Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series

Background: Diagnosis of cracked tooth syndrome (CTS) requires clinical experience and scientific knowledge. Even providing an effective resolution of the symptoms, clinicians must inform their patients that cracks may progress and induce tooth separation. Thus, follow-up is essential. Case-report:...

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Main Authors: Karen Cristina Kazue Yui, Jefferson Pires da Silva Júnior, Cauã Santiago Figueiredo, Rafael Pinto de Mendonça, Felipe Nogueira Anacleto, Hércules Bezerra Dias, Eduardo Bresciani, Sérgio Eduardo de Paiva Gonçalves
Format: Article
Language:English
Published: Universidade Estadual Paulista 2024-10-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/4329
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author Karen Cristina Kazue Yui
Jefferson Pires da Silva Júnior
Cauã Santiago Figueiredo
Rafael Pinto de Mendonça
Felipe Nogueira Anacleto
Hércules Bezerra Dias
Eduardo Bresciani
Sérgio Eduardo de Paiva Gonçalves
author_facet Karen Cristina Kazue Yui
Jefferson Pires da Silva Júnior
Cauã Santiago Figueiredo
Rafael Pinto de Mendonça
Felipe Nogueira Anacleto
Hércules Bezerra Dias
Eduardo Bresciani
Sérgio Eduardo de Paiva Gonçalves
author_sort Karen Cristina Kazue Yui
collection DOAJ
description Background: Diagnosis of cracked tooth syndrome (CTS) requires clinical experience and scientific knowledge. Even providing an effective resolution of the symptoms, clinicians must inform their patients that cracks may progress and induce tooth separation. Thus, follow-up is essential. Case-report: This study describes the treatment of patients with cracked tooth syndrome through a series of three cases. It also includes their long-term followups over three years, through clinical probing and radiography. The findings highlight the importance of periodic check-ups to manage potential complications. Regular follow-ups can help control undesirable responses that may cause pain or make future treatments unfeasible. On all the scenarios presented, an endodontic treatment was needed. On the first successful case the radiolucent lesion regressed with no discomfort or pain. The second case was an unsuccessful one. The patient returned to the dental office after 3 years when probing revealed a 10-mm pocket at the distal aspect of the tooth. The radiography showed distal bone loss. The tooth was extracted to prevent bone loss from progressing. The third report documented the treatment of a patient who declined follow-up care and only returned after 3 years. At that point, a severe mobility was apparent. The radiography revealed a large periapical radiolucency with extensive bone loss, and the tooth extraction became necessary. Conclusion: These cases underscore the importance of informing patients about the potential for crack progression and tooth separation and emphasizes the crucial role of regular follow-up care, as well as discussing the possibilities of restorative treatment. KEYWORDS Clinical evolution; Cracked tooth syndrome; Diagnosis, oral; Permanent, dentistry, operative; Tooth crown.
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spelling doaj-art-d427da3fcc4b4a9b96e79bb4a01e50b32025-08-21T14:31:52ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112024-10-0127310.4322/bds.2024.e4329Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case seriesKaren Cristina Kazue Yui0https://orcid.org/0000-0001-6929-8296Jefferson Pires da Silva Júnior1https://orcid.org/0000-0001-6977-1629Cauã Santiago Figueiredo 2https://orcid.org/0009-0001-1549-1573Rafael Pinto de Mendonça3https://orcid.org/0000-0002-1847-9692Felipe Nogueira Anacleto4https://orcid.org/0000-0002-5320-1039Hércules Bezerra Dias5https://orcid.org/0000-0002-5042-5782Eduardo Bresciani6https://orcid.org/0000-0001-9299-8792Sérgio Eduardo de Paiva Gonçalves7https://orcid.org/0000-0003-1796-0393Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil.Universidade Nilton Lins. Manaus, AM, Brazil.Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil.Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil.Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil.Universidade Federal do Pará. Belém, PA, Brazil.Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil.Universidade Estadual Paulista “Júlio de Mesquita Filho”. São José dos Campos, SP, Brazil. Background: Diagnosis of cracked tooth syndrome (CTS) requires clinical experience and scientific knowledge. Even providing an effective resolution of the symptoms, clinicians must inform their patients that cracks may progress and induce tooth separation. Thus, follow-up is essential. Case-report: This study describes the treatment of patients with cracked tooth syndrome through a series of three cases. It also includes their long-term followups over three years, through clinical probing and radiography. The findings highlight the importance of periodic check-ups to manage potential complications. Regular follow-ups can help control undesirable responses that may cause pain or make future treatments unfeasible. On all the scenarios presented, an endodontic treatment was needed. On the first successful case the radiolucent lesion regressed with no discomfort or pain. The second case was an unsuccessful one. The patient returned to the dental office after 3 years when probing revealed a 10-mm pocket at the distal aspect of the tooth. The radiography showed distal bone loss. The tooth was extracted to prevent bone loss from progressing. The third report documented the treatment of a patient who declined follow-up care and only returned after 3 years. At that point, a severe mobility was apparent. The radiography revealed a large periapical radiolucency with extensive bone loss, and the tooth extraction became necessary. Conclusion: These cases underscore the importance of informing patients about the potential for crack progression and tooth separation and emphasizes the crucial role of regular follow-up care, as well as discussing the possibilities of restorative treatment. KEYWORDS Clinical evolution; Cracked tooth syndrome; Diagnosis, oral; Permanent, dentistry, operative; Tooth crown. https://ojs.ict.unesp.br/index.php/cob/article/view/4329
spellingShingle Karen Cristina Kazue Yui
Jefferson Pires da Silva Júnior
Cauã Santiago Figueiredo
Rafael Pinto de Mendonça
Felipe Nogueira Anacleto
Hércules Bezerra Dias
Eduardo Bresciani
Sérgio Eduardo de Paiva Gonçalves
Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
Brazilian Dental Science
title Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
title_full Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
title_fullStr Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
title_full_unstemmed Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
title_short Clinical outcomes of cracked tooth syndrome after 3 years of treatment: a case series
title_sort clinical outcomes of cracked tooth syndrome after 3 years of treatment a case series
url https://ojs.ict.unesp.br/index.php/cob/article/view/4329
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