Cracked Tooth Syndrome

Cracked tooth syndrome is a common issue in dentistry and poses a significant challenge in general dental practice. This condition is frequently confounded by its diverse symptomatology, ambiguous presentation, and varying symptoms, often leading to misdiagnosis. Even the most experienced clinician can find it challenging, requiring a systematic and thorough approach to management.

A cracked tooth is characterized by a fracture plane of unknown depth and direction passing through the tooth structure, which, if not already involved, may progress to communicate with the pulp and/or periodontal ligament. Initially, a crack may be superficial, causing occasional pain or discomfort for the patient when biting. However, it can progress to compromise the tooth's integrity, involve the pulp, or extend to the root surface, ultimately rendering the tooth unrestorable. Due to the unpredictable nature of the condition, it is essential to provide the patient with as much information as possible to manage their expectations effectively. Healthcare professionals must also be proficient in available diagnostic tools, as an accurate diagnosis is pivotal for successful treatment planning when managing cracked tooth syndrome.