• The Journal of the Korean dental association
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• v.57 no.7
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• pp.403-411
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• 2019

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.

• The Journal of the Korean dental association
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• v.40 no.11 s.402
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• pp.893-898
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• 2002

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.3
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• pp.271-280
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• 2021

Purpose. The aim of this study was to evaluate the relationship between the patient's occlusion and a cracked tooth by using T-scan occlusal analysis and a quantitative light-induced fluorescence (QLF) technology. Materials and methods. This study was carried out on 51 patients having cracked teeth between January, 2019 and December, 2020. The tooth crack was determined with a Q-ray pen and QLF parameters (ΔF_max and ΔR_max) were obtained by a Q-ray software. T-scan tests were conducted to all subjects and then, the occlusal force and disclosing time were analyzed. Mann-Whitney U test was performed to compare the occlusal force and disclosing time between cracked teeth groups and contra-lateral normal teeth groups (α = .05). Mann-Whitney U test was performed to compare ΔF_max and ΔR_max according to the results of cold/bite tests (α = .05). A Spearman correlation analysis was run to determine the relationship between ΔF_max or ΔR_max and occlusal force or disclosing time (α=.05). Results. The mean occlusal force and disclosing time were significantly higher on cracked teeth than on normal teeth (P < .05). The ΔF_max or ΔR_max were not significantly different according to the results of cold/bite tests (P > .05). There was no correlation between ΔF_max or ΔR_max and occlusal force or disclosing time (P > .05). Conclusion. There was a significant relationship between occlusion and cracked tooth syndrome. QLF has the potential to be a valuable tool for the diagnosis of tooth crack in clinical practice.

• Medical Lasers
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• v.10 no.4
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• pp.214-219
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• 2021

Background and Objectives To evaluate the difference in near-infrared (810 nm) laser energy transmission through teeth with and without cracks. Materials and Methods Extracted teeth were sectioned and examined visually for the presence of cracks with the aid of photographs and a trans-illuminator. Fourteen sections, each with cracks (Group A) and no cracks (Group B) were identified and placed 15 mm from the tip of a 300 micron fiber, prior to activation with an 810 nm diode laser (0.1W, 50 ms interval,100 ms duration). A power meter positioned behind the tooth recorded the average energy that was transmitted through the samples. Unpaired t-test analysis was used to determine if the tooth sections with cracks allowed higher power passage compared to sound teeth. Results The mean power recording for the cracked teeth (Group A) was significantly greater (p = 0.0005) than that for the non-cracked teeth (Group B). Conclusion Within the limitations of this study, it is evident that significantly higher laser energy passes through teeth with cracks in comparison to teeth without cracks. A recent clinical study has also shown that lasers could be used to assess symptomatic cracked teeth. Hence, further research is required to determine the relative increase in energy required to identify symptomatic cracked teeth.

• Journal of Periodontal and Implant Science
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• v.47 no.1
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• pp.41-50
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• 2017

Purpose: The aims of the present study were to compare the image quality and visibility of tooth cracks between conventional methods and swept-source optical coherence tomography (SS-OCT) and to develop an automatic detection technique for tooth cracks by SS-OCT imaging. Methods: We evaluated SS-OCT with a near-infrared wavelength centered at 1,310 nm over a spectral bandwidth of 100 nm at a rate of 50 kHz as a new diagnostic tool for the detection of tooth cracks. The reliability of the SS-OCT images was verified by comparing the crack lines with those detected using conventional methods. After performing preprocessing of the obtained SS-OCT images to emphasize cracks, an algorithm was developed and verified to detect tooth cracks automatically. Results: The detection capability of SS-OCT was superior or comparable to that of trans-illumination, which did not discriminate among the cracks according to depth. Other conventional methods for the detection of tooth cracks did not sense initial cracks with a width of less than $100{\mu}m$. However, SS-OCT detected cracks of all sizes, ranging from craze lines to split teeth, and the crack lines were automatically detected in images using the Hough transform. Conclusions: We were able to distinguish structural cracks, craze lines, and split lines in tooth cracks using SS-OCT images, and to automatically detect the position of various cracks in the OCT images. Therefore, the detection capability of SS-OCT images provides a useful diagnostic tool for cracked tooth syndrome.

• The Journal of the Korean dental association
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• v.25 no.10 s.221
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• pp.899-899
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• 1987

• Restorative Dentistry and Endodontics
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• v.41 no.1
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• pp.79-79
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• 2016

• The Journal of the Korean dental association
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• v.22 no.1 s.176
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• pp.5-5
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• 1984

• Proceedings of the KACD Conference
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• 2007.05a
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• pp.287-287
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• 2007

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.29 no.5
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• pp.317-320
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• 2016

In order to acquire clear images capable of diagnosing cracked tooth by light transmission, the optical properties of LED light source were examined. Based on the results, the prototype which basically consisted of LED light source, bandpass filter and commercial compact camera module was designed and manufactured. The wavelength and optical power of the LED in the prototype were 850 nm and 7 mW/Sr, respectively. In evaluation of the prototype using microscope, the observation of the crack with width of above $17{\mu}m$ was possible. In addition, image analysis to obtain shape information on the observed tooth cracks was carried out.