Survivability of endodontically treated cracked tooth: A systematic review

Article type: Review Article

Authors: Mathew, Vinod Babu^a | Shamsuddin, Shaheen^b | Langaliya, Akshayraj^c | Rathod, Priyanka Tikaram^d | Gupta, Bharti^e | Ronsivalle, Vincenzo^f | Cicciù, Marco^f | Minervini, Giuseppe^{g; h; *}

Affiliations: [a] Department of Restorative Dentistry College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia | [b] College of Dentistry, King Khalid University, Abha, Saudi Arabia | [c] Department of Conservative Dentistry and Endodontics, AMC Dental College and Hospital, Ahmedabad, India | [d] Department of Prosthodontics Crown and Bridge and Implantology, SMBT Institute of Dental Sciences and Research, Nashik, India | [e] Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia | [f] Department of Biomedical and Surgical and Biomedical Sciences, Catania University, Catania, Italy | [g] Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India | [h] Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, Naples, Italy

Correspondence: [*] Corresponding author: Giuseppe Minervini, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India. E-mail: [email protected].

Abstract: BACKGROUND: Literature evidence describes various treatment protocols that have been employed for the effectiveness in improving survival and addressing associated symptoms of cracked teeth. OBJECTIVE: This systematic review investigates the survivability of endodontically treated cracked teeth and associated assessments, focusing on various treatment protocols. METHODS: The PRISMA guidelines were utilised for guiding the article selection framework of this review. A comprehensive search of relevant literature was conducted in May 2023 across various databases, and studies meeting the inclusion criteria were selected. Data extraction, guided by a standardized form, captured crucial details, including study characteristics, treatment protocols, and treatment outcomes, enhancing the consistency and accuracy of information collection. Data extraction and synthesis was done by two reviewers independently. The Newcastle Ottawa tool was used to measure the methodological quality of the study. Six observational studies were eventually included. RESULTS: Mandibular molars are particularly prone to developing cracks, with research indicating a heightened susceptibility to this dental issue. Studies reveal that endodontically treated cracked teeth boast robust overall survival rates ranging from 75.8% to 100%. The risk of bias assessment, utilizing the Newcastle Ottawa scale, indicated a moderate risk across studies, highlighting the necessity for careful interpretation of findings. CONCLUSION: Endodontically treated cracked teeth show marked success in survival, with the incorporation of crowns post-endodontic treatment significantly enhancing longevity and resilience.

Keywords: Cracked teeth, survivability, treatment protocols, tooth survival, pulpitis, periodontitis, fractures

DOI: 10.3233/THC-231993

Journal: Technology and Health Care, vol. 32, no. 4, pp. 2023-2037, 2024