Research Article

Diagnosis and Treatment of Anterior Cracked Tooth: A Case Report

Wellington Luiz de Oliveira Da Rosa, Lucas Pradebon Brondani, Tiago Machado Da Silva, Evandro Piva and Adriana Fernandes Da Silva*

Published: 02/24/2017 | Volume 1 - Issue 1 | Pages: 12-20

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 wasto 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.

Read Full Article HTML DOI: 10.29328/journal.hjd.1001003 Cite this Article

REFERENCES

  1. 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
  2. Ellis SG. Incomplete tooth fracture--proposal for a new definition. Br Dent J. 2001; vol: 190:  424-428. Ref.: https://goo.gl/k4z2uh
  3. 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
  4. Endodontists A Ao. Cracking the cracked tooth code. Endodontics: Colleagues for Excellence. 2008; Chicago: American Association of Endodontists.
  5. 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
  6. Liu HH, Sidhu SK. Cracked teeth--treatment rationale and case management: case reports. Quintessence Int. 1995. 26: 485-492. Ref.: https://goo.gl/z6ujeb
  7. 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
  8. 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
  9. 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
  10. Homewood CI. Cracked tooth syndrome--incidence, clinical findings and treatment. Aust Dent J. 1998; 43: 217-222. Ref.: https://goo.gl/UBgJtb
  11. Cameron CE. The cracked tooth syndrome: additional findings. J Am Dent Assoc. 1976; 93: 971-975. Ref.: https://goo.gl/yniG4n
  12. Turp JC, Gobetti JP. The cracked tooth syndrome: an elusive diagnosis. J Am Dent Assoc. 1996; 127: 1502-1507. Ref.: https://goo.gl/oFLmkE
  13. Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm. Eur J Dent. 2015; 9: 293-303. Ref.: https://goo.gl/WBnele
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. Mjor IA, Gordan VV. Failure, repair, refurbishing and longevity of restorations. Oper Dent. 2002; 27: 528-534. Ref.: https://goo.gl/0lPTVs
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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
  35. 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
  36. 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
  37. 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
  38. 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
  39. Perdigão J, Loguercio AD. Universal or Multi-mode Adhesives: Why and How? J Adhes Dent. 2014; 16: 193-194. Ref.: https://goo.gl/A5RKMU
  40. 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
  41. 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
  42. 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
  43. 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