国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (6): 668-674.doi: 10.7518/gjkq.2021092

• 综述 • 上一篇    下一篇

牙隐裂临床研究进展

董栩(),徐欣()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2021-01-12 修回日期:2021-06-22 出版日期:2021-11-01 发布日期:2021-10-28
  • 通讯作者: 徐欣
  • 作者简介:董栩,硕士,Email： 2507091330@qq.com
  • 基金资助:
    国家自然科学基金(81771099)

Research progress on cracked tooth

Dong Xu(),Xu Xin()   

  1. State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-01-12 Revised:2021-06-22 Online:2021-11-01 Published:2021-10-28
  • Contact: Xin Xu
  • Supported by:
    Natural Science Foundation of China(81771099)

RichHTML

784

PDF (PC)

6341

摘要：

随着发病率的升高,牙隐裂渐渐成为造成成人失牙的一个重要原因。牙隐裂的早期临床症状通常不明显,往往容易被患者忽略,从而导致牙隐裂症状的进展。同时,牙隐裂还具有早期诊断难度大、判断裂纹进展程度难度大、治疗方案多样和患牙预后不确定等特点,因此成为了困扰临床口腔医生的一道难题。本文就病因、诊断和治疗策略3个方面对目前牙隐裂的临床研究进展进行综述。

关键词: 牙隐裂, 病因, 诊断, 治疗策略

Abstract:

With the increase in the incidence of various diseases, cracked tooth has gradually become an important cause of adult tooth loss. The early clinical manifestations of a cracked tooth are usually obscure and often ignored by patients, leading to the progression of symptoms. A cracked tooth is difficult to diagnose early. Moreover, crack progression is difficult to monitor. Various treatment options and uncertain prognosis of the affected teeth pose a challenge to clinical dentists. This paper reviews the progress in clinical research on cracked tooth in three aspects, namely, aetiology, diagnosis and treatment strategies.

Key words: cracked tooth, etiology, diagnosis, treatment strategies

中图分类号: 

  • R781.2
[1] Cameron CE. Cracked-tooth syndrome[J]. J Am Dent Assoc, 1964, 68:405-411.
doi: 10.14219/jada.archive.1964.0108
[2] Kang SH, Kim BS, Kim Y. Cracked teeth: distribution, characteristics, and survival after root canal treat-ment[J]. J Endod, 2016, 42(4):557-562.
doi: 10.1016/j.joen.2016.01.014
[3] Kim SY, Kim SH, Cho SB, et al. Different treatment protocols for different pulpal and periapical diagnoses of 72 cracked teeth[J]. J Endod, 2013, 39(4):449-452.
doi: 10.1016/j.joen.2012.11.052
[4] Leong DJX, de Souza NN, Sultana R, et al. Outcomes of endodontically treated cracked teeth: a systematic review and Meta-analysis[J]. Clin Oral Investig, 2020, 24(1):465-473.
doi: 10.1007/s00784-019-03139-w
[5] Lubisich EB, Hilton TJ, Ferracane J, et al. Cracked teeth: a review of the literature[J]. J Esthet Restor Dent, 2010, 22(3):158-167.
doi: 10.1111/j.1708-8240.2010.00330.x pmid: 20590967
[6] Udoye CI, Jafarzadeh H. Cracked tooth syndrome: characteristics and distribution among adults in a Nigerian teaching hospital[J]. J Endod, 2009, 35(3):334-336.
doi: 10.1016/j.joen.2008.12.011
[7] Seo DG, Yi YA, Shin SJ, et al. Analysis of factors associated with cracked teeth[J]. J Endod, 2012, 38(3):288-292.
doi: 10.1016/j.joen.2011.11.017
[8] Ricucci D, Siqueira JF Jr, Loghin S, et al. The cra-cked tooth: histopathologic and histobacteriologic aspects[J]. J Endod, 2015, 41(3):343-352.
doi: 10.1016/j.joen.2014.09.021
[9] Xie NN, Wang PL, Wu C, et al. Impact of cusp inclinations on dental fractures in cracked tooth syndro-me model and relevant risk evaluation[J]. Exp Ther Med, 2017, 14(6):6027-6033.
[10] Qian YZ, Zhou XF, Yang JX. Correlation between cuspal inclination and tooth cracked syndrome: a th-ree-dimensional reconstruction measurement and finite element analysis[J]. Dent Traumatol, 2013, 29(3):226-233.
doi: 10.1111/edt.2013.29.issue-3
[11] Bajaj D, Sundaram N, Nazari A, et al. Age, dehydration and fatigue crack growth in dentin[J]. Biomaterials, 2006, 27(11):2507-2517.
doi: 10.1016/j.biomaterials.2005.11.035
[12] Qiao F, Chen M, Hu X, et al. Cracked teeth and poor oral masticatory habits: a matched case-control study in China[J]. J Endod, 2017, 43(6):885-889.
doi: 10.1016/j.joen.2017.01.007
[13] Ratcliff S, Becker IM, Quinn L. Type and incidence of cracks in posterior teeth[J]. J Prosthet Dent, 2001, 86(2):168-172.
pmid: 11514804
[14] Bader JD, Shugars DA, Martin JA. Risk indicators for posterior tooth fracture[J]. J Am Dent Assoc, 2004, 135(7):883-892.
doi: 10.14219/jada.archive.2004.0334
[15] Banerji S, Mehta SB, Millar BJ. Cracked tooth syndrome. Part 1: aetiology and diagnosis[J]. Br Dent J, 2010, 208(10):459-463.
doi: 10.1038/sj.bdj.2010.449
[16] Abulhamael AM, Tandon R, Alzamzami ZT, et al. Treatment decision-making of cracked teeth: survey of American endodontists[J]. J Contemp Dent Pract, 2019, 20(5):543-547.
pmid: 31316014
[17] Hilton TJ, Funkhouser E, Ferracane JL, et al. Associations of types of pain with crack-level, tooth-level and patient-level characteristics in posterior teeth with visible cracks: findings from the National Dental Practice-Based Research Network[J]. J Dent, 2018, 70:67-73.
doi: 10.1016/j.jdent.2017.12.014
[18] Brignardello-Petersen R. Almost one-half of cracked posterior teeth were symptomatic, and pain to cold was the most common finding[J]. J Am Dent Assoc, 2018, 149(8):e118.
doi: 10.1016/j.adaj.2018.02.008
[19] Longridge NN, Youngson CC. Dental pain: dentine sensitivity, hypersensitivity and cracked tooth syndrome[J]. Prim Dent J, 2019, 8(1):44-51.
pmid: 31122331
[20] Chogle S, Miller A, Saadoun M. Limited evidence suggests that symptomatic cracked teeth share cha-racteristics such as clenching, grinding, and molars with distal cracks[J]. J Evid Based Dent Pract, 2017, 17(3):281-283.
doi: S1532-3382(17)30204-X pmid: 28865829
[21] Yang YP, Chen GP, Hua F, et al. Biting pain reproduced by the tooth slooth: an aid for early diagnosis of cracked tooth[J]. Quintessence Int, 2019, 50(1):82-87.
[22] Yang SE, Jo AR, Lee HJ, et al. Analysis of the cha-racteristics of cracked teeth and evaluation of pulp status according to periodontal probing depth[J]. BMC Oral Health, 2017, 17(1):135.
doi: 10.1186/s12903-017-0434-x
[23] Kalyan Chakravarthy PV, Telang LA, Nerali J, et al. Cracked tooth: a report of two cases and role of cone beam computed tomography in diagnosis[J]. Case Rep Dent, 2012, 2012:525364.
[24] Banerji S, Mehta SB, Kamran T, et al. A multi-centred clinical audit to describe the efficacy of direct supra-coronal splinting: a minimally invasive approa-ch to the management of cracked tooth syndrome[J]. J Dent, 2014, 42(7):862-871.
doi: 10.1016/j.jdent.2014.02.017 pmid: 24589848
[25] Banerji S, Mehta SB, Millar BJ. Cracked tooth syndrome. Part 2: restorative options for the management of cracked tooth syndrome[J]. Br Dent J, 2010, 208(11):503-514.
doi: 10.1038/sj.bdj.2010.496
[26] Banerji S, Mehta SB, Millar BJ. The management of cracked tooth syndrome in dental practice[J]. Br Dent J, 2017, 222(9):659-666.
doi: 10.1038/sj.bdj.2017.398
[27] Lee JW, Lee ES, Kim BI. Optical diagnosis of dentin caries lesions using quantitative light-induced fluorescence technology[J]. Photodiagnosis Photodyn Ther, 2018, 23:68-70.
doi: 10.1016/j.pdpdt.2018.05.011
[28] Lee JW, Lee ES, Kim BI. Can red fluorescence be useful in diagnostic decision making of residual dentin caries[J]. Photodiagnosis Photodyn Ther, 2019, 26:43-44.
doi: 10.1016/j.pdpdt.2019.02.016
[29] Stookey GK. Quantitative light fluorescence: a technology for early monitoring of the caries process[J]. Dent Clin North Am, 2005, 49(4):753-770.
pmid: 16150315
[30] Jun MK, Ku HM, Kim E, et al. Detection and analysis of enamel cracks by quantitative light-induced fluorescence technology[J]. J Endod, 2016, 42(3):500-504.
doi: 10.1016/j.joen.2015.12.008
[31] Jun MK, Park SW, Lee ES, et al. Diagnosis and management of cracked tooth by quantitative light-induced fluorescence technology[J]. Photodiagnosis Photodyn Ther, 2019, 26:324-326.
doi: 10.1016/j.pdpdt.2019.04.025
[32] Kim JM, Kang SR, Yi WJ. Automatic detection of tooth cracks in optical coherence tomography images[J]. J Periodontal Implant Sci, 2017, 47(1):41-50.
doi: 10.5051/jpis.2017.47.1.41
[33] Lee SH, Lee JJ, Chung HJ, et al. Dental optical coherence tomography: new potential diagnostic system for cracked-tooth syndrome[J]. Surg Radiol Anat, 2016, 38(1):49-54.
doi: 10.1007/s00276-015-1514-8
[34] Segarra MS, Shimada Y, Sadr A, et al. Three-dimensional analysis of enamel crack behavior using optical coherence tomography[J]. J Dent Res, 2017, 96(3):308-314.
doi: 10.1177/0022034516680156 pmid: 27872333
[35] Li ZQ, Holamoge YV, Li Z, et al. Detection and analysis of enamel cracks by ICG-NIR fluorescence dental imaging[J]. Ann N Y Acad Sci, 2020, 1475(1):52-63.
doi: 10.1111/nyas.v1475.1
[36] Li ZQ, Zaid W, Hartzler T, et al. Indocyanine green-assisted dental imaging in the first and second near-infrared windows as compared with X-ray imaging[J]. Ann N Y Acad Sci, 2019, 1448(1):42-51.
doi: 10.1111/nyas.2019.1448.issue-1
[37] Sapra A, Darbar A, George R. Laser-assisted diagnosis of symptomatic cracks in teeth with cracked too-th: a 4-year in-vivo follow-up study[J]. Aust Endod J, 2020, 46(2):197-203.
doi: 10.1111/aej.v46.2
[38] Bhuva B, Giovarruscio M, Rahim N, et al. The restoration of root filled teeth: a review of the clinical literature[J]. Int Endod J, 2021, 54(4):509-535.
doi: 10.1111/iej.13438 pmid: 33128279
[39] Alkhalifah S, Alkandari H, Sharma PN, et al. Treatment of cracked teeth[J]. J Endod, 2017, 43(9):1579-1586.
doi: S0099-2399(17)30365-5 pmid: 28734650
[40] Brignardello-Petersen R. There seems to be a high average survival rate of cracked teeth that have undergone endodontic treatment[J]. J Am Dent Assoc, 2020, 151(6):e52.
doi: 10.1016/j.adaj.2020.01.012
[41] Davis MC, Shariff SS. Success and survival of endodontically treated cracked teeth with radicular extensions: a 2- to 4-year prospective cohort[J]. J Endod, 2019, 45(7):848-855.
doi: 10.1016/j.joen.2019.03.015
[42] Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: an alternative paradigm[J]. Eur J Dent, 2015, 9(2):293-303.
doi: 10.4103/1305-7456.156840 pmid: 26038667
[43] Sim IG, Lim TS, Krishnaswamy G, et al. Decision making for retention of endodontically treated posterior cracked teeth: a 5-year follow-up study[J]. J Endod, 2016, 42(2):225-229.
doi: 10.1016/j.joen.2015.11.011
[44] Nguyen V, Palmer G . A review of the diagnosis and management of the cracked tooth[J]. Dent Update, 2009, 36(6): 338-340,342,345-346.
pmid: 19743663
[45] Krell KV, Caplan DJ. 12-month success of cracked teeth treated with orthograde root canal treatment[J]. J Endod, 2018, 44(4):543-548.
doi: 10.1016/j.joen.2017.12.025
[46] Olivieri JG, Elmsmari F, Miró Q, et al. Outcome and survival of endodontically treated cracked posterior permanent teeth: a systematic review and Meta-analysis[J]. J Endod, 2020, 46(4):455-463.
doi: S0099-2399(20)30010-8 pmid: 32094000
[47] Gerasimidou O, Watson T, Millar B. Effect of placing intentionally high restorations: randomized clinical trial[J]. J Dent, 2016, 45:26-31.
doi: 10.1016/j.jdent.2015.11.006 pmid: 26620100
[48] Davis R, Overton JD. Efficacy of bonded and nonbonded amalgam in the treatment of teeth with incomplete fractures[J]. J Am Dent Assoc, 2000, 131(4):469-478.
pmid: 10770009
[49] Rasheed AA. Effect of bonding amalgam on the reinforcement of teeth[J]. J Prosthet Dent, 2005, 93(1):51-55.
pmid: 15623998
[50] Marchan SM, Coldero L, White D, et al. Cusp fracture resistance of maxillary premolars restored with the bonded amalgam technique using various luting agents[J]. Int J Dent, 2009, 2009:946830.
[51] Opdam NJ, Roeters JJ, Loomans BA, et al. Seven-year clinical evaluation of painful cracked teeth restored with a direct composite restoration[J]. J Endod, 2008, 34(7):808-811.
doi: 10.1016/j.joen.2008.04.011 pmid: 18570984
[52] Naka O, Millar BJ, Sagris D, et al. Do composite resin restorations protect cracked teeth? An in-vitro study[J]. Br Dent J, 2018, 225(3):223-228.
doi: 10.1038/sj.bdj.2018.539
[53] Borgia E, Baron R, Borgia JL. Quality and survival of direct light-activated composite resin restorations in posterior teeth: a 5- to 20-year retrospective longitudinal study[J]. J Prosthodont, 2019, 28(1):e195-e203.
doi: 10.1111/jopr.12630
[54] Stavridakis MM, Kakaboura AI, Ardu S, et al. Marginal and internal adaptation of bulk-filled ClassⅠand cuspal coverage direct resin composite restorations[J]. Oper Dent, 2007, 32(5):515-523.
pmid: 17910230
[55] Park EY, Kang S. Current aspects and prospects of glass ionomer cements for clinical dentistry[J]. Yeung-nam Univ J Med, 2020, 37(3):169-178.
[56] Almuhaiza M. Glass-ionomer cements in restorative dentistry: a critical appraisal[J]. J Contemp Dent Pra-ct, 2016, 17(4):331-336.
[57] Signore A, Benedicenti S, Covani U, et al. A 4- to 6-year retrospective clinical study of cracked teeth restored with bonded indirect resin composite onlays[J]. Int J Prosthodont, 2007, 20(6):609-616.
[58] Azeem RA, Sureshbabu NM. Clinical performance of direct versus indirect composite restorations in po-sterior teeth: a systematic review[J]. J Conserv Dent, 2018, 21(1):2-9.
[59] Angeletaki F, Gkogkos A, Papazoglou E, et al. Direct versus indirect inlay/onlay composite restorations in posterior teeth. A systematic review and Meta-analysis[J]. J Dent, 2016, 53:12-21.
doi: 10.1016/j.jdent.2016.07.011 pmid: 27452342
[60] Wu SW, Lew HP, Chen NN. Incidence of pulpal com-plications after diagnosis of vital cracked teeth[J]. J Endod, 2019, 45(5):521-525.
doi: 10.1016/j.joen.2019.02.003
[61] Hilton TJ, Funkhouser E, Ferracane JL, et al. Recommended treatment of cracked teeth: results from the national dental practice-based research network[J]. J Prosthet Dent, 2020, 123(1):71-78.
doi: 10.1016/j.prosdent.2018.12.005
[1] 杨静,柳登高. 内镜下激光碎石术治疗唾液腺结石病的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 704-710.
[2] 刘洋,尹德强. 关于颌位调整方法的思考和改进[J]. 国际口腔医学杂志, 2023, 50(5): 499-505.
[3] 李奕君, 徐子昂, 李一. 前哨淋巴结在头颈部鳞状细胞癌检测的应用进展[J]. 国际口腔医学杂志, 2023, 50(5): 521-527.
[4] 戢晓,张岚,黄定明. 牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 566-572.
[5] 姜玥莹,何宇添,李婷,周蓉卉. 近红外荧光探针在口腔癌诊断中应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(4): 407-413.
[6] 夏溦瑶,罗岩坤,贾仲林. Pierre Robin序列征的精准诊断和遗传病因学研究进展[J]. 国际口腔医学杂志, 2023, 50(3): 287-292.
[7] 秦艺纯,谭学莲,黄定明. 腺牙源性囊肿的临床研究进展[J]. 国际口腔医学杂志, 2023, 50(1): 100-107.
[8] 李婷,杨学财,王俊伟. 儿童口腔颅颌面罕见畸形Williams-Beuren综合征的研究进展[J]. 国际口腔医学杂志, 2023, 50(1): 108-113.
[9] 李伟光,吴亚菲,郭淑娟. 无机纳米粒子在牙周病诊疗中的研究进展[J]. 国际口腔医学杂志, 2022, 49(6): 724-730.
[10] 朱星蓉,廖岚. 外胚叶发育不良综合征口腔临床诊疗的研究进展[J]. 国际口腔医学杂志, 2022, 49(6): 737-742.
[11] 曾杨林,谭学莲,宋东哲,黄定明. 牙根内吸收临床诊治方法的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 561-568.
[12] 查蕴宸,张佳佳,孔卫东. 原发性牙齿萌出障碍病因的研究进展[J]. 国际口腔医学杂志, 2022, 49(4): 386-391.
[13] 叶泽林,刘璐,龙虎,游梦. 弯曲前牙的影像评价及治疗的研究进展[J]. 国际口腔医学杂志, 2022, 49(2): 173-181.
[14] 孟抒怀,罗锋,裴锡波,万乾炳. 先天性梅毒牙的研究现状[J]. 国际口腔医学杂志, 2021, 48(4): 439-443.
[15] 马平川,李春洁,李龙江. 唾液腺导管癌的诊疗研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 459-467.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .