Cracks and Fractures in Teeth
Carolina W. Gerges, B.D.S.
Resident
Case Western Reserve University
Broadview Hts, Ohio, United States
Andre K. Mickel, D.D.S., M.S.D.
Chair of Endodontic department
Case Western Reserve University
Cleveland, Ohio, United States
Cracked teeth pose significant challenges in dental practice, with various risk factors, including parafunctional habits like bruxism, high occlusal forces, and aging (Chen et al.2017). Given the rise in mental health conditions, especially during the COVID-19 pandemic, there was an increase in overall stress, and limited dental care access which increased the incidence of cracked teeth (Nosrat et al.2022). This raised the question of whether patients with a history of psychiatric conditions are more susceptible to developing dental cracks.
This table clinic aims to discuss a potential association between cracked teeth and psychiatric conditions, such as depression and anxiety.
Patient data from 2021 to 2024 was reviewed, focusing on individuals aged 18-60 who sought endodontic treatment. Cracks in molars and premolars were diagnosed by microscopic examination, CBCT, bite test or deep probing. Cases were defined as patients who had cracks, and a history of psychiatric conditions and controls were patients with cracks and no psychiatric history. Comparing cases with controls, this table clinic will highlight the potential correlation between a history of psychiatric conditions and increased prevalence of cracks.
This table clinic will provide valuable insights into the role of mental health in the development of cracked teeth, potentially highlighting psychiatric conditions as a significant risk factor. The goal is to advocate for preventive and integrative approaches to patient care, emphasizing the need for dentists to consider psychological factors when assessing dental risks and developing treatment plans.