AUTHOR DETAILS

Leif K, Bakland, DDS

Leif K. Bakland, DDS is Emeritus Professor of Endodontics at Loma Linda University in California.  His professional career has been devoted to teaching, research, and patient care. He is author and co-author of more than 90 scientific articles and book chapters. He has lectured worldwide on dental trauma and endodontics including dental fractures.

Diagnosing and Managing the Cracked Tooth Part 1: Crown-Originating Fractures (3rd Edition)
Credits: 1.5
AGD Code(s): 077
Non-Participating Provider Fee: $18.00

The term ‘cracked tooth’ has been used to describe many types of fractures in teeth. One type of dental fracture is the Crown-originating fracture (COF). A COF typically originates in the tooth crown and is not related to previous root canal treatment. A COF is often extremely difficult to diagnose because symptoms vary widely and may mimic other pathologic conditions. This Quality Resource Guide (QRG) provides an evidence-based discussion of the COF, including characteristics, symptoms, diagnosis (using radiographic information, clinical/tactile findings, pulp testing, percussion and periodontal probing), treatment options and prognosis. A section also discusses appropriate methods of communicating with the patient through the sometimes very difficult processes of determining a diagnosis and selecting a treatment option. The QRG is an important reference for the clinician assessing a patient presenting with pain that is suspected of being from a tooth. It also provides background information for the dental office team to answer patients’ questions regarding a potential COF and the options they face regarding therapy.

Diagnosing and Managing the Cracked Tooth Part 2: Vertical Root Fractures (3rd Edition)
Credits: 1.5
AGD Code(s): 077
Non-Participating Provider Fee: $18.00

Symptoms of a Vertical Root Fracture (VRF) are often lacking or mild in nature, complicating its diagnosis and management. In addition, the clinical presentation of a VRF can be confused with other dental conditions and lead to misdiagnosis. This QRG describes the clinical and radiographic aspects of a VRF and discusses management of these dental problems. It provides an evidence-based discussion of the VRF, including characteristics, symptoms, diagnosis, treatment options and prognosis. A section also discusses appropriate methods of communicating with the patient through the sometimes very difficult processes of determining a diagnosis and selecting a treatment option. Multiple well-documented clinical cases are presented to demonstrate the descriptions and findings discussed in the narrative. The QRG is an important reference for the clinician assessing a patient presenting “soreness” in a tooth,that is difficult to differentiate. It also provides background information for the dental office team to answer patients’ questions regarding a potential VRF and the options they face regarding therapy.