section: Indications For Endodontic Treatmentmentioning

confidence: 99%

Section: Management Of Crack Lines and Associated Periodontal Pocketsmentioning

confidence: 99%

Section: Endodontic Treatment In Cracked Teethmentioning

confidence: 99%

Section: Restorative Approaches For Cracked Teeth Requiring Endodonti...mentioning

confidence: 99%

Section: Restorative Approaches For Cracked Teeth Requiring Endodonti...mentioning

confidence: 99%

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Treatment of cracked teeth: A comprehensive narrative review

Kakka

Gavriil

Whitworth

2022

Clinical & Exp Dental Res

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Enhancing the mechanical stability of restored teeth with interfacial cracks: Finite element analysis

Babaei,

Prusty

2023

Journal of the Mechanical Behavior of Biomedical Materials

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Managing Cracked Teeth with Root Extension: A Prospective Preliminary Study Using Biodentine™ Material

de Toubes,

Corrêa,

Valadares

et al. 2024

International Journal of Dentistry

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Purpose. The authors of this study proposed an innovative approach involving the use of Biodentine™ material as an intraorifice barrier in cracked teeth with root extension to promote internal crack sealing, preventing the possibility of microinfiltration and apical crack propagation. Materials and Methods. The dental records of 11 patients with 12 posterior cracked teeth with root extension were included with a precise protocol performed by a senior endodontist. The treatment protocol included pulp diagnosis, crack identification using a dental operating microscope (DOM), endodontic treatment, placing a Biodentine™ as an intraorifice barrier, and immediate full-coverage restoration. The effectiveness of the treatment was assessed at two intervals, 6 months, and 1−3 years posttreatment, evaluating clinical, radiographic, and tomographic aspects. The treatment was deemed successful if there were no indications of radiolucency, sinus tracts, edema, or periodontal pockets associated with the crack line. Results. The study observed remarkably positive outcomes during the follow-up period, which spanned from 1 to 3 years. All the cracked teeth (100%) remained asymptomatic, meaning they were free of pain or discomfort. Furthermore, these teeth were in occlusal function. Both radiographic and tomographic assessments revealed the absence of bone loss along the crack line. This outcome signifies that the treatment effectively prevented further deterioration of the surrounding bone. Conclusions. Integrating advanced biomaterials and conservative restorative techniques has paved the way for innovative approaches in dental care. This protocol suggests a proactive step for managing cracked teeth with root extension. It addresses both biological aspects by sealing internal cracks and mechanical aspects by preventing crack progression, thereby improving these teeth’ prognosis and long-term survival.

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Restoration of endodontically treated cracked maxillary teeth: A case series

Cited by 8 publications

References 6 publications

Treatment of cracked teeth: A comprehensive narrative review

Treatment of cracked teeth: A comprehensive narrative review

Enhancing the mechanical stability of restored teeth with interfacial cracks: Finite element analysis

Managing Cracked Teeth with Root Extension: A Prospective Preliminary Study Using Biodentine™ Material

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