Evidence map›Paper›PMID 35227834›Full record

ArticleJournal of dentistry2022

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.

Ellen Funkhouser, Jack L Ferracane, Thomas J Hilton, Valeria V Gordan, Gregg H Gilbert, Rahma Mungia, Vanessa Burton, Cyril Meyerowitz, Dorota T Kopycka-Kedzierawski, National Dental PBRN Collaborative Group

Abstract read
In one paragraph

Article in Journal of dentistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ellen FunkhouserSchool of Medicine, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL 35294-0007, United States. Electronic address: emfunk@uab.edu.
Jack L FerracaneDepartment of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave. Portland, OR 97201-5042, United States.
Thomas J HiltonAlumni Centennial Professor in Operative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave. Portland, OR 97201-5042, United States.
Valeria V GordanDepartment of Restorative Dental Sciences, University of Florida, 1600 SW Archer Rd. Gainesville, FL 32610, United States.
Gregg H GilbertDepartment of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
Rahma MungiaDepartment of Periodontics, School of Dentistry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive; MC 8258, San Antonio, TX 78229, United States.
Vanessa BurtonHealthPartners, 5901 John Martin Dr. Brooklyn Center, MN 55430, United States.
Cyril MeyerowitzEastman Institute for Oral Health, University of Rochester, 601 Elmwood Avenue, Box 686. Rochester, NY 14642, United States.
Dorota T Kopycka-KedzierawskiEastman Institute for Oral Health, 625 Elmwood Ave. Box 683. Rochester, NY 14620, United States.
National Dental PBRN Collaborative Group

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NDPBRN Opioid SurveyU01DE028727 · NIDCR · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARMIT Kurn MCMULLEN · 2019 to 2026
$16.0M
NIDCR NIH HHS U01 DE028727NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

objectiveCracked teeth may be associated with pain, especially biting pain, and to a lesser degree cold and spontaneous pain.  Described are how commonly these pains remain constant, develop, or resolve over time, none of which have been well-described, especially among untreated cracked teeth.

methodsCracked teeth from the Cracked Tooth Registry (CTR) study were followed for 3 years.  Assessments of cold, biting, and spontaneous pain and treatments performed were completed at enrollment (Y0) and at each annual recall visit.

results209 practitioners enrolled 2,858 patients, each with a visible crack on a posterior tooth; 2601 (91%) patients attended at least one recall visit. Overall, 960 (37%) were treated, primarily with crowns. Among both treated and untreated cracked teeth with biting pain or spontaneous pain at Y0, the vast majority (92-99%) had their pain resolved by the time of a recall visit and 85-93% remained pain-free after initial resolution. The observations for cold pain were similar: 68% (untreated) and 78% (treated) became free of cold pain at some point during follow-up, and 84% of these stayed free of cold pain after initial resolution. Few teeth developed biting or spontaneous pain (4-8%) and 44-67% of these had pain resolution during the follow-up period.

conclusionIn this study, treatment resolved a preponderance of pain associated with a cracked tooth.  Pain was also resolved for most untreated cracked teeth, especially biting pain, and to a lesser degree spontaneous and cold pain, although not to the same degree as with the treated cracked teeth.

Indexed as

Cracked Tooth SyndromeToothCrownsHumansPainCracked-teethFollow-upPain

Identifiers

PMID35227834
PMCPMC8988449

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.