CRACKED TOOTH SYNDROME AND THE ROLE OF CONE-BEAM COMPUTED TOMOGRAPHY IN THE DIFFERENTIAL DIAGNOSIS: A CASE REPORT

Abstract

Cracked tooth syndrome is a problem frequently encountered in dental practice and requires immediate diagnosis and treatment in order to eliminate the symptoms of severe pain. In this report; a case of delayed diagnosis and treatment is presented. A 40-year-old male patient who had no health problem referred to our clinic. In his history, the patient complained about an electric shock-like pain in the right upper teeth especially during chewing, and also during eating cold and hot foods and also he stated that his complaints couldn’t be diagnosed over a year. In intraoral examination; generalized attrition and abrasion, and gingival recessions of the teeth were detected. Cracks were observed on the palatal surface of maxillary first and second premolar, and first molar teeth, through visual inspection, transillumination, and staining methods. Examination of the Cone-beam Computed Tomography revealed that the crack of the maxillary fist premolar tooth reached the pulp. Root canal treatment was performed to the maxillary fist premolar tooth which had hyperemia and sensitivity to bite test. In the control sessions, it was observed that the complaints of the patient disappeared completely. Usage of a mouth guard was recommended for the treatment of bruxism which is taught to play a role in the etiology of the cracked tooth syndrome. Anxiety disorder of the patient was consulted to a psychiatrist

Keywords

• Cracked tooth syndrome
• Conebeam Computed Tomography
• Dentine sensitivity
• Bruxism

KIRIK DİŞ SENDROMU VE AYIRICI TEŞHİSİNDE KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİNİN ROLÜ: OLGU SUNUMU

Abstract

Dental pratikte sıklıkla karşılaşılan Kırık diş sendromu, oluşturduğu şiddetli ağrı semptomlarını gidermek amacıyla hızlı teşhis ve tedavi yaklaşımı gerektiren bir problemdir. Bu olgu sunumunda; teşhisi ve tedavisi gecikmiş bir vaka sunulmaktadır.

: Herhangi bir sağlık problemi olmayan 40 yaşındaki bir erkek hasta kliniğimize başvurdu. Hasta hikâyesinde özellikle çiğneme esnasında, ayrıca sıcak ve soğuk yiyecekler sırasında sağ üst dişlerinde elektrik çarpması tarzında ağrılar hissettiğini ve bu şikâyetlerine bir yıldır teşhis konulamadığını belirtti. Hastanın intraoral muayenesinde; dişlerde generalize atrizyon, abrazyon ve dişeti çekilmesi bulgularına rastlandı. Gözle muayene, transillüminasyon ve boyama yöntemleriyle maksiller 1. ve 2. premolarlar ve 1. molar dişlerin palatinal yüzeylerinde çatlaklar izlendi. Konik ışınlı bilgisayarlı tomografi incelemesinde maksiller 2. premolar dişte görülen çatlağın pulpaya ulaştığı izlendi.

 Isırtma testinde hassasiyet gözlenen ve hiperemik olan maksiller 2. premolar dişe kanal tedavisi uygulandı. Kontrol seanslarında hastamızın şikâyetlerinin tamamen kaybolduğu gözlendi. Çatlakların etyolojisinde rol oynayan bruksizmin tedavisi için koruyucu plak uygulaması önerildi. Hastamızın anksiyete bozukluğu psikiyatri uzmanına konsülte edildi.

Keywords

• Kırık diş sendromu
• Konik Işınlı Bilgisayarlı Tomograf
• Dentin hassasiyeti
• Bruksizm

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