ArticleJournal of dentistry2020
Symptom changes and crack progression in untreated cracked teeth: One-year findings from the National Dental Practice-Based Research Network.
Article in Journal of dentistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Morphological Characterizations and Mineralized Repair of Natural Tooth Cracks Via Self-Assembling Peptide Hydrogels.International dental journal · 2026Article
- Location of crack lines associated with the prognosis of a cracked tooth restored by occlusal veneer.Journal of dental sciences · 2025Article
- Position statement on longitudinal cracks and fractures of teeth.International endodontic journal · 2025Review
- Deep learning-based prediction of indication for cracked tooth extraction using panoramic radiography.BMC oral health · 2024Article
- Occlusal veneer restoration treatment outcomes of cracked tooth syndrome: A 22.4-month follow-up study.Clinical oral investigations · 2024Article
- Lessons learned from the Cracked Tooth Registry: A 3-year clinical study in the Nation's Network.Journal of the American Dental Association (1939) · 2023Review
- Treatment of cracked teeth: A comprehensive narrative review.Clinical and experimental dental research · 2022Review
- Onset and resolution of pain among treated and untreated posterior teeth with a visible crack: Three-year findings from the national dental practice-based research network.Journal of dentistry · 2022Article
- Pathophysiology of Demineralization, Part I: Attrition, Erosion, Abfraction, and Noncarious Cervical Lesions.Current osteoporosis reports · 2022Review
- Influence of additional apical enlargement on microcrack formation in root dentine: a micro-computed tomography investigation.Clinical oral investigations · 2021Article
- Baseline characteristics as 3-year predictors of tooth fracture and crack progression: Findings from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2021Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
objectivesThe study objective was to: (1) quantify symptom (pain) and crack changes during one year of follow-up, among teeth that had at least one visible crack at baseline but which did not receive treatment for those cracks; (2) identify any patient traits/behaviors and external tooth/crack characteristics correlated with these changes.
methodsIn this observational study, 209 National Dental Practice-Based Research Network dentists enrolled a convenience sample of 2858 subjects, each with a single, vital posterior tooth with at least one observed external crack; 1850 teeth remained untreated after one year of follow-up and were the cohort for analyses. Data were collected at the patient-, tooth-, and crack-level at baseline, one-year follow up (Y1), and interim visits. Associations between changes in symptoms and cracks were identified, as were changes in symptoms associated with baseline treatment recommendations.
resultsChanges in pain symptoms were observed in 32% of patients; decreases were twice as common as increases (23% vs. 10%). More changes were observed in cold pain than in biting pain and spontaneous pain combined; 2% had increases in biting pain and 2% in spontaneous pain. Only 6% had an increase in the number of cracks. Changes in pain symptoms were not associated with an increase in the number of cracks, but were associated with baseline treatment recommendations. Specifically, pain symptom changes (especially decreases) were more common when the tooth was recommended for treatment at baseline.
conclusionsCracked teeth that have not received treatment one year after baseline do not show meaningful progression as measured by increased symptoms or number of cracks during follow-up. CLINICAL SIGNIFICANCE: Untreated cracked teeth, most of which were recommended for monitoring at baseline and some of which were recommended for treatment but did not receive treatment, remained relatively stable for one year with little progression of cracks or symptoms.
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