Treatment of Cracked Teeth

Alkhalifah, Shaymaa; Alkandari, Halimah; Sharma, Prem N.; Moule, Alex J.

doi:10.1016/j.joen.2017.03.029

Cited by 32 publications

(38 citation statements)

References 15 publications

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“…Previous studies have reported a significant correlation between caries and radiographic evidence of a crack and pain in cracked teeth. 12,13 A strong correlation was found between radiographic evidence of a crack and the practitioner's decision to restore the tooth (OR=4.8), although the radiographic evidence of a crack was low and the risk difference was only 3%. However, when present, an evident crack on a radiograph strongly correlated with pain and often resulted in a recommendation from the practitioner to restore the tooth.…”

Section: Discussionmentioning

confidence: 99%

“…Various procedures have been suggested either to aid in the diagnosis or treatment of a cracked tooth, including occlusal adjustment, sedative interim restorations, placement of orthodontic bands, interim crowns, direct or indirect composite resin restorations, complex and bonded amalgam restorations, and partial and complete indirect crowns. [3][4][5][6][7][8][9][10][11][12] In a practice-based study in which 1777 dentists were presented with various clinical scenarios, the presence of a crack or fracture was the factor most likely to result in the dentist recommending a crown. 11 Another study presented 95 dentists (generalists, prosthodontists, and endodontists) with 4 different clinical cracked tooth scenarios and asked what treatment they would recommend.…”

mentioning

confidence: 99%

“…A variety of factors contribute to the decision to restore versus monitor a tooth, including caries, the quality of the remaining tooth structure, presence of a visible fracture line, sealing the tooth against bacterial ingress, protecting cusps against flexure under function, presence of an existing restoration, and whether or not the patient has dental insurance. [12][13][14][15][16][17][18][19][20][21] Evidence-based guidelines are needed for the treatment of cracked teeth. The purpose of this clinical study was to contribute to this evidential foundation by identifying and quantifying characteristics at the patient, tooth, and crack levels and their association with treating posterior teeth with visible cracks among patients enrolled in the National Dental Practice-Based Research Network.…”

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confidence: 99%

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Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network

Hilton

Funkhouser

Ferracane

et al. 2020

The Journal of Prosthetic Dentistry

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Statement of problem. Despite the high prevalence of posterior cracked teeth, questions remain regarding the best course of action for managing these teeth. Purpose. The purpose of this clinical study was to identify and quantify the characteristics of visible cracks in posterior teeth and their association with treatment recommendations among patients in the National Dental Practice-Based Research Network. Material and methods. Network dentists enrolled patients with a single, vital posterior tooth with at least 1 observable external crack. Data were collected at the patient, tooth, and crack levels, including the presence and type of pain and treatment recommendations for subject teeth. Frequencies according to treatment recommendation were obtained, and odds ratios (ORs) comparing recommendations for the tooth to be restored versus monitored were calculated. Stepwise regressions were performed using generalized models to adjust for clustering; characteristics with P<.05 were retained. Results. A total of 209 dentists enrolled 2858 patients with a posterior tooth with at least 1 crack. Mean ±standard deviation patient age was 54 ±12 years; 1813 (63%) were female, 2394 (85%) were non-Hispanic white, 2213 (77%) had some dental insurance, and 2432 (86%) had some college education. Overall, 1297 (46%) teeth caused 1 or more of the following types of pain: 1055 sensitivity to cold, 459 biting, and 367 spontaneous. A total of 1040 teeth were recommended for 1 or more treatments: restoration (n=1018; 98%), endodontics (n=29; 3%), endodontic treatment and restoration (n=20; 2%), extraction (n=2; 0.2%), and noninvasive treatment, for example, occlusal device, desensitizing (n=11; 1%). The presence of caries (OR=67.3), biting pain (OR=7.3), and evidence of a crack on radiographs (OR=5.0) were associated with over 5-fold odds of recommending restoration. Spontaneous pain was associated with nearly 3-fold odds; pain to cold, having dental insurance, a crack that was detectable with an explorer or blocked transilluminated light, or connected with a restoration were each weakly associated with increased odds of recommending a restoration (OR<2.0). Conclusions. Approximately one-third of cracked teeth were recommended for restoration. The presence of caries, biting pain, and evidence of a crack on a radiograph were strong predictors of recommending a restoration, although the evidence of a crack on a radiograph only accounted for a 3% absolute difference (4% recommended treatment versus 1% recommended monitoring).

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network

Hilton

Funkhouser

Ferracane

et al. 2020

The Journal of Prosthetic Dentistry

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“…1 Dental emergencies are usually a result of untreated irreversible pulpitis characterized by spontaneous episodes of sharp shooting and lingering pain which is due to irreparable pulpal damage 2 and if not treated can lead to pulp necrosis and abscess formation. Fractured and cracked tooth that involves pulp can also lead to similar episodes of pain 3 and require RCT or extraction. These situations are further dealt with systemic antibiotics and analgesics for relief of symptoms as an adjunctive treatment if indicated.…”

Section: Introductionmentioning

confidence: 99%

Current Trends To Deal Endodontic Emergencies and Use of Antibiotics by Dentists of Karachi

Khan¹,

Asghar²,

Faizan³

2018

J Pak Dent Assoc

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The aim of this study was to collect information from dentists regarding treatment of endodontic emergencies and investigate their antibiotic prescribing habits. METHODOLOGY: A cross sectional study was conducted in which questionnaires were distributed to 300 dentists of dental hospitals and private clinics of Karachi, Pakistan. The survey dealt with questions focusing on treatment approaches for different endodontic emergency situations and antibiotic prescribing habits of the dentists. RESULTS: A total of 182 participants were included with a response rate of 65%. In cases of a vital teeth with irreversible pulpitis, (59.9%) of dentists opted for two visit root canal treatment. Dentists with working experience 5 years performed root canal treatment in more than two visits which is in a higher ratio than the other groups (P<0.05). (75.3%) of dentists prescribed medications if RCT required multiple visits. (33.5%) managed emergency case of pulpitis by pulpectomy in combination with analgesics and antibiotics. In management of acute apical periodontitis, (28%) opted for pulpectomy with intra-canal medication. In case of acute apical abscess, (67.6%) of the dentists preferred drainage of the abscess by opening pulp chamber in combination with antibiotics. Most frequently prescribed antibiotics were Amoxicillin-Clavulanate (78.8%). CONCLUSIONS: Dentists were over prescribing antibiotics in may conditions. Educational programs should be conducted on regular basis to increase the knowledge of the dentists.

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“…Tratamiento: Se conoce que la mayoría de las decisiones clínicas tomadas para el tratamiento no se basan en evidencias científicas, a pesar de que se sugieren varias alternativas. En cuanto a los métodos terapéuticos es mundialmente conocido que la vía más rápida, aunque no más sencilla ni conservadora, para cesar la sintomatología del paciente es el tratamiento del sistema de conductos radiculares Excepto en el caso de enfermedad pulpar/apical, que estos dientes requieren tratamiento no quirúrgico del conducto radicular (Alkhalifah, Alkandari, Sharma y Moule, 2017) (Dow, 2016).…”

Section: Salud Publicaunclassified

Síndrome del Diente Fisurado: una actualización imprescindible

Abreus

Batista

Ramírez

et al. 2021

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Introducción: El Síndrome del Diente Fisurado ha aumentado su incidencia a nivel mundial y constituye un desafío diagnóstico fundamental en la práctica clínica estomatológica. En Cuba no está incluido en la clasificación vigente de traumatología dental por lo que no se diagnostica ni se trata. Objetivo: describir el Síndrome del Diente Fisurado, como entidad estomatológica frecuente. Metodología: Se realizó una revisión bibliográfica teniendo en cuenta la literatura científica en idioma español e inglés, incluyéndose todos los artículos de investigación originales, artículos de revisión e informes de casos, utilizando las bases de datos Scielo, PubMed, Scopus. Se identificaron alrededor de 63 artículos, de los cuales fueron seleccionados 54 según los criterios académicos de la Escuela Estomatológica Cubana, de ellos el 50% actualizado. Se analizó e integró la información. Resultados: Topográficamente, los dientes del sector posterior resultaron ser los más afectados. Afecta fundamentalmente a adultos en el rango de edad de 30 a 60 años; mientras que el sexo no es una variable determinante en su incidencia. Su causa esencial es la fractura vertical incompleta o fisura en la dentina, que no suelen ser mostradas en la radiografía. Conclusiones: Se concluyó que a pesar de que este síndrome es una entidad clínica común y bien documentada en varios países como una de las afecciones traumáticas que puede evolucionar a una necrosis pulpar, en Cuba, no existe ningún protocolo que regule su identificación.

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Treatment of Cracked Teeth

Cited by 32 publications

References 15 publications

Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network

Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network

Current Trends To Deal Endodontic Emergencies and Use of Antibiotics by Dentists of Karachi

Síndrome del Diente Fisurado: una actualización imprescindible

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