{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T05:40:24Z","timestamp":1778910024484,"version":"3.51.4"},"reference-count":54,"publisher":"Operative Dentistry","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,9,1]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Cracked tooth syndrome is known to occur most frequently in heavily restored teeth. Nevertheless, when the symptoms occur in intact teeth, there is difficulty in obtaining a correct diagnosis because it is difficult for the dentist to find where the crack is located. This clinical report describes the diagnostic procedures and the direct bonded composite restoration used to restore an incompletely fractured unrestored maxillary premolar in a 22-year-old female patient. To achieve a correct diagnosis, the following were performed: periapical and bitewing radiographs, percussion and thermal vitality tests, a bite test, and the placement of a stainless steel band. Once the symptoms ceased with band placement, cone beam computed tomography, transillumination, macro photographs, and isolation with a rubber dam helped to visualize the crack line along the occlusal surface involving distal and mesial marginal ridges. The crack was traced using a high-speed tungsten carbide bur until the fracture line was not visible. The tooth was restored with a direct composite resin, associated with a total-etch adhesive system, and the symptoms were immediately eliminated.<\/jats:p>","DOI":"10.2341\/13-257","type":"journal-article","created":{"date-parts":[[2014,2,11]],"date-time":"2014-02-11T17:47:59Z","timestamp":1392140879000},"page":"460-468","source":"Crossref","is-referenced-by-count":11,"title":["Cracked Tooth Syndrome in an Unrestored Maxillary Premolar: A Case Report"],"prefix":"10.2341","volume":"39","author":[{"given":"S","family":"Batalha-Silva","sequence":"first","affiliation":[{"name":"Silvana Batalha-Silva, DDS, MS, PhD, private practice, Operative Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Gondo","sequence":"first","affiliation":[{"name":"Renata Gondo, DDS, MS, PhD, professor, Operative Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SC","family":"Stolf","sequence":"first","affiliation":[{"name":"Sheila Cristina Stolf, DDS, MS, PhD, professor, Operative Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LN","family":"Baratieri","sequence":"first","affiliation":[{"name":"Luiz Narciso Baratieri, professor, Operative Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"issue":"4","key":"2020060414454953000_i1559-2863-39-5-460-b01","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/0022-3913(81)90102-5","article-title":"Potential for tooth fracture in restorative dentistry","volume":"45","author":"Braly","year":"1981","journal-title":"Journal of Prosthetic Dentistry"},{"key":"2020060414454953000_i1559-2863-39-5-460-b02","doi-asserted-by":"crossref","first-page":"405","DOI":"10.14219\/jada.archive.1964.0108","article-title":"Cracked-tooth syndrome","volume":"68","author":"Cameron","year":"1964","journal-title":"Journal of the American Dental Association"},{"issue":"158","key":"2020060414454953000_i1559-2863-39-5-460-b03","article-title":"Cuspal fracture odontalgia","volume":"60","author":"Gibbs","year":"1954","journal-title":"Dental Digest"},{"key":"2020060414454953000_i1559-2863-39-5-460-b04","unstructured":"Thoma KH (1958) Oral SurgeryCV Mosby Co, St Louis."},{"key":"2020060414454953000_i1559-2863-39-5-460-b05","first-page":"362","article-title":"Greenstick fracture of the tooth crown","volume":"112","author":"Sutton","year":"1962","journal-title":"British Dental Journal"},{"issue":"1","key":"2020060414454953000_i1559-2863-39-5-460-b06","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/0022-3913(82)90239-6","article-title":"Cracked tooth syndrome","volume":"47","author":"Rosen","year":"1982","journal-title":"Journal of Prosthetic Dentistry"},{"issue":"10","key":"2020060414454953000_i1559-2863-39-5-460-b07","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.14219\/jada.archive.1996.0060","article-title":"The cracked tooth syndrome: An elusive diagnosis","volume":"127","author":"Turp","year":"1996","journal-title":"Journal of the American Dental Association"},{"issue":"4","key":"2020060414454953000_i1559-2863-39-5-460-b08","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1111\/j.1834-7819.1998.tb00167.x","article-title":"Cracked tooth syndrome: Incidence, clinical findings, and treatment","volume":"43","author":"Homewood","year":"1998","journal-title":"Australian Dental Journal"},{"issue":"3","key":"2020060414454953000_i1559-2863-39-5-460-b09","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.joen.2011.11.017","article-title":"Analysis of factors associated with cracked teeth","volume":"38","author":"Seo","year":"2012","journal-title":"Journal of Endodontics"},{"issue":"4","key":"2020060414454953000_i1559-2863-39-5-460-b10","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/0022-3913(86)90165-4","article-title":"The incompletely fractured tooth","volume":"55","author":"Swepston","year":"1986","journal-title":"Journal of Prosthetic Dentistry"},{"issue":"5","key":"2020060414454953000_i1559-2863-39-5-460-b11","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1046\/j.1365-2591.2002.00501.x","article-title":"Incompletely fractured teeth associated with diffuse longstanding orofacial pain: Diagnosis and treatment outcome","volume":"35","author":"Brynjulfsen","year":"2002","journal-title":"International Endodontic Journal"},{"issue":"11","key":"2020060414454953000_i1559-2863-39-5-460-b12","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1038\/sj.bdj.2010.496","article-title":"Cracked tooth syndrome. 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