CRACKED TOOTH DIAGNOSIS: Finding Cracked Teeth and What To Do About Them.
Presenter: Dr. Paul Jones
CE Credits: 3 Live Interactive CEU
Cost: $59 RDH/RDA $79 Dentist
Special Lecturer not included in subscription.
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Course Description: Cracked teeth can be one of the most frustrating condition to diagnose and treatment plan. The symptoms are often vague and the patient may have a hard time localizing the offending tooth. This class stresses the importance of always looking for cracks when doing an examination, when restoring teeth, and when doing endo. Students will learn how to determine if the crack has extended into the dentin, has infected the pulp, or if it has extended into the root of the tooth and if so, how deeply. This depth of penetration determines the treatment plan.
Failure to always be vigilant in looking for cracks and determining the damage they have done can lead to misdiagnosis and treatment failure which can be frustrating to the clinician and expensive and unnecessarily painful for the patient.
The steps used to detect cracks are described including history, clinical examination, and the common tests. Clinical photographs, two dimensional periapical x-rays, and three dimensional Cone Beam CT images of cases are used to illustrate how to determine the presence and location of cracks in teeth. CBCT especially has made the diagnosis and treatment planning of cracked teeth more accurate. It is a tool that often can be used instead of beginning a restoration, starting endo on a tooth, or raising a soft tissue flap to look visually for cracks in teeth that are hopeless. Students who take this class will have a set of tools to be more confident in their ability to better diagnose and treatment plan cracked teeth.
Audience: This course has been especially developed for dentists, dental hygienists, and dental assistants in all practice settings.
Faculty Disclosure: Contributing faculty, Paul A. Jones, DDS, MS; declares he has no known conflict of interest or financial relationship to any products or materials should they be mentioned during her presentations.
1. Learn that you can only find cracks in teeth if you look for them in every tooth you treat.
2. Realize the importance of determining if a crack exists in a tooth
3. Understand the steps to take and the tests to preform to find cracks in teeth
4. Learn how to tell how deeply into the tooth a crack extends
5. Learn why the depth of the crack is important in determining the treatment plan, e.g. watching vs crown vs RCT vs extraction
6. Learn the correct nomenclature for the various types of cracked teeth
7. Be able to tell the signs of cracks in 2D periapical x-rays and differentiate them from normal anatomy (PDL space)
8. Understand how to interpreted Cone Beam CT scans to show either cracks or the bone loss that results from cracks and artifacts that can be confused with cracks
9. Learn the smallest feature that can be resolved on a CBCT based on the scan’s minimum voxel size
10. Develop an awareness of when to expect cracks, common signs, symptoms.
- Faculty: Paul A Jones, DDS, MS attended the University of Kansas School of Pharmacy, received his DDS from UMKC, practiced general dentistry in Lawrence Kansas for two years, received a Master’s of Science in Endodontics from the University of Nebraska, Lincoln, and was in private practice limited to Endodontics in the Kansas City area for over thirty-five years. He has utilized personal computers for over thirty years, digital radiography for over twenty years, and Cone Beam CT for over six years. He is a member of the American Dental Association, the American Association of Endodontists, the American Academy of Oral and Maxillofacial Radiologists, Omicron Kappa Upsilon, and Phi Kappa Phi. His other passions are sailing and digital photography.
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