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Related Experiment Videos

Cracked teeth--treatment rationale and case management: case reports

H H Liu1, S K Sidhu

  • 1Department of Restorative Dentistry, National University of Singapore.

Quintessence International (Berlin, Germany : 1985)
|July 1, 1995
PubMed
Summary

This study successfully managed six teeth with incomplete vertical fractures using bands or provisional crowns, followed by endodontic treatment and full crowns. All treated teeth remained asymptomatic for up to 3.5 years, demonstrating effective fracture management.

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Area of Science:

  • Dentistry
  • Endodontics
  • Restorative Dentistry

Background:

  • Cracked teeth, specifically incomplete vertical root fractures, present a complex clinical challenge.
  • Early diagnosis and intervention are crucial for preserving tooth structure and function.

Purpose of the Study:

  • To report the treatment rationale and successful management of six teeth with incomplete vertical fractures.
  • To evaluate the long-term outcomes of a specific treatment protocol for cracked teeth.

Main Methods:

  • Six teeth with incomplete vertical fractures were treated.
  • Crack propagation was prevented using stainless steel orthodontic bands or provisional crowns (aluminum or acrylic resin).
  • Endodontic treatment, followed by intraradicular amalgam cores and complete veneer crowns, was performed.

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Main Results:

  • The chosen methods effectively prevented further crack propagation in all cases.
  • All six teeth remained asymptomatic during a follow-up period of up to 3.5 years.
  • The restorative procedures provided durable and functional outcomes.

Conclusions:

  • A combination of stabilization, endodontic therapy, and appropriate restoration can successfully manage teeth with incomplete vertical fractures.
  • This treatment approach offers a viable option for preserving cracked teeth, preventing extraction.
  • Long-term asymptomatic function was achieved, highlighting the efficacy of the described management strategy.