Cracked Tooth Syndrome: Assessment, Prognosis and Predictable Management Strategies

T Gill; A J Pollard; J Baker; C Tredwin

doi:10.1922/EJPRD_2232Gill09

Cracked Tooth Syndrome: Assessment, Prognosis and Predictable Management Strategies

Eur J Prosthodont Restor Dent. 2021 Nov 29;29(4):209-217. doi: 10.1922/EJPRD_2232Gill09.

Authors

T Gill^{1

2}, A J Pollard³, J Baker⁴, C Tredwin⁵

Affiliations

¹ Academic Clinical Fellow & Specialist Registrar Restorative Dentistry, Royal London Hospital, Whitechapel Rd, Whitechapel, London, E1 1FR.
² Honorary Clinical Research Fellow, Centre of Oral Bioengineering, Queen Mary University of London, Whitechapel, London, E1 1FR.
³ Specialist Registrar Periodontology, University Hospitals Bristol, University of Bristol Dental School, Lower Maudlin St, Bristol BS1 2LY, UK.
⁴ Specialist in Fixed & Removable Prosthodontics, 55 Wimpole Street, London W1G 8YL.
⁵ Professor of Restorative Dentistry and Head of Peninsula Dental School, Peninsula Dental School, University of Plymouth, Drakes Circus, Plymouth, PL4 8AA.

PMID: 33770422
DOI: 10.1922/EJPRD_2232Gill09

Abstract

Cracked tooth syndrome (CTS) is a common presentation in general practice. The diagnosis and management of teeth with CTS may be difficult due to the unknown extent of the crack. This article reviews the aetiology, diagnosis, management and prognosis of teeth with CTS. A thorough examination is required to effectively assess CTS. Intervention should aim to relieve symptoms and brace the remaining tooth structure effectively against further flexion. Restored teeth with CTS have a guarded prognosis due to the risk of further crack propagation, but the chances of survival at 5-years is acceptable (74.1-96.8%).

Keywords: Cracked Tooth Syndrome; Dental Bonding; Dental Onlay; Dental Restoration.

Publication types

Review

MeSH terms

Cracked Tooth Syndrome* / diagnosis
Cracked Tooth Syndrome* / therapy
Humans
Prognosis