Diagnosis and Management of Maxillary Left Second Molar with Cracked Tooth Syndrome: A Case Report

摘要

Cracked tooth syndrome is known as a major diagnostic challenge in clinical practice.Successful diagnosis and management of this condition requires an awareness of its existence andappropriate diagnostic tests. The aim of this article is to report a clinical case of a cracked toothsyndrome appeared in maxillary left second molar and emphasize on its diagnosis andmanagement. A 45-year-old female patient reported with pain on her maxillary left second molar forthe past two months, which increased when biting or chewing. The tooth was tender on palpationand fistula was seen on the gingival region. Radiograph examination revealed a radiolucent area onthe apical region. A fracture line running mesio-distally on the occlusal surface was visible using astaining technique. The tooth was diagnosed with chronic periapical abscess et causa necroticpulp. An orthodontic band was cemented onto this tooth prior to root canal treatment and full-crownwas cemented as post-endodontic restoration. The absence of pathological sign and symptoms,and healing of the periapical lesion which can be seen in radiograph examination after 1 monthfollow-up showing a successful treatment of this case.