Cracked tooth syndrome Wikipedia. Cracked tooth syndrome abbreviated to CTS,1 and also termed cracked cusp syndrome,2split tooth syndrome,2 or incomplete fracture of posterior teeth,2 is where a tooth has incompletely cracked but no part of the tooth has yet broken off. Sometimes it is described as a greenstick fracture. The symptoms are very variable, making it a notoriously difficult condition to diagnose. Classification and definitioneditCracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain. One definition of cracked tooth syndrome is a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp andor periodontal ligament. Bfsi Software Consulting Pvt Ltd. SymptomseditThe reported symptoms are very variable,1 and frequently have been present for many months before the condition is diagnosed. Reported symptoms may include some of the following Sharp pain2 when biting on a certain tooth,1 which may get worse if the applied biting force is increased. Sometimes the pain on biting occurs when the food being chewed is soft with harder elements, e. Rebound pain i. e. Pain when grinding the teeth backward and forward and side to side. Sharp pain when drinking cold beverages or eating cold foods, lack of pain with heat stimuli. Pain when eating or drinking sugary substances. Sometimes the pain is well localized, and the individual is able to determine the exact tooth from which the symptoms are originating, but not always. If the crack propagates into the pulp, irreversible pulpitis, pulpal necrosis and periapical periodontitis may develop, with the respective associated symptoms. PathophysiologyeditCTS is typically characterized by pain when releasing biting pressure on an object. This is because when biting down the segments are usually moving apart and thereby reducing the pressure in the nerves in the dentin of the tooth. When the bite is released the segments snap back together sharply increasing the pressure in the intradentin nerves causing pain. The pain is often inconsistent, and frequently hard to reproduce. If untreated, CTS can lead to severe pain, possible pulpal death, abscess, and even the loss of the tooth. If the fracture propagates into the pulp, this is termed a complete fracture, and pulpitis and pulp death may occur. If the crack propagates further into the root, a periodontal defect may develop, or even a vertical root fracture. According to one theory, the pain on biting is caused by the 2 fractured sections of the tooth moving independently of each other, triggering sudden movement of fluid within the dentinal tubules. This activates A type nociceptors in the dentin pulp complex, reported by the pulp dentin complex as pain. Another theory is that the pain upon cold stimuli results from leak of noxious substances via the crack, irritating the pulp. DiagnosiseditThe diagnosis of cracked tooth syndrome is notoriously difficult even for experienced clinicians. The features are highly variable and may mimic sinusitis, temporomandibular disorders, headaches, ear pain, or atypical facial painatypical odontalgia persistent idiopathic facial pain. When diagnosing cracked tooth syndrome, a dentist takes many factors into consideration. A bite test is commonly performed to confirm the diagnosis, in which the patient bites down on either a Q tip, cotton roll, or an instrument called a Tooth Slooth. Epidemiologyedit5 Aetiology of CTS is multifactorial, the causative factors include previous restorative procedures. Most commonly involved teeth are mandibular molars followed by maxillary premolars, maxillary molars and maxillary premolars. CTS possibly due to the wedging effect of opposing pointy, protruding maxillary mesio palatal cusp onto the mandibular molar central fissure. TreatmentseditThere is no universally accepted treatment strategy, but, generally, treatments aim to prevent movement of the segments of the involved tooth so they do not move or flex independently during biting and grinding and so the crack is not propagated. Stabilization core buildup a composite bonded restoration placed in the tooth or a band is placed around the tooth to minimize flexingCrown restoration to do the same as above but more permanently and predictablyRoot Canal therapy if pain persists after aboveExtraction. HistoryeditThe term cuspal fracture odontalgia was suggested in 1. Gibbs. 2 Subsequently, the term cracked tooth syndrome was coined in 1. Cameron,1 who defined the condition as an incomplete fracture of a vital posterior tooth that involves the dentin and occasionally extends into the pulp. Referencesedit abcdefg. Mathew, S Thangavel, B Mathew, CA Kailasam, S Kumaravadivel, K Das, A Aug 2. Diagnosis of cracked tooth syndrome. Journal of pharmacy bioallied sciences. Suppl 2 S2. 424. PMC 3. PMID 2. 30. 66. 26. Does your tooth feel like it zaps you when bite on it Well, thats not enough to know its cracked or fractured. Unfortuantely, cracked and. Banerji, S Mehta, SB Millar, BJ May 2. Cracked tooth syndrome. Part 1 aetiology and diagnosis. British dental journal. PMID 2. 04. 89. 76. The Cracked Tooth SyndromePDF, 6. Canadian Dental Association, September 2. Patient Education about Cracked Teeth, Tooth Slooth, 1. December 2. 00. 5 Banerji, S. May 2. 01. 7. Programme Director, MSc Aesthetic Dentistry, Senior Clinical Teache. Banerji, S. Mehta, S. B. Millar, B. J. Applicable To. Abnormal spacing of fully erupted tooth or teeth NOS Displacement of fully erupted tooth or teeth NOS Transposition of fully erupted tooth or teeth NOS. Do you have a cracked tooth or cracked teeth See symptoms here and learn how endodontists help patients avoid tooth extraction. June 2. 01. 0. Cracked tooth syndrome. Part 2 restorative options for the management of cracked tooth syndrome. BDJ. 2. 08 1. 1 5. PMID 2. 05. 43. 79. Med. Terms Medical Dictionary A Z List. Search Medicine. Net OR select from the options above. Search Medicine. Net OR select from the options above. Search Slideshows, Images, Quizzes. Search Diseases Conditions. Search Symptoms Signs. Search Health Living. Search Medications Supplements. Search Procedures Tests. Search News Views. Search Features, Tips Recipes. Search Med. Terms Dictionary.