대한치과의사협회지 (The Journal of the Korean dental association)

  • 제57권7호
  • /
  • Pages.403-411
  • /
  • 2019
  • /
  • 0376-4672(pISSN)
  • /
  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

Cracked tooth (금이 간 치아)의 조기 진단 및 적절한 치료

Early Diagnosis and Proper Treatment of Cracked tooth

  • 김신영 (가톨릭대학교 서울성모병원 치과보존과)
  • Kim, Sin-Young (Department of Conservative Dentistry, College of Medicine, The Catholic University of Korea)
  • 발행 : 2019.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A cracked tooth is defined as an incomplete fracture initiated from the crown and extending subgingivally and usually directed mesiodistally. Cracked teeth were most frequently involved in mandibular and maxillary molars at the age of 50s. Cracks occurred mainly in nonbonded restorations such as gold and amalgam, and majority of cracks were found in intact teeth. A pulpal and periapical diagnosis is dependent on the extent of the crack and duration of the symptom. The pulp of a cracked tooth might become inflamed because of microleakage, which induces thermal sensitivity. Once the crack has extended and exposed the pulp, severe pulp and periapical pathosis will likely be present. In addition, the extended crack can cause a bony dehiscence with a resulting narrow and deep periodontal pocket. Therefore, early diagnosis of the cracked tooth and proper treatment planning are important for clinician.

키워드

참고문헌

  1. Hiatt WH. Incomplete crown-root fracture in pulpal-periodontal disease. J Periodontol. 1973;44:369-379. https://doi.org/10.1902/jop.1973.44.6.369
  2. Kang SH, Kim BS, Kim Y. Cracked Teeth: Distribution, Characteristics, and Survival after Root Canal Treatment. J Endod. 2016;42:557-562. https://doi.org/10.1016/j.joen.2016.01.014
  3. Kim SY, Kim SH, Cho SB, et al. Different treatment protocols for different pulpal and periapical diagnoses of 72 cracked teeth. J Endod. 2013;39:449-52. https://doi.org/10.1016/j.joen.2012.11.052
  4. Seo DG, Yi YA, Shin SJ, et al. Analysis of factors associated with cracked teeth. J Endod. 2012;38:288-292. https://doi.org/10.1016/j.joen.2011.11.017
  5. Yang SE, Jo AR, Lee HJ, Kim SY. Analysis of characteristics of cracked teeth and evaluation of the pulp status according to periodontal probing depths. BMC Oral Health. 2017;17:135. https://doi.org/10.1186/s12903-017-0434-x
  6. Brannstrom M. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. J Endod. 1986;12:453-457. https://doi.org/10.1016/S0099-2399(86)80198-4
  7. Brannstrom M, Astrom A. The hydrodynamics of the dentine; its possible relationship to dentinal pain. Int Dent J. 1972;22:219-227.
  8. Ehrmann EH, Tyas MJ. Cracked tooth syndrome: diagnosis, treatment and correlation between symptoms and post-extraction findings. Aust Dent J. 1990;35:105-112. https://doi.org/10.1111/j.1834-7819.1990.tb05872.x
  9. Opdam NJ, Roeters JJ, Loomans BA, Bronkhorst EM. Seven-year clinical evaluation of painful cracked teeth restored with a direct composite restoration. J Endod. 2008;34:808-811. https://doi.org/10.1016/j.joen.2008.04.011
  10. Turp JC, Gobetti JP. The cracked tooth syndrome: an elusive diagnosis. J Am Dent Assoc. 1996;127:1502-1507. https://doi.org/10.14219/jada.archive.1996.0060
  11. Cohen S, Blanco L, Berman L. Vertical root fractures: clinical and radiographic diagnosis. J Am Dent Asoc. 2003;134:434-441. https://doi.org/10.14219/jada.archive.2003.0192
  12. Berman LH, Kuttler S. Fracture necrosis: diagnosis, prognosis assessment, and treatment recommendations. J Endod. 2010;36:442-446. https://doi.org/10.1016/j.joen.2009.12.018
  13. Kahler B, Moule A, Stenzel D. Bacterial contamination of cracks in symptomatic vital teeth. Australian endodontic journal : the journal of the Australian Society of Endodontology Inc. 2000;26:115-118. https://doi.org/10.1111/j.1747-4477.2000.tb00296.x
  14. R icucci D, Siqueira JF Jr, Loghin S, Berman LH. The carcked tooth: histopathologic and histobacteriologic aspects. J Endod. 2015;41:343-352. https://doi.org/10.1016/j.joen.2014.09.021