Preventive Treatment Effects of Posterior Cracked Teeth

Reetu Shrestha1

1

Publication Date: 2024/10/29

Abstract: Cracks are defects on the tooth surface. The aim of the study is to treat those cracked teeth that are asymptomatic or have symptoms of reversible pulpitis by removal of the crack line and restoration with direct bonded composite resin to prevent further crack propagation and thus splitting of the tooth. A total of 30 patients having 45 mesio-distally oriented cracked teeth were included in the study. During the treatment the teeth were classified into three groups according to the depth of the prepared cavity. Group A included teeth with cavity depth 0.5 to1mm into dentin (n=12); Group B included teeth with prepared cavity depth 1.1 to 1.5mm into dentin (n=15); and Group C included teeth with prepared cavity depth 1.6 to 2mm into dentin (n=18). Group C was further sub-divided into two groups depending upon the presence (Group C-I) (n=10) or absence (Group C-II) (n=8) of visible crack line at the base of the cavity. All the teeth were restored with light cure posterior composite resin restorative material. Only the teeth in Group C-I were lined with light cure calcium hydroxide lining before restoration. High point corrections were done and final finishing and polishing of the restoration was done. The patients were recalled at 6 months and12 months, and the condition of restoration, tooth and signs and symptoms evaluated and recorded. Statistical package for social science (SPSS) version 22 was used for statistical analysis. A total of 45 teeth in 30 patients diagnosed with reversible pulpitis due to cracks were included in this study. There was significant difference between the depth of the crack (p=0.033) and failure. However, there was no significant difference (p=0.388) between the treatment outcome for absence or presence of crack line at the base of the cavity of depth 2mm into dentin. Posterior incomplete cracked teeth can be managed successfully in about 91.2% cases with direct composite resin restorative material for at least a period of 12months.

Keywords: No Keywords Available

DOI: https://doi.org/10.38124/ijisrt/IJISRT24OCT1663

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24OCT1663.pdf

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