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Longitudinally Cracked Up: Discussions on the Code of Cracked Teeth – Ep. 20

Guest: Keith V. Krell, D.D.S., M.S., M.A. & Eric M. Rivera, D.D.S., M.S.

We bring together Dr. Keith Krell, immediate past president of the AAE, and Dr. Eric Rivera, past chair and grad director at UNC and Iowa, to illuminate the enigma of cracked teeth, including the role of the pandemic on this clinical presentation. It’s a common clinical situation: X-ray is void of any caries, no history of trauma yet the patient has an acute increased sensitivity to temperatures and pain upon biting and or release. This Endo Voices discussion is framed through the 2007 article on cracked teeth, a classic publication collaboration by Drs. Krell and Rivera.

Our guests delve into the updated nomenclature of cracked teeth, which quickly spreads to thoughts on new technology like CBCT in highlighting these elusive disruptions of enamel and dentin.

These endodontic powerhouses share their prevailing thoughts on cuspal reduction, necrotic vs vital cracked teeth and of course best methods and techniques for detecting and treating cracks. Tune in and reflect upon contemporary and traditional management of cracked teeth.

Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.

Episode Resources

  1. Rivera EM and Walton RE. Longitudinal Tooth Fractures. In: Principles and Practice of Endodontics, 5th Ed. (M Torabinejad, RE Walton and AF Fouad, eds.), pp. 121-141. St. Louis: Elsevier Saunders, 2015.
  2. Krell K.V., Rivera E.M. A six year evaluation of cracked teeth diagnosed with reversible pulpitis: treatment and prognosis. J Endod. 2007; 33: 1405-1407
  3. Matthew C. Davis,Suhaila S. Shariff. Success and Survival of Endodontically Treated Cracked Teeth with Radicular Extensions: A 2- to 4-year Prospective Cohort Journal of Endodontics Vol. 45Issue 7p848–855Published online: May 20, 2019
  4. Krell KV, Caplan DJ. 12-month success of cracked teeth treated with orthograde root canal treatment. J Endodon 44(4):543-548, 2018.

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1 Comment

  1. Mauro on February 21, 2021 at 6:40 am

    Very interesting topic!
    They could talk more about what kind of build up, they are doing, before the restauration of the cracked tooth.

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