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Cracked tooth syndrome (CTS) is a term used to describe a type of incomplete fracture of posterior teeth. CTS is a common clinical finding, so dentists are likely to encounter patients experiencing CTS. However, diagnosis is not straightforward and may be difficult because its signs and symptoms may resemble those arising from other dental conditions. Nevertheless, early detection of CTS is critical to the success of its management. Crack propagation can be hindered when it is at an early stage before reaching the pulp, thereby potentially leading to an improved prognosis. This article provides an overview of CTS, and sheds light on its clinical examination, diagnosis, management, and approaches for prevention. This knowledge will enable dentists to recognize CTS early and manage it appropriately.
CPD/Clinical Relevance: Dentists must be well prepared to identify CTS early and provide patients with the most appropriate treatment.
Article
Cracked tooth syndrome (CTS) is a term used to describe a type of incomplete fracture of posterior teeth. CTS is also known as incomplete tooth crack.1,2 The crack usually involves the enamel and dentine and occasionally extends into the pulp.3,4,5,6,7 The crack begins at the crown and continues apically and mesiodistally to affect one or both of the marginal ridges and the proximal surfaces.8 CTS can affect filled and endodontically treated teeth as well as sound unfilled teeth.7 CTS affects females more than males, with the most affected individuals aged 30–50 years. CTS can affect any posterior tooth; however, the mandibular molars and maxillary premolars are the most afflicted. Nevertheless, mandibular premolars are the least affected teeth.7,9,10,11
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