Ellen Funkhouser1, Jack L Ferracane2, Thomas J Hilton3, Valeria V Gordan4, Gregg H Gilbert5, Rahma Mungia6, Vanessa Burton7, Cyril Meyerowitz8, Dorota T Kopycka-Kedzierawski9. 1. School of Medicine, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL 35294-0007, United States. Electronic address: emfunk@uab.edu. 2. Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave. Portland, OR 97201-5042, United States. 3. Alumni Centennial Professor in Operative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave. Portland, OR 97201-5042, United States. 4. Department of Restorative Dental Sciences, University of Florida, 1600 SW Archer Rd. Gainesville, FL 32610, United States. 5. Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL 35294, United States. 6. Department of Periodontics, School of Dentistry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive; MC 8258, San Antonio, TX 78229, United States. 7. HealthPartners, 5901 John Martin Dr. Brooklyn Center, MN 55430, United States. 8. Eastman Institute for Oral Health, University of Rochester, 601 Elmwood Avenue, Box 686. Rochester, NY 14642, United States. 9. Eastman Institute for Oral Health, 625 Elmwood Ave. Box 683. Rochester, NY 14620, United States.
Abstract
OBJECTIVE: Cracked teeth may be associated with pain, especially biting pain, and to a lesser degree cold and spontaneous pain. Described are how commonly these pains remain constant, develop, or resolve over time, none of which have been well-described, especially among untreated cracked teeth. METHODS: Cracked teeth from the Cracked Tooth Registry (CTR) study were followed for 3 years. Assessments of cold, biting, and spontaneous pain and treatments performed were completed at enrollment (Y0) and at each annual recall visit. RESULTS: 209 practitioners enrolled 2,858 patients, each with a visible crack on a posterior tooth; 2601 (91%) patients attended at least one recall visit. Overall, 960 (37%) were treated, primarily with crowns. Among both treated and untreated cracked teeth with biting pain or spontaneous pain at Y0, the vast majority (92-99%) had their pain resolved by the time of a recall visit and 85-93% remained pain-free after initial resolution. The observations for cold pain were similar: 68% (untreated) and 78% (treated) became free of cold pain at some point during follow-up, and 84% of these stayed free of cold pain after initial resolution. Few teeth developed biting or spontaneous pain (4-8%) and 44-67% of these had pain resolution during the follow-up period. CONCLUSION: In this study, treatment resolved a preponderance of pain associated with a cracked tooth. Pain was also resolved for most untreated cracked teeth, especially biting pain, and to a lesser degree spontaneous and cold pain, although not to the same degree as with the treated cracked teeth.
OBJECTIVE: Cracked teeth may be associated with pain, especially biting pain, and to a lesser degree cold and spontaneous pain. Described are how commonly these pains remain constant, develop, or resolve over time, none of which have been well-described, especially among untreated cracked teeth. METHODS: Cracked teeth from the Cracked Tooth Registry (CTR) study were followed for 3 years. Assessments of cold, biting, and spontaneous pain and treatments performed were completed at enrollment (Y0) and at each annual recall visit. RESULTS: 209 practitioners enrolled 2,858 patients, each with a visible crack on a posterior tooth; 2601 (91%) patients attended at least one recall visit. Overall, 960 (37%) were treated, primarily with crowns. Among both treated and untreated cracked teeth with biting pain or spontaneous pain at Y0, the vast majority (92-99%) had their pain resolved by the time of a recall visit and 85-93% remained pain-free after initial resolution. The observations for cold pain were similar: 68% (untreated) and 78% (treated) became free of cold pain at some point during follow-up, and 84% of these stayed free of cold pain after initial resolution. Few teeth developed biting or spontaneous pain (4-8%) and 44-67% of these had pain resolution during the follow-up period. CONCLUSION: In this study, treatment resolved a preponderance of pain associated with a cracked tooth. Pain was also resolved for most untreated cracked teeth, especially biting pain, and to a lesser degree spontaneous and cold pain, although not to the same degree as with the treated cracked teeth.
Authors: Thomas J Hilton; Ellen Funkhouser; Jack L Ferracane; Valeria V Gordan; Kevin D Huff; Julie Barna; Rahma Mungia; Timothy Marker; Gregg H Gilbert Journal: J Dent Date: 2017-12-28 Impact factor: 4.379
Authors: Jack L Ferracane; Thomas J Hilton; Ellen Funkhouser; Valeria V Gordan; Gregg H Gilbert; Rahma Mungia; Vanessa Burton; Cyril Meyerowitz; Dorota T Kopycka-Kedzierawski; National Dental Pbrn Collaborative Group Journal: Clin Oral Investig Date: 2021-10-09 Impact factor: 3.573
Authors: Gregg H Gilbert; O Dale Williams; James J Korelitz; Jeffrey L Fellows; Valeria V Gordan; Sonia K Makhija; Cyril Meyerowitz; Thomas W Oates; D Brad Rindal; Paul L Benjamin; Patrick J Foy Journal: J Dent Date: 2013-04-15 Impact factor: 4.379
Authors: Thomas J Hilton; Ellen Funkhouser; Jack L Ferracane; Gregg H Gilbert; Valeria V Gordan; Dorota T Kopycka-Kedzierawski; Cyril Meyerowitz; Rahma Mungia; Vanessa Burton Journal: J Am Dent Assoc Date: 2020-12-24 Impact factor: 3.634
Authors: Dorota T Kopycka-Kedzierawski; Cyril Meyerowitz; Mark S Litaker; Sidney Chonowski; Marc W Heft; Valeria V Gordan; Robin L Yardic; Theresa E Madden; Stephanie C Reyes; Gregg H Gilbert Journal: BMC Oral Health Date: 2017-01-13 Impact factor: 2.757