Analysis of split tooth as an unstudied reason for tooth extraction

BMC Research Notes

Clement Chinedu Azodo²  Ifueko Patience Osaghae¹ 

[1] Department of Oral and Maxillofacial Surgery, Central Hospital, Benin City, Nigeria;Department of Periodontics, School of Dentistry, University of Benin, P.M.B. 1154 Ugbowo, Benin City, Edo State, Nigeria

关键词: Dental clinic;    Tooth extraction;    Split tooth;    Trauma;   

Others  :  1129640
DOI  :  10.1186/1756-0500-7-630

 received in 2014-08-15, accepted in 2014-09-02,  发布年份 2014

【 摘 要 】

Background

Split tooth is an unstudied reason for tooth extraction. The purpose of this study was to determine and analyze split tooth as a reason for extraction in a dental clinic in Benin City.

Methods

The prospective study was carried out on 669 patients having tooth extraction between May, 2005 and December, 2012. Over the period of the study, diagnosis and tooth extraction were done by three dentists of more five years practice experience. The indications for tooth extraction were noted with specific interest on those diagnosed as split tooth without restoration. Data was entered into Microsoft excel, sorted and transported into SPSS (SPSS version 16.0, Chicago, IL, USA).

Results

Split teeth constituted for 39 (5%) of extracted teeth. This 39 extractions were done in 38 patients meaning that two split teeth were extracted on separate occasions from same patient. The majority 23 (61%) of extracted split tooth were done in patients in the fifth decade of life. More of the split tooth extraction were performed in males 28 (72%) than females 11 (28%). Overall mandibular teeth were more affected than the maxillary teeth and the most affected teeth were mandibular second molars 23 (59%) while the least affected were the mandibular first premolars 1 (3%) and the third molars 1 (3%). The reported masticatory accident as aetiology, were biting on stone 21 (53%) or piece of bone 10 (26%) while eating. A few 3 (8%) were suspected bruxists. The majority 25 (65%) visited the dental clinic 3–6 months after the incident and onset of symptoms.

Conclusion

Split tooth constitute a reasonable common reason for tooth extraction and this was most common in the fifth decade of life. It is therefore important to improve early diagnosis of a cracked tooth in order to prevent the progression of the crack tooth to split tooth.

【 授权许可】

   
2014 Osaghae and Azodo; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】

• [1]Farsi JM: Common causes of extraction of teeth in Saudi Arabia. Saudi Dent J 1992, 4:101-105.
• [2]Anyanechi C, Chukwuneke F: Survey of the reasons for dental extraction in eastern Nigeria. Ann Med Health Sci Res 2012, 2(2):129-133.
• [3]Danielson OE, Chinedu AC, Oluyemisi EA, Bashiru BO, Ndubuisi OO: Frequency, causes and pattern of adult tooth extraction in a Nigerian rural health facility. Odontostomatol Trop 2011, 34(134):5-10.
• [4]Rivera EM, Walton RE: Cracking the cracked tooth code: detection and treatment of various longitudinal tooth fractures. Am Assoc Endodontists Colleagues for Excellence News Lett 2008, 2:1-19. Summer
• [5]Walton RE: Longitudinal Tooth Fractures. In Principles and Practice of Endodontics. 3rd edition. Philadelphia, USA: WB Saunders Company; 1995:499-519.
• [6]Seo DG, Yi YA, Shin SJ, Park JW: Analysis of factors associated with cracked teeth. J Endod 2012, 38(3):288-292.
• [7]Kahler W: The cracked tooth conundrum: terminology, classification, diagnosis, and management. Am J Dent 2008, 21(5):275-282.
• [8]Nguyen V, Palmer G: A review of the diagnosis and management of the cracked tooth. Dent 2009, 36(6):338-340. 342, 345–346 passim
• [9]Mathew S, Thangavel B, Mathew CA, Kailasam S, Kumaravadivel K, Das A: Diagnosis of cracked tooth syndrome. J Pharm Bioall Sci 2012, 4(Suppl 2):S242-S244.
• [10]Naik SB, Gautham RR: Cracked tooth syndrome – a review and report of an interesting case. Arch Oral Sci Res 2011, 1(2):84-89.
• [11]Eakle WS, Maxwell EH, Braly BV: Fractures of posterior teeth in adults. J Am Dent Assoc 1986, 112:215-218.
• [12]Jovino-Silveira RC, Caldas Ade F Jr, de Souza EH, Gusmão ES: Primary reason for tooth extraction in a Brazilian adult population. Oral Health Prev Dent 2005, 3(3):151-157.
• [13]Richards W, Ameen J, Coll AM, Higgs G: Reasons for tooth extraction in four general dental practices in South Wales. Br Dent J 2005, 198(5):275-278.
• [14]Alesia K, Khalil HS: Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population. Clin Cosmet Investig Dent 2013, 5:51-56.
• [15]Aida J, Ando Y, Akhter R, Aoyama H, Masui M, Morita M: Reasons for permanent tooth extractions in Japan. J Epidemiol 2006, 16(5):214-219.
• [16]Akhionbare O, Ojehanon PI, Ufomata DO, Jeboda SO: Periodontal treatment needs of urban and rural populations in Edo State. Nigeria Nig Dent J 2007, 15(1):13-17.
• [17]Roh BD, Lee YE: Analysis of 154 cases of teeth with cracks. Dent Traumatol 2006, 22(3):118-123.
• [18]Geurtsen W, Schwarze T, Günay H: Diagnosis, therapy, and prevention of the cracked tooth syndrome. Quintessence Int 2003, 34(6):409-417.
• [19]Rosen H: Cracked tooth syndrome. J Prosthet Dent 1982, 47:36-43.
• [20]Udoye CI, Jafarzadeh H: Cracked tooth syndrome: characteristics and distribution among adults in a Nigerian teaching hospital. J Endod 2009, 35:334-336.
• [21]Chladek W, Lipski T, Karasinski A: Experimental evaluation of occlusal forces. Acta Bioengineering Biomech 2001, 3(1):25-37.
• [22]Helkimo E, Ingervall B: Bite force and functional state of the masticatory system in young men. Swed Dent J 1978, 2:167-175.
• [23]Arnold M: Bruxism and the occlusion. Dent Clin North Am 1981, 25:395-407.
• [24]Ehrmann EH, Tyas MJ: Cracked tooth syndrome: diagnosis, treatment and correlation between symptoms and post-extraction findings. Aust Dent J 1990, 35:105-112.
• [25]Hiatt WH: Incomplete crown-root fracture in pulpal-periodontal disease. J Periodontol 1973, 44:369-379.
• [26]Rivera EM, Williamson A: Diagnosis and treatment planning: cracked tooth. Texas Dent J 2008, 120(3):278-283.
• [27]Mittal N, Sharma V, Minocha A: Management of cracked teeth - a case report. Endodontol 2007, 19(1):39-44.