The Correlation of Crack Lines and Definitive Restorations with the Survival and Success Rates of Cracked Teeth: A Long-term Retrospective Clinical Study

Toubes, Kênia Maria Soares de; Tonelli, Stéphanie Quadros; Côrtes, Maria Ilma de Souza; Soares, Carlos José; Bruzinga, Fábio Fernandes Borém; Soares, Rodrigo Villamarim; Siqueira, Frank Ferreira

doi:10.1016/j.joen.2021.10.010

Cited by 17 publications

(49 citation statements)

References 32 publications

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“…Within these limitations, it can be noted that the majority of relevant investigations selected crowns as definitive restorations with alternatives including indirect onlays or direct composite restorations (Table 1). Studies that exclusively used crowns reported 81%-100% pulp survival rates 1-3 years after final restoration (Guthrie & DiFiore, 1991;Lee et al, 2021a;Wu et al, 2019) while similar performance (83%-100% after 15 months to 5 years) was shown by studies that used either crowns or indirect onlays (Abbott & Leow, 2009;de Toubes et al, 2022;Homewood, 1998).…”

Section: Definitive Restorationsmentioning

confidence: 91%

“…Besides, a common downward trend in cracked teeth survival has been pointed out at extended observation periods (Davis & Shariff, 2019;de Toubes et al, 2022;Leong et al, 2020;Liao et al, 2022;Malentacca et al, 2021), which admittedly corresponds to cracks propagating deeper over time, leading eventually to tooth loss.…”

Section: Survival Ratesmentioning

confidence: 92%

“…Similarly, zinc-oxide eugenol failed to preserve pulp vitality in an earlier case report (Ritchey et al, 1957). Generally, the efficacy of liners is difficult to be assessed as these were predominantly combined with other forms of interim treatments, such as orthodontic bands (Ehrmann & Tyas, 1990) or direct intra-coronal restorations (Abbott & Leow, 2009;de Toubes et al, 2020de Toubes et al, , 2022.…”

Section: Adjunctive Methodsmentioning

confidence: 99%

“…the other hand, authors in favor of short-term interim treatment or single-stage treatment claimed that most types of restorations used as interim treatments are not effective in preventing crack propagation while also exhibiting increased risk of inducing further pulpal inflammation due to microleakage or dislodgement during the interim treatment period(de Toubes et al, 2022;Guthrie & DiFiore, 1991;Wu et al, 2019).…”

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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: Definitive Restorationsmentioning

confidence: 91%

Section: Survival Ratesmentioning

confidence: 92%

Section: Adjunctive Methodsmentioning

confidence: 99%

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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“…Other types of treatments, generally less conservative, are available to treat posterior teeth using indirect treatments, nowadays generally performed with CAD/CAM technology [6,7]. Endodontic treatments are not considered complete and successful until definitive coronary restoration is performed [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The Restored Premolars Biomechanical Behavior: FEM and Experimental Moiré Analyses

et al. 2022

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This study applied the finite element method (FEM) and the moiré strip projection method to evaluate the biomechanical behavior of healthy and endodontic-treated premolar teeth. The finite element method and the moiré strip projection method were applied to evaluate the influence of restored materials in association with cervical lesions and were considered as strain estimates for a tooth sample with 21 units, under loads of 25, 50, 75, and 100 N, frontal and oblique applied. The focused cases were: tooth H healthy; tooth A-MOD amalgam; tooth AL-MOD amalgam + lesion; tooth ALR-MOD amalgam + injury restored; tooth R-MOD resin; tooth RL-MOD resin + lesion; tooth RLR-MOD resin + injury restored. The results obtained by FEM simulation can be considered perfectly validated by the results presented by the experimental moiré projection analysis, demonstrating that the FEM numerical analysis can be used to evaluate the biomechanical behavior of healthy and endodontically treated teeth. Developing an alternative protocol to generate FEM three-dimensional models will lead to a ready and inexpensive tool since there is no need for costly equipment for tooth extraction prognosis.

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