What is Cracked Tooth Syndrome?
Synonyms for Cracked Tooth Syndrome
- Cracked Cusp Syndrome
- Split Teeth Syndrome
- Incomplete Fracture of Posterior Teeth
- Greenstick Fracture of Crown
Introduction
A tooth that is incompletely cracked but no part of tooth has broken off.
Pattern of Crack
- Centrally located crack may extend to pulp
- Peripherally located crack (Cuspal Fracture)
Types of Cracked Tooth Syndrome
- Fractured Cusp
- Treatable
- Non-Treatable
- Split Tooth
Clinical Features of Cracked Tooth Syndrome
- Pain on biting
- Relief after removing pressure
- Tenderness positive on Axial Percussion
Mechanism of Pain in Cracked Tooth Syndrome
Diagnosis for Cracked Tooth Syndrome
- Clinical Symptoms
- Bite Test - Patient is asked to bite upon Tooth Sloth / Toothpick / Cotton Roll
Inference - When patient bites on tooth sloth it Pains and which gets relieved when biting pressure has withdrawn.
Risk Factor for Cracked Tooth Syndrome
- Heavy Restoration
- Extensive Dental Restoration
- Occlusal Discrepancies (High Points)
- Masticatory Accidents
Treatment for Cracked Tooth Syndrome
- Small Crack : Remove Compromised part followed by Restoration
- Large Crack (No pulp involvement) : Stabilization with Orthodontic Band / Crown / Cast metal Restoration
- Large Crack (With pulp involvement) : Stabilization, Endodontic treatment followed by Permanent Restoration
- Split Tooth : Extraction (Hopeless Prognosis)
