Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

A Literature Review on Cracked Teeth

균열치 증후군에 대한 문헌고찰

  • Cho, Woong-Rae (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Kim, Dae-Gon (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University)
  • 조웅래 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 김대곤 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Received : 2011.06.03
  • Accepted : 2011.09.25
  • Published : 2011.09.30
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Abstract

Cracked teeth are a common problem with incomplete fracture that typically shows pain on biting and temperature stimuli. The most common cause of crack is known to be the masticatory accident. Predisposing factors were aging, old restoration, and iatrogenic stress concentration, etc. Accurate diagnosis is needed for detecting the extent of crack and pulp vitality. There are many diagnostic tools like bite test, direct observation with transillumination, dye penetration, and radiographs. Immediate treatment for pain relief and occlusal adjustment would be needed. Composite resin and bonded amalgam showed favorable prognosis. Moreover, cusp protection is reliable permanent treatment for cracked teeth. The purpose of this article is to review the literature about the prevention, diagnosis, and treatment for cracked teeth.

균열치는 저작운동과 온도자극에 대한 치아의 통증을 호소하는 환자에서 자주 발견되는 질환으로 균열의 진행정도에 따라 다양하게 분류할 수 있다. 가장 흔한 원인으로는 저작과정 중의 갑작스러운 사고로 알려져 있지만 대부분 증령, 기존 수복물 또는 의원성 응력집중과 같은 기여요인이 있을 때 발생한다. 균열의 진행정도 및 치수침범에 대한 정확한 진단이 필수적이며 저작시 통증을 확인한 후 균열을 가급적 눈으로 확인하는 것이 좋다. 이를 위해 투과광이나 염색과 같은 보조적 방법을 이용할 수 있다. 치료는 즉각적인 통증완화를 위한 교합조정이나 파절편 고정이 필요하며 치수의 상태에 따라 근관치료가 추가적으로 필요할 수도 있다. 궁극적인 치료로는 복합레진이나 접착 아말감으로 균열부위에 가해지는 충격을 완화시킨 후 주조수복물을 이용한 교두보호가 필요하다. 이 논문에서는 균열치에 대한 다양한 원인, 치료, 예후 등에 관한 문헌을 고찰할 것이다.

Keywords

References

  1. Colleagues for Excellence 2008(summer conference). Cracking the cracked tooth code: 1-7.
  2. Gher ME Jr, Dunlap RM, Anderson MH, Kuhl LV. Clinical survey of fractured teeth. J Am Dent Assoc 1987;114:174-7. https://doi.org/10.14219/jada.archive.1987.0006
  3. Bader JD, Martin JA, Shugars DA. Preliminary estimates of the incidence and consequences of tooth fracture. J Am Dent Assoc 1995;126:1650-4. https://doi.org/10.14219/jada.archive.1995.0113
  4. Hilton TJ, Ferracane JL, Madden T, Barnes C. Cracked teeth: a practice-based prevalence survey. J Dent Res 2007;86:abst 2044.
  5. Hiatt WH. Incomplete crown-root fracture in pulpal- periodontal disease. J Periodontol 1973;44:369-79. https://doi.org/10.1902/jop.1973.44.6.369
  6. Roh BD, Lee YE. Analysis for 154 cases of teeth with cracks. Dent Traumatol 2006;22:118-23. https://doi.org/10.1111/j.1600-9657.2006.00347.x
  7. Lynch C, McConnel R. The cracked tooth syndroe. J Can Dent Assoc 2002; 68:470-5.
  8. Rosen H. Cracked tooth syndrome. J Prosthet Dent 1982;47:36-43. https://doi.org/10.1016/0022-3913(82)90239-6
  9. Ratcliff S, Mecker IM, Quinn L. Type and incidence of cracks in posterior tooth. J Prosthet Dent 2001;86:168-72. https://doi.org/10.1067/mpr.2001.116578
  10. Kahler B. Bacterial contamination of cracks in symptomatic vital teeth. Austr Endod J 2000;26:115-8. https://doi.org/10.1111/j.1747-4477.2000.tb00296.x
  11. Turp JC, Gobetti JP. The cracked tooth syndrome: an elusive diagnosis. J Am Dent Assoc 1996;127;1502-7. https://doi.org/10.14219/jada.archive.1996.0060
  12. Mora MA, Tyndall DA. In vitro assessment of local computed tomography for the detection of longitudinal tooth fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:825-9. https://doi.org/10.1016/j.tripleo.2006.09.009
  13. Clark DJ, Sheets CG, Paquette JM. Definitive diagnosis of early enamel and dentin cracks based on microscopic evaluation. J Esthet Restor Dent 2003;15:391-401. https://doi.org/10.1111/j.1708-8240.2003.tb00963.x
  14. Abbott P, Leow N. Predictable management of cracked teeth with reversible pulpitis. Aust Dent J 2009;54:306-15. https://doi.org/10.1111/j.1834-7819.2009.01155.x
  15. Banerji S, Mehta SB, Millar BJ. Cracked tooth syndrome. Part2: restorative options for the management of cracked tooth syndrome. Br. Dent 2010;208:503-14. https://doi.org/10.1038/sj.bdj.2010.496
  16. Heijkoop PS. Early protection of cracked teeth. Aust Endod J. 1998;24:38-40.
  17. Cavel WT, Kelsey WP Blankenau RJ. An in vivo study of cuspal fracture. J Prosthet dent 1985;53: 38-42. https://doi.org/10.1016/0022-3913(85)90061-7
  18. Agar JR. Weller RN. Occlusal adjustment for initial treatment and prevention of the cracked tooth syndrome. J Prosthet Dent 1988;60(2):145-7. https://doi.org/10.1016/0022-3913(88)90303-4
  19. Rasheed AA. Effect of bonding amalgam on the reinforcement of teeth. J Prosthet Dent 2005;93:51-5. https://doi.org/10.1016/j.prosdent.2004.10.014
  20. Davis R, Overton JD. Efficacy of bonded and non-bonded amalgam in the Treatment of teeth with incomplete fracture. J Am Dent Assoc 2000;4: 469-78.
  21. Segura A, Riggins R. Fracture resistance of four different restorations for cuspal replacement. J Oral Rehab 1999;928-31.
  22. Opdam NJ, Roeters JM. The effectiveness of bonded composite restorations in the treatment of painful, cracked teeth: six-month clinical evaluation. Oper Dent. 2003;28:327-33.
  23. Opdam NJ, Roesters JJ, Loomans BA, Bronkhorst EM. Seven-year clinical evaluation of painful cracked teeth restored with a direct composite restoration. J Endod 2008;34:808-11. https://doi.org/10.1016/j.joen.2008.04.011
  24. Krell KV, Rivera EM. A six year evaluation of cracked teeth diagnosed with reversible pulpitis: Treatment and Prognosis. J Endod 2007;33:1405-7. https://doi.org/10.1016/j.joen.2007.08.015
  25. Casciari BJ. Altered preparation design for cracked teeth. J Am Dent Assoc;130:571-2.
  26. Tan et al. Survival of root fille cracked teeth in a tertiary institution. Int Endod J 2006;39:886-9. https://doi.org/10.1111/j.1365-2591.2006.01165.x