Cracked tooth syndrome. Part 1: aetiology and diagnosis

Key Points Updates and clarifies the definition of the term 'cracked tooth syndrome', including an overview of the typically associated signs and symptoms of this syndrome complex. Provides an account of the epidemiology, aetiology and diagnosis of the condition, including a description of available special clinical tests to form a positive diagnosis. Details the factors which may influence the prognosis of affected teeth. Symptomatic, incompletely fractured posterior teeth can be a great source of anxiety for both the dental patient and dental operator. For the latter, challenges associated with deriving an accurate diagnosis together with the efficient and time effective management of cases of cracked tooth syndrome are largely accountable for the aforementioned problem. The aim of this series of two articles is to provide the reader with an in-depth insight into this condition, through the undertaking of a comprehensive literature review of contemporarily available data. The first article will provide details relating to the background of cracked tooth syndrome including the epidemiology, patho-physiology, aetiology and diagnosis of the syndrome, together with a consideration of factors which may influence the prognostic outcome of teeth affected by incomplete, symptomatic fractures. The second article will focus on the immediate and intermediate management of cracked teeth, and also provide a detailed account of the application of both direct and indirect restorations and restorative techniques used respectively in the management of teeth affected by this complex syndrome.