Diagnosis and Treatment of Anterior Cracked Tooth: A Case Report
Article Sidebar
Main Article Content
Abstract
Background: A cracked tooth may be challenging for dentists because it may present with varied intensities, may be asymptomatic, and may still not be clinically visible. The transilumination method can facilitate diagnosis and ensure appropriate treatment in such cases. The aim of the present article was to report a clinical case of an anterior cracked tooth with a nonesthetic class IV restoration.
Clinical considerations: A 22-year-old male patient with chief complaint of esthetics of upper front tooth reported a history of dental trauma. Transilumination with a dental curing light unit was used to examine the region. The tooth 11 was diagnosed with several cracks and a nonesthetic class IV restoration. For repair, the universal adhesive system Scotchbond Universal was applied without previous acid etching, followed by the application of Filtek Z350 of color type B2 (for body) above the old restoration, taking care to slightly overlap the fracture line with the composite and to not extend the composite until the incisal margin. Subsequently, a thin layer of Filtek Z350 of color type B2 (for enamel) was applied over the bevel until the incisal margin, and the tooth shape was carved.
Conclusion: This case report demonstrates simplified diagnosis of an anterior cracked tooth with transilumination; following repair, the esthetic quality of the restoration was considered satisfactory and approved by the patient.
Article Details
Copyright (c) 2017 Da Rosa WLO, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Kang SH, Kim BS, Kim Y. Cracked Teeth: Distribution, Characteristics, and Survival after Root Canal Treatment. J Endod. 2016; 42: 557-562. Ref.: https://goo.gl/Hwy33o
Ellis SG. Incomplete tooth fracture--proposal for a new definition. Br Dent J. 2001; vol: 190: 424-428. Ref.: https://goo.gl/k4z2uh
Ritchey B, Mendenhall R, Orban B. Pulpitis resulting from incomplete tooth fracture. Oral Surg Oral Med Oral Pathol. 1957; 10: 665-670. Ref.: https://goo.gl/WOiVWh
Endodontists A Ao. Cracking the cracked tooth code. Endodontics: Colleagues for Excellence. 2008; Chicago: American Association of Endodontists.
Capar ID, Uysal B, Ok E, Arslan H. Effect of the size of the apical enlargement with rotary instruments, single-cone filling, post space preparation with drills, fiber post removal, and root canal filling removal on apical crack initiation and propagation. J Endod. 2015; 41: 253-256. Ref.: https://goo.gl/1ODpb3
Liu HH, Sidhu SK. Cracked teeth--treatment rationale and case management: case reports. Quintessence Int. 1995. 26: 485-492. Ref.: https://goo.gl/z6ujeb
Bader JD, Martin JA, Shugars DA. Preliminary estimates of the incidence and consequences of tooth fracture. J Am Dent Assoc. 1995; 126: 1650-1654. Ref.: https://goo.gl/sqlv1F
Krell KV, Rivera EM. A six year evaluation of cracked teeth diagnosed with reversible pulpitis: treatment and prognosis. J Endod. 2007; 33: 1405-1407. Ref.: https://goo.gl/a1fR1O
Banerji S, Mehta SB, Millar BJ. Cracked tooth syndrome. Part 1: aetiology and diagnosis. Br Dent J. 2010; 208: 459-463. Ref.: https://goo.gl/qY27og
Homewood CI. Cracked tooth syndrome--incidence, clinical findings and treatment. Aust Dent J. 1998; 43: 217-222. Ref.: https://goo.gl/UBgJtb
Cameron CE. The cracked tooth syndrome: additional findings. J Am Dent Assoc. 1976; 93: 971-975. Ref.: https://goo.gl/yniG4n
Turp JC, Gobetti JP. The cracked tooth syndrome: an elusive diagnosis. J Am Dent Assoc. 1996; 127: 1502-1507. Ref.: https://goo.gl/oFLmkE
Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm. Eur J Dent. 2015; 9: 293-303. Ref.: https://goo.gl/WBnele
Lubisich EB, Hilton TJ, Ferracane J. Northwest Precedent. Cracked teeth: a review of the literature. J Esthet Restor Dent. 2010; 22: 158-167. Ref.: https://goo.gl/QfY9oj
Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, et al. The CARE guidelines: consensus-based clinical case reporting guideline development. J Med Case Rep. 2013; 7: 223. Ref.: https://goo.gl/Swb8kx
Baldissera RA, Correa MB, Schuch HS, Collares K, Nascimento GG, et al. Are there universal restorative composites for anterior and posterior teeth? J Dent. 2013, 41: 1027-1035. Ref.: https://goo.gl/BV7OPJ
Demarco FF, Correa M , Cenci MS, Moraes RR, Opdam NJ, et al. Longevity of posterior composite restorations: not only a matter of materials. Dent Mater. 2012; 28: 87-101. Ref.: https://goo.gl/LwbKTT
Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, et al. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res. 2014; 93: 943-949. Ref.: https://goo.gl/pgTHWN
Ikeda T, Uno S, Tanaka T, Kawakami S, Komatsu H, et al. Relation of enamel prism orientation to microtensile bond strength. Am J Dent. 2002; 15: 109-113. Ref.: https://goo.gl/kX2kpT
Baratieri LN, Ritter AV. Critical appraisal. To bevel or not in anterior composites. J Esthet Restor Dent. 2005; 17: 264-269. Ref.: https://goo.gl/FlELgY
Mazhari F, Mehrabkhani M, Sadeghi S, Malekabadi KS. Effect of bevelling on marginal microleakage of buccal-surface fissure sealants in permanent teeth. Eur Arch Paediatr Dent. 2009; 10: 241-243. Ref.: https://goo.gl/H9PDib
Swanson TK, Feigal RJ, Tantbirojn D, Hodges JS. Effect of adhesive systems and bevel on enamel margin integrity in primary and permanent teeth. Pediatr Dent. 2008; 30: 134-140. Ref.: https://goo.gl/1cNZOw
Schroeder M, Reis A, Luque-Martinez I, Loguercio AD, Masterson D, et al. Effect of enamel bevel on retention of cervical composite resin restorations: A systematic review and meta-analysis. J Dent. 2015; 43: 777-788. Ref.: https://goo.gl/YWlQeF
Donly KJ, Browning R. Class IV preparation design for microfilled and macrofilled composite resin. Pediatr Dent. 1992; 14; 34-36. Ref.: https://goo.gl/f3rDr6
Mjor IA, Gordan VV. Failure, repair, refurbishing and longevity of restorations. Oper Dent. 2002; 27: 528-534. Ref.: https://goo.gl/0lPTVs
Staxrud F, Dahl JE. Role of bonding agents in the repair of composite resin restorations. Eur J Oral Sci. 2011; 119: 316-322. Ref.: https://goo.gl/Hn4sKe
Gordan VV, Shen C, Riley J 3rd, Mjör IA. Two-Year Clinical Evaluation of Repair versus Replacement of Composite Restorations. J Esthet Restor Dent. 2006; 18: 144-154. Ref.: https://goo.gl/M5Ofq3
Imai K, Shimada Y, Sadr A, Sumi Y, Tagami J. Noninvasive cross-sectional visualization of enamel cracks by optical coherence tomography in vitro. J Endod. 2012; 38: 1269-1274. Ref.: https://goo.gl/8bT1I2
Seo DG, Yi YA, Shin SJ, Park JW. Analysis of factors associated with cracked teeth. J Endod. 2012; 38: 288-292. Ref.: https://goo.gl/Uq0tCE
Baratieri LN, Monteiro Junior S, Correa M, Ritter AV. Posterior resin composite restorations: a new technique. Quintessence Int. 1996; 27: 733-738. Ref.: https://goo.gl/UP7JEI
Valente LL, Münchow EA, Peralta SL, de Souza NC : Conservative dentistry: non-beveled esthetic restorations in anterior teeth. Rev Gaúch Odontol. 2014; 62: 443-448. Ref.: https://goo.gl/FCwHP6
Paul RA, Tamse A, Rosenberg E. Cracked and broken teeth--definitions, differential diagnosis and treatment. Refuat Hapeh Vehashinayim (1993). 2007; 24: 7-12. Ref.: https://goo.gl/53wY8J
Jun MK, Ku HM, Kim E, Kim HE, Kwon HK, et al. Detection and Analysis of Enamel Cracks by Quantitative Light-induced Fluorescence Technology. J Endod. 2016; 42: 500-504. Ref.: https://goo.gl/n6V4QP
Fried WA, Simon JC, Lucas S, Chan KH, Darling CL et al. Near-IR imaging of cracks in teeth. Proc SPIE Int Soc Opt Eng. 2014; 18. Ref.: https://goo.gl/b9YTPd
Rosa WL, Piva E, Silva AF. Bond strength of universal adhesives: A systematic review and meta-analysis. J Dent. 2015; 43: 765-776. Ref.: https://goo.gl/LnXdz1
Luque-Martinez IV, Perdigão J, Muñoz MA, Sezinando A, Reis A, et al. Effects of solvent evaporation time on immediate adhesive properties of universal adhesives to dentin. Dent Mater. 2014; 30: 1126-1135. Ref.: https://goo.gl/jKb1zu
Wagner A, Wendler M, Petschelt A, Belli R, Lohbauer U. Bonding performance of universal adhesives in different etching modes. J Dent. 2014; 42: 800-807. Ref.: https://goo.gl/jCxc5P
Chen C, Niu LN, Xie H, Zhang ZY, Zhou LQ, et al. Bonding of universal adhesives to dentine--Old wine in new bottles? J Dent. 2015; 43: 525-536. Ref.: https://goo.gl/KRy7aH
Perdigão J, Loguercio AD. Universal or Multi-mode Adhesives: Why and How? J Adhes Dent. 2014; 16: 193-194. Ref.: https://goo.gl/A5RKMU
Reddy PS, Tejaswi KL, ShettyS, Annapoorna BM, Pujari SCm, et al. Effects of commonly consumed beverages on surface roughness and color stability of the nano, microhybrid and hybrid composite resins: an in vitro study. J Contemp Dent Pract. 2013; 14: 718-723. Ref.: https://goo.gl/IgzQtK
Senawongse P, Pongprueksa P. Surface roughness of nanofill and nanohybrid resin composites after polishing and brushing. J Esthet Restor Dent. 2007; 19: 265-273, discussion 74-75. Ref.: https://goo.gl/YfSOaU
Kaizer MR, de Oliveira-Ogliari A, Cenci MS, Opdam NJ, Moraes RR. Do nanofill or submicron composites show improved smoothness and gloss? A systematic review of in vitro studies. Dent Mater. 2014; 30: 41-78. Ref.: https://goo.gl/ilHukt
St-Pierre L, Bergeron C, Qian F, Hernández MM, Kolker JL, et al. Effect of Polishing Direction on the Marginal Adaptation of Composite Resin Restoration. J Esthet Restor Dent. 2013; 25: 125-138. Ref.: https://goo.gl/jYnx57