DIAGNOSIS AND MULTIDISCIPLINARY MANAGEMENT OF A MANDIBULAR MOLAR WITH “CRACK TOOTH SYNDROME”

  • Sathish Abraham Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Maharashtra.
  • Rajan Mangrolia Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Maharashtra.
  • Aradhana Kamble Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Maharashtra.
  • Salil Chaudhari Department of Conservative Dentistry and Endodontics, S.M.B.T. Dental College and Hospital, Maharashtra.
Keywords: Fractured tooth, bite test, sausarisation, glass ionomer cement

Abstract

Cracked tooth syndrome is one of the most commonly occurring entities in dentistry being passed unnoticed by most practitioners due to mere lack of knowledge about the condition. The present case is of a tooth having cracked tooth syndrome involving the distal occlusal half of the mandibular first molar. It is a longitudinal fracture which was mesiodistally oriented involving distal marginal ridge and the distal proximal area restricted to the coronal part of the tooth, but also involving the pulp space. The case was treated with proper root canal treatment after rigid immobilization with orthodontic band followed by periodontal surgery for coverage of bone loss distally with bone graft placement and finally followed by the crown prosthesis. The follow-up visit showed complete subsidence of signs and symptoms of the pain and sufficient bone loss coverage and the tooth was saved without any complications.

Downloads

Download data is not yet available.

References

1. Abou-Rass M. Crack lines: precursors of tooth fractures-their diagnosis and treatment. Quint Int 1983; 4:437.
2. Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth, 3rd edition, Copenhagen, Munksgaard, 1994; 279-314.
3. Hiatt WH. Incomplete crown-root fracture in pulpal-periodontal disease. J Periodontol 1973; 44:369-379.
4. Banerji S, Mehta SB, Millar BJ (2010a) Cracked tooth syndrome. Part 1: etiology and diagnosis. Br Dent J 208(10): 459–63.
5. Gutmann JL, Everett Gutmann MS. Cause, incidence, and prevention of trauma to teeth. Dent Clin North Am 1995; 39:1-14.
6. Gutmann JL, Rakusin H. Endodontic and restorative management of incompletely fractured molar teeth. Int Endod J 1994; 27:343-348.
7. Banerji S, Mehta SB, Millar BJ (2010b). Cracked tooth syndrome. Part 2: restorative options for the management of cracked tooth syndrome. Br Dent J 208(11): 503–14.
8. Brunsvold M A, Mellonig JT. Bone grafts and periodontal regeneration Periodontal 2000 2000;1:80-91.
9. Laurell L, Gottlow J, Zybutz M et al. Treatment of intrabony defects by different surgical procedures. A literature review. J Periodontal 1998; 69:303-313.
10. Renvert S, Badersten A, Nilveus R, et al. Healing after treatment of periodontal intraosseous defects. I. Comparative study of clinical methods. J Clin Periodontal 1981; 8:387-399.
How to Cite
1.
Abraham S, Mangrolia R, Kamble A, Chaudhari S. DIAGNOSIS AND MULTIDISCIPLINARY MANAGEMENT OF A MANDIBULAR MOLAR WITH “CRACK TOOTH SYNDROME”. Med. res. chronicles [Internet]. 2015Oct.12 [cited 2024May5];2(5):626-32. Available from: https://medrech.com/index.php/medrech/article/view/130
Section
Case Report