Clinical treatments and prognosis about cracked tooth / 口腔疾病防治

@#Cracked tooth is a common type of tooth fracture with diverse symptoms, different treatment principles and unpredictable prognosis. The available remedies for immediate, intermediate and definitive managements include occlusal adjustment, orthodontic band, bonded composite resin, onlay, full crown and so on. For teeth with localized crack and vital pulp, bonded composite resin and onlay with cuspal coverage are also protective remedies besides traditional full-crown restoration. Once pulpal infection occurs, root canal therapy and full-crown restoration is indicated. Clinical determination should be made with comprehensive consideration of the location and depth of the crack, risk of extension and pulpal condition. This review will focus on the traits and prognosis of various therapy options, so as to provide evidence-based treatment planning of cracked tooth.

In vivo evaluation of different techniques for establishment of proximal contacts in posterior resin composite restorations

Aim: To evaluate the re-establishment of proximal contacts on class II resin composite restorations by means of 4 different in vivo techniques. Methods: Restorations were divided into 4 groups (N=10): Group 1 (preformed metallic matrix + wooden wedges + separating ring); Group 2 (preformed metallic matrix + elastic interdental wedges+ separating ring); Group 3 (preformed metallic matrix + wooden wedges + translucent contact spatula); Group 4 (preformed metallic matrix + wooden wedges + resin inserts). Initially, two previously calibrated examiners conducted training on models representing three different proximal contact situations: tight (T); satisfactory (S) and unacceptable (U). Two evaluations were accomplished: immediately and 30 days after the restorative procedures. Fisher’s exact test was used to verify differences among the techniques for establishment of proximal contacts in posterior resin composite restorations. Results: There was no statistically significant differences (p>0.05) among the 4 groups. Conclusions: All techniques produced satisfactory proximal contacts. Different restorative techniques for class II resin composite cavity preparations enabled satisfactory proximal contacts.