Vimeo link to the recorded presentation

Synopsis

A lack of consensus exists among dentists and endodontists in cracked teeth. Accurate clinical evaluation, imaging and diagnosis is paramount to properly treatment planning cracked teeth. With the resurgence of the philosophy of saving compromised teeth over extraction, and our patients’ desire to save their teeth, the question remains: “Which cracked teeth should be treated and which cracked teeth should be extracted?” Applying the current understanding of the ultrastructure of teeth in conjunction with modern diagnostic technologies, materials, adhesive techniques, and restorative approaches, dentists can now use minimally invasive biomimetic techniques to provide restorations that come close to functionally and biomechanically mimicking the original, healthy state of a tooth. This presentation will focus on how CBCT technology and a new imaging software e-VOLDX has provided clinicians with a different understanding of the dynamics of dental disease as well as healing. Based on the information provided from CBCT volumes, changes in treatment protocols and armamentarium will be presented.

This evidence-based presentation will address the classification and diagnosis of different types of cracks and the role of CBCT imaging in these cases, as well as the prognosis and changes in treatment protocols and outcomes of cracked teeth.

Learning objectives

• Understand the different types and prognosis of longitudinal tooth fractures.
• Understand the role of CBCT imaging in identifying cracked tooth types, extent of the fractures, and early bone pattern changes associated with cracked teeth.
• Understand prognosis and outcomes studies related to treatment and management of cracked teeth and vertical root fractures.
• Applying the current understanding of the ultrastructure of teeth in conjunction with modern diagnostic technologies, materials, adhesive techniques, and restorative approaches for restoration of cracked teeth.