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Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material

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Therapeutic strategy for cracked teeth.

William Pacquet, Constance Delebarre, Stephane Browet

The International Journal of Esthetic Dentistry

|September 1, 2022

Summary

Diagnosing and managing cracked teeth is challenging due to complexity and lack of treatment consensus. This article presents a diagnostic approach and therapeutic strategy for cracked teeth, focusing on sealing bacterial infiltration and limiting crack propagation.

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Area of Science:

Dentistry
Dental Biomaterials
Restorative Dentistry

Background:

Cracked teeth present diagnostic and treatment challenges.
Understanding crack development in enamel and dentin is crucial.
Biologic and mechanical implications necessitate a comprehensive approach.

Purpose of the Study:

To explain cracked tooth pathology and clinical consequences.
To develop a comprehensive diagnostic approach for cracked teeth.
To propose a reliable and reproducible therapeutic strategy for cracked teeth management.

Main Methods:

Literature review on cracked teeth.
Development of a comprehensive diagnostic approach.
Proposal of a therapeutic strategy based on immediate dentin sealing and relative cuspal coverage.

Main Results:

Identified key diagnostic elements: bite test, transillumination, pulp sensitivity, periodontal tests, radiography, restoration removal, and quantitative light-induced fluorescence.
Proposed a two-pillar therapeutic strategy: arrest bacterial infiltration and limit crack propagation.
Illustrated the clinical protocol with a decision map and case example.

Conclusions:

A comprehensive diagnostic approach aids in identifying cracked teeth.
Immediate dentin sealing and relative cuspal coverage form a reliable treatment strategy.
The proposed protocol optimizes cracked tooth management by addressing biologic and mechanical factors.