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The remaining exposed tooth area may be sensitive to temperature until it is restored. The resultant tooth segment may be attached to the gingival tissues and be required to be removed. The fractured cusp may break and separate entirely at the time of a traumatic event. Undermined cusps from existing restorations are also a contributing factor. Occlusal trauma/ force plays an integral role in the propagation of the fracture line. The fracture originates on the occlusal surface and extends gingivally along a buccal or lingual groove and the mesial or distal marginal ridge. The most common cuspal areas to fracture are the lingual cusps of the lower molars and the buccal cusps of the upper molars. The extent and degree of the fractured cusp is variable. Prevention of bruxism, parafunction and excessive trauma from occlusal forces is recommended Fractured cuspįractured cusp is defined as a complete or incomplete fracture of the crown of the tooth extending subgingivally. Treatment can be for esthetic reasons only and the prognosis is very good. There are typically no symptoms with craze lines. This trauma can be the result of blunt force or more recurrent functional forces, such as bruxism and parafunction. Tooth trauma can contribute to craze lines. Trans-illumination provides clear observation of craze lines. They are more often seen in anterior teeth as vertical striations within the enamel. They do not penetrate into the dentin layer.Īll teeth have craze lines. The micro-fractures are contained within the enamel only.
They may also be termed enamel infractions. Craze linesĬraze lines are micro-fractures of the enamel only.
That is, craze lines have a good prognosis, whereas a vertical root fracture has a very poor prognosis. The vertical order of these cracks, from top to bottom, signifies the general prognosis for a particular crack.
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Understanding and identifying these five types can provide guidance for treating cracked teeth. The American Association of Endodontists has identified five types of tooth cracks. Many teeth with cracks can be saved! The keys are identification, understanding signs and symptoms and early detection. Identifying and classifying cracks will provide some guidance as to treatment planning and treatment outcome. Should the tooth be restored, crowned or extracted? All are possible treatments.
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One of the main considerations regarding an observed tooth crack is the question of when to intervene. Diagnosing cracks and treatment planning for tooth longevity are critical factors for helping patients maintain their teeth. We see tooth cracks each day in our patient treatment. Tooth cracks are a common occurrence in dentistry. Having an understanding of crack origin, etiology, symptomology and prognosis can provide better diagnosis and patient communication and may save a catastrophe from happening to our patients. The question is: could the tooth crack be recognized, and could the outcome from the crack have been predicted in order to avoid a dental catastrophe? This article is written to help dentists recognize and categorize tooth cracks. A tooth may be lost! This can represent a complete disaster that can include emotional, financial and functional considerations. Depending upon the crack position and degree, the result may be catastrophic. But this situation carries a much greater amount of concern. What about tooth cracks? Again, a very uneasy feeling. They are all concerning questions, but all manageable situations. Rightfully so! For instance, a crack in a wood chair: Is the chair going to break when someone sits in it? A crack in a floor: is someone going to trip and fall? Or a crack in a tree branch: is the branch going to break off?Īll are possibilities and valid questions regarding the cracks described.
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We have provided direct link full setup of the game.Cracks! The term conjures up a feeling of uneasiness or concern.
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