A multi-centered clinical audit to describe the efficacy of direct supra-coronal splinting–A minimally invasive approach to the management of cracked tooth syndrome
Available online 28 February 2014
Abstract
Objectives
This audit looked at the use of direct composite splinting to manage cracked tooth syndrome (CTS).
Methods
Patients
who had been assessed as having CTS were offered the treatment of a
directly bonded, composite overlay restoration placed in
supra-occlusion. Cases were reviewed up to 3 months later.
Results
In
all, 151 restorations were followed up in the audit of which 131 were
successful at 3 months. The remaining 20 restorations failed due to pulp
complications (11), failure of the composite (5) or intolerance to the
high restoration (4). Of the 131, patients described transient problems
with chewing (94), composite breakage (13), TMD (1), phonetics (1),
increased mobility (1) and tender to chewing (1).
Conclusions
This is a successful non-invasive method of managing CTS in the short term for patients willing to accept transient effects.
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