The diagnosis of incomplete tooth fracture has been based axiomatically on tooth symptomatology: localized pain during chewing or biting, unexplained sensitivity to cold, and pain on release of pressure. Even so, the best approach is often not obvious. The issue may seem straightforward for teeth that demonstrate symptoms, since patient pain often dictates that some treatment be initiated to relieve distress. The ideal course of action for teeth with cracks often presents a conundrum to dentists, ranging from monitoring to tooth extraction, depending upon the degree of pain and/or perceived severity of the crack system.
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