Cracked tooth syndrome

By Dr.Swathi Pai on Tuesday 15 April 2008 with 0 comments



Factors Contributing to Etiology


  • Occlusal/parafunctional factors
  • Restorative factors
  • thermal cycling
  • Tooth morphology and position
  • most common in mand. molars; oblique ridge protects max. molars
  • Trauma
  • Third most common cause of tooth loss
DIAGNOSIS
  • Pt. Hx and symptoms
  • pain on biting/release
  • no pain on vertical pressure, but on lateral pressure
  • thermal sensitivity
  • sensitivity to sweets/sour
  • lost restoration
  • inability to localize the offending tooth
  • Transillumination
  • Provocative bite test (tooth sleuth)
  • Staining with dyes
  • Radiographs
  • Endodontic evaluation
  • Periodontal evaluation
  • Surgical evaluation
Treatment
  • Orthodontic band, copper band, occlusal equilibration
  • Cusp coverage amalgam alloy restoration
  • Full coverage temporary crown
  • 10% of patients have continued symptoms

Category: Conservative and Endodontics Notes

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