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Updated: Aug 13, 2025

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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
Published on: July 12, 2022
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Lessons learned from the Cracked Tooth Registry: A 3-year clinical study in the Nation's Network.
Journal of the American Dental Association (1939)
|January 23, 2023
Summary
Cracked teeth rarely fracture, and most can be monitored. Early intervention for cracked teeth is guided by symptoms like pain and decay, with crowns being the primary treatment.
Area of Science:
- Dental Research
- Clinical Dentistry
- Tooth Fracture
Background:
- A large, multisite, 3-year observational study on posterior teeth with cracks was conducted by The National Dental Practice-Based Research Network.
- This review synthesizes key findings from this extensive study.
Purpose of the Study:
- To answer common clinical questions regarding cracked posterior teeth: prognosis, intervention timing, and optimal treatment.
- To provide evidence-based guidance for dental practitioners managing teeth with cracks.
Main Methods:
- Review of eight articles published between 2017-2022 on clinical characteristics, treatment, and outcomes of cracked posterior teeth.
- Analysis of data from a 3-year observational study by The National Dental Practice-Based Research Network.
Main Results:
- Cracked teeth have a low incidence of fracture (3%) and crack progression (12%) over 3 years.
- Treatment decisions for cracked teeth are influenced by active caries, biting pain, and crack detectability.
- Complete crowns are the most common treatment; retreatment rates are low, with high tooth survival.
Conclusions:
- Dental practitioners are generally adept at managing cracked teeth, distinguishing between those requiring treatment and those suitable for monitoring.
- The study provides valuable insights into the long-term outcomes and management strategies for cracked posterior teeth.
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