Cracked tooth syndrome incidence, classification, etiology, diagnosis, treatment and prevention.

Abstract

Incomplete tooth fractures are difficult to diagnose and patient with such fractures are known to go from dentist to dentist in search of relief from related symptoms. Cameron reported two cases where unsuccessful diagnosis of cracked tooth syndrome had resulted in treatment for trigeminal neuralgia for one patient and planned neurosurgery for the other. Therefore, early diagnosis and awareness of dentist for signs and symptoms of cracked tooth syndrome can prevent extended discomfort and more extensive treatment for the patient. There have been few large-scale studies for the treatment of this syndrome. The application of a stainless steel band and occlusal adjustment will frequently result in cessation of symptoms. The ideal permanent restoration for such teeth is a full coverage crown and the majority of teeth treated will retain their vitality. Other treatment modalities may be valid but need more large-scale prospective studies.