• Corpus ID: 42147754

Incomplete cusp fractures: early diagnosis and communication with patients using fiber-optic transillumination and intraoral photography.

  title={Incomplete cusp fractures: early diagnosis and communication with patients using fiber-optic transillumination and intraoral photography.},
  author={Samer S Alassaad},
  journal={General dentistry},
  volume={59 2},
The diagnosis of incomplete cusp fractures has primarily relied on patient symptoms, which sometimes results in late treatment approaches. The transillumination of tooth structure by a fiber-optic light source can be considered an important adjunct tool in the diagnosis of incomplete cusp fractures before they reach their end stages. Furthermore, transilluminated teeth can be documented by intraoral photography, using a two-handed technique by holding a transillumination device and an intraoral… 

Figures from this paper

Cracked tooth diagnosis and treatment: An alternative paradigm
The article explores what biomechanical factors help to facilitate the development of cracks in teeth, and under what circumstances a full coverage crown may be indicated for preventing further propagation of a fracture plane.
Clinical applications of intraoral camera to increase patient compliance - current perspectives
This review emphasizes the significant applications of IOC in dentistry and its possible impact on patient compliance for dental care.
Clinical protocol for occlusal adjustment: Rationale and application
  • R. Solow
  • Medicine
    Cranio : the journal of craniomandibular practice
  • 2018
Traumatic occlusal contact on posterior teeth may elicit protective mandibular repositioning affecting anterior teeth relationships and should be considered during comprehensive diagnosis, which can optimize the result of orthodontics, orthognathic surgery and comprehensive restoration.
Cracked tooth syndrome in irradiated patients with head and neck cancer.
Intraoral Camera Use in a Dental School Clinic: Evaluations by Faculty, Students, and Patients.
In this study, intraoral camera use in a predoctoral clinic was perceived positively by students and patients but more neutrally by faculty, and it increased the completion rate of planned posterior crowns.
Approaches to managing asymptomatic enamel and dentin cracks.
Becoming familiar with all forms of asymptomatic enamel and dentin cracks is crucial to adopting a proactive approach of prevention, early diagnosis, and intervention in order to control the potential detrimental effects of these cracks on the dentition.
CCIDE_A_192847 267..278
A review of the significant applications of IOC in dentistry and its possible impact on patient compliance for dental care emphasizes the importance of the intraoral camera.


Potential for tooth fracture in restorative dentistry.
Managing incomplete tooth fractures.
  • J. E. Ailor
  • Medicine
    Journal of the American Dental Association
  • 2000
An evidence-based protocol for the diagnosis and treatment of incomplete tooth fractures is presented, designed to help dentists recognize fractures, distinguish between restorable and nonrestorable fractures, and follow a rational approach to treatment.
An inexpensive device for transillumination.
Patients with cracked-tooth syndrome often present with a chief complaint of vague pains while eating that they cannot localize, making the diagnosis difficult, and treatment is delayed, which can result in apical propagation of the crack, leading to unrestorable vertical root fracture.
Definitive diagnosis of early enamel and dentin cracks based on microscopic evaluation.
  • D. Clark, C. Sheets, J. Paquette
  • Medicine
    Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
  • 2003
New guidelines for recognition, visualization, classification, and treatment of cracked teeth based on the routine use of 16x magnification are given and the significance of enamel cracks as they relate to dentinal cracks is detailed.
Type and incidence of cracks in posterior teeth.
The presence of cracks in teeth was associated with the placement of a Class I or II restoration and with the presence of excursive interferences, which suggests that cracks have chronicity.
The cracked tooth conundrum: terminology, classification, diagnosis, and management.
  • B. Kahler
  • Medicine
    American journal of dentistry
  • 2008
An overview of the clinical features, diagnosis, classification and management of cracked teeth which may be a diagnostic challenge in clinical practice is provided.
Risk indicators for posterior tooth fracture.
Among posterior teeth with restorations, two clinical features were strongly associated with the risk of cusp fracture: presence of a fracture line in the enamel and proportional volume of the restoration.
Incidence rates for complete cusp fracture.
This is the first report of fracture incidence rates for enumerated persons and teeth at risk and as such helps define the magnitude of the problem for dentists and their patients.
778.0200, www.addent.com TPC Advanced Technology, City of Industry, CA 800.560.8222, www.tpcdental.com Published with permission by the Academy of General Dentistry
  • Copyright 2011 by the Academy of General Dentistry. All rights reserved. www.agd.org General Dentistry March
  • 2011