From: Javier Pascual
To: ROOTS
Sent: Thursday, August 27, 2009 1:02 AM
Subject: [roots] Cracked Tooth Syndrome

This patient came today in the morming.

She says that tooth 2.6 is sensitive when she bites and little sensitive with cold drinks.

Normal probing
No vertical/horizontal percussion
Normal response to cold test
Positive response to Bite-Test (the spanish version of tooth slooth "ortho band adaptator")

She is being treated because her bruxism by her GP, but she doesn´t use her dental splint.
After showing this pictures I hope she minds her problem.

Teeth exploration reveals multiple fractures lines and loss of occlusal anatomy.  Pulp seems not
to be affected, patient has some economic problems. She is advised of the uncertain prognosis of
this tooth. Would you recomend to place an ortho band as economic solution? extraction? crown? -  Javier




Hi Javier, that canine  and the first premolar look more like bulimia than bruxism to me - Winfried

Javier look at the distal of 26 looks like you have a periodontal pocket there.  This may be associated
with a fracture - Carlos Murgel