TY - JOUR
T1 - Onset and resolution of pain among treated and untreated posterior teeth with a visible crack
T2 - Three-year findings from the national dental practice-based research network
AU - National Dental PBRN Collaborative Group
AU - Funkhouser, Ellen
AU - Ferracane, Jack L.
AU - Hilton, Thomas J.
AU - Gordan, Valeria V.
AU - Gilbert, Gregg H.
AU - Mungia, Rahma
AU - Burton, Vanessa
AU - Meyerowitz, Cyril
AU - Kopycka-Kedzierawski, Dorota T.
N1 - Funding Information:
No author has any conflict of interest to declare. The work was funded by grants from the NIDCR, these are described in an “Acknowledgements” section, also uploaded with “No conflict of interest” statement. The contribution of each author is given at the bottom of the cover letter.
Funding Information:
This work was supported by NIH /NIDCR grants U19-DE-28717 , U19-DE-22516 , and U01-DE-28727 . Opinions and assertions contained herein are those of the authors and are not to be construed as necessarily representing the views of the respective organizations or the National Institutes of Health. The informed consent of all human subjects who participated in this investigation was obtained after the nature of the procedures had been explained thoroughly. The manuscript co-authors report having no conflicts of interest. An Internet site devoted to details about the nation's network is located at http://NationalDentalPBRN.org . We are very grateful to the network's Regional Node Coordinators along with other network staff (Midwest Region: Tracy Shea, RDH, BSDH; Western Region: Stephanie Hodge, MA; Northeast Region: Christine O'Brien, RDH; South Atlantic Region: Hanna Knopf, BA, and Deborah McEdward, RDH, BS, CCRP; South Central Region: Shermetria Massengale, MPH, CHES, and Ellen Sowell, BA; Southwest Region: Stephanie Reyes, BA, Meredith Buchberg, MPH, and Colleen Dolan, MPH; network program manager (Andrea Mathews, BS, RDH) and program coordinator (Terri Jones), along with network practitioners and their dedicated staff who conducted the study.
Publisher Copyright:
© 2022
PY - 2022/4
Y1 - 2022/4
N2 - 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.
AB - 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.
KW - Cracked-teeth
KW - Follow-up
KW - Pain
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U2 - 10.1016/j.jdent.2022.104078
DO - 10.1016/j.jdent.2022.104078
M3 - Article
C2 - 35227834
AN - SCOPUS:85125865616
VL - 119
JO - Journal of Dentistry
JF - Journal of Dentistry
SN - 0300-5712
M1 - 104078
ER -