Abstract
Diagnosing a cracked tooth is a challenge for dental clinicians. This report describes
the use of a quantitative light-induced fluorescent (QLF) device that detects fluorescence
reactions with visible light (405 nm) to visually identify microscopic tooth cracks
during the diagnosis and treatment of cracked teeth that caused pulp disease. Fluorescence
images of the occlusal surface, before and after removal of the restoration, and inside
of the access cavity for root canal treatment were obtained using an intraoral capture-type
QLF device (Q-ray penC; AIOBIO, Seoul, Korea). The device provided visual information
such as enhanced magnification and fluorescent images to identify cracks on the exterior
of the tooth, around restorations, and inside the cavity after removal of the restoration
by a simple image capture process. The device was able to demonstrate the existence
of the crack line and to predict the depth of cracks during treatment.The QLF device
showed a potential benefit in the diagnosis and characterization, including the location
and depth, of tooth cracks.
Key Words
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References
- Cracked-tooth syndrome.J Am Dent Assoc. 1964; 68: 405-411
- Incomplete tooth fracture-proposal for a new definition.Br Dent J. 2001; 190: 424-428
- Incomplete crown-root fracture in pulpal-periodontal disease.J Periodontol. 1973; 44: 369-379
- Cracked tooth syndrome. Part 1: aetiology and diagnosis.Br Dent J. 2010; 208: 459-463
- Cracked tooth syndrome: diagnosis, treatment and correlation between symptoms and post-extraction findings.Aust Dent J. 1990; 35: 105-112
- Bacterial contamination of cracks in symptomatic vital teeth.Aust Endod J. 2000; 26: 115-117
- The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome.J Endod. 1986; 12: 453-457
- Definitive diagnosis of early enamel and dentin cracks based on microscopic evaluation.J Esthet Restor Dent. 2003; 15: 391-401
- Association between longitudinal tooth fractures and visual detection methods in diagnosis.J Dent. 2020; 101: 103466
- Visualization enhancement of dentinal defects by using light-emitting diode transillumination.J Endod. 2016; 42: 1110-1113
- An in vitro comparison of quantitative percussion diagnostics with a standard technique for determining the presence of cracks in natural teeth.J Prosthet Dent. 2014; 112: 267-275
- Association between the cariogenicity of a dental microcosm biofilm and its red fluorescence detected by quantitative light-induced fluorescence-digital (QLF-D).J Dent. 2013; 41: 1264-1270
- Validation of quantitative light-induced fluorescence-digital (QLF-D) for the detection of approximal caries in vitro.J Dent. 2015; 43: 568-575
- Diagnosis and management of cracked tooth by quantitative light-induced fluorescence technology.Photodiagnosis Photodyn Ther. 2019; 26: 324-326
- Detection and analysis of enamel cracks by quantitative light-induced fluorescence technology.J Endod. 2016; 42: 500-504
- Detection of dental caries and cracks with quantitative light-induced fluorescence in comparison to radiographic and visual examination: a retrospective case study.Sensors (Basel). 2021; 21: 1741
- Red autofluorescence of dental plaque bacteria.Caries Res. 2006; 40: 542-545
- Effect of metalloporphyrins on red autofluorescence from oral bacteria.Eur J Oral Sci. 2013; 121: 156-161
- Predictable management of cracked teeth with reversible pulpitis.Aust Dent J. 2009; 54: 306-315
- The cracked tooth conundrum: terminology, classification, diagnosis, and management.Am J Dent. 2008; 21: 275-282
- Managing incomplete tooth fractures.J Am Dent Assoc. 2000; 131: 1168-1174
- Cracked teeth: a review of the literature.J Esthet Restor Dent. 2010; 22: 158-167
- Success and survival of endodontically treated cracked teeth with radicular extensions: a 2- to 4-year prospective cohort.J Endod. 2019; 45: 848-855
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Publication history
Published online: August 22, 2021
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© 2021 American Association of Endodontists.