Dental syndrome cracked (abbreviated to CTS , and also called cusp crack syndrome , separate dental syndrome , or Incomplete posterior incisor fractures ), is where the tooth is not completely cracked but no part of the tooth is broken. Sometimes described as a greenstick fracture. Symptoms vary widely, making it a very difficult condition to diagnose.
Video Cracked tooth syndrome
Classification and definition
Dental syndrome cracking can be considered as a type of dental trauma and also one of the possible causes of dental pain. One of the definitions of cracked tooth syndrome is "a plane of fractures of unknown depth and direction that passes through tooth structure which, if not already involved, may develop to communicate with the pulp and/or periodontal ligaments."
Maps Cracked tooth syndrome
Symptoms
The reported symptoms vary widely, and are often present for months before the condition is diagnosed. Reported symptoms may include the following:
- Sharp pain when biting a particular tooth, which may get worse if the biting force applied increases. Sometimes the pain when biting occurs when the chewed food is soft with harder elements, eg. excellent bread.
- "Rebound pain" is a sharp and rapid pain when biting power is released from teeth, which may occur when eating fibrous foods.
- Pain while grinding your teeth back and forwards and sideways.
- Sharp pain when drinking cold drinks or eating cold food, less pain with heat stimulation.
- Pain while eating or drinking sugar.
- Sometimes the pain is localized well, and the individual can determine the exact teeth from which the symptoms originated, but not always.
If the crack spreads to the pulp, irreversible pulpitis, pulpal necrosis and periapical periodontitis may develop, with associated symptoms respectively.
Pathophysiology
CTS is usually characterized by pain while releasing biting pressure on an object. This is because when the bite segment usually moves apart and thereby reduces the pressure on the nerves in the dentin of the tooth. When the bite is released, the "segment" returns fused sharply, increasing the pressure on the intradentin nerve causing the pain. Pain is often inconsistent, and often difficult to reproduce. If left untreated, CTS can cause severe pain, possible pulp death, abscess, and even tooth loss.
If the fracture propagates to the pulp, this is called a complete fracture, and pulp and pulp death can occur. If the crack spreads further into the roots, periodontal defects may develop, or even vertical root fractures.
According to one theory, the pain in the bite is caused by two parts of a broken tooth that move independently of each other, triggering a sudden movement of fluid within the dentin tubule. It activates the A-type nociceptors in the dentine-pulp complex, reported by the pulp-dentin complex as pain. Another theory is that the pain in cold stimulation results from leakage of harmful substances through cracks, irritating the pulp.
Diagnosis
The diagnosis of cracked tooth syndrome is very difficult even for experienced doctors. Its characteristics vary widely and may mimic sinusitis, temporomandibular disorders, headache, earache, or atypical atypical/atypical odontalgia (persistent idiopathic facial pain). When diagnosing tooth syndrome is cracked, the dentist considers many factors. A bite test is usually performed to confirm the diagnosis, in which the patient bites either on a Q-tip, a cotton swab, or a device called Slooth Teeth. Transillumination tests can help to identify the extent of cracks, as well as methylene blue dyes, although dyes may take several days to show traces of propagation and their color may affect the aesthetics of the final reso- cation. The use of dental radiography is unreliable in identifying cracks as most cracks are very thin and they run in a horizontal (mesiodistal) direction rather than a vertical direction.
Epidemiology
The etiology of CTS is multifactorial, causal factors include:
- previous recovery procedure.
- the occlusal factor; patients suffering from bruxism, or clenching tend to have cracked teeth.
- anatomical development/consideration conditions.
- trauma
- others, for example, the growth of old teeth or the presence of tongue tongue buttons.
The most commonly involved teeth are the mandibular molars followed by the maxillary premolar, maxillary maxillary, and maxillary premolars. In a recent audit, the mandibular first molar was thought to be most affected by CTS probably due to the wedging effect of prominent prominent points, protruding mesio-palatal jaws to the mandibular molar central fissures. The study also found signs of cracked tooth after cementation of porcelain inlay; It is recommended that intracoronal restoration debonding may be caused by unknown cracks in the tooth.
Treatment
There is no universally accepted treatment strategy, but, generally, treatment aims to prevent movement of the affected tooth segments so that they do not move or flex independently during biting and grinding and so cracks are not propagated.
- Stabilization (core buildup) (composite bonded restorations placed in teeth or ribbons placed around teeth to minimize flexing)
- Recovery of the crown (to do the same as above but more permanent and predictable)
- Channel Therapy (if pain persists after above)
- Extraction
History
The term "cuspal fracture odontalgia" was proposed in 1954 by Gibbs. Furthermore, the term "cracked tooth syndrome" was coined in 1964 by Cameron, who defined this condition as "an incomplete fracture of the vital posterior tooth involving dentin and occasionally extending into the pulp."
References
Source of the article : Wikipedia
0 Comments