Purpose of Review
The restorative management of cracked tooth syndrome (CTS) is very complex and depends on the prerestorative diagnosis and decisions. This review discusses the strategies for restoring teeth with CTS and suggests a related clinical decision tree.
CTS is the incomplete fracture of the natural tooth crown. Preparation type and direct/indirect restorative protocol choices are the important factors effecting the prognosis of the tooth while multi-factorial etiology, complexity in diagnosis, and subjective decisions about the preparation make the clinical management very difficult. Therefore, the clinical management of CTS should be carried out by the guidance of an informative decision tree. This decision tree should focus on (1) the rational retention of tooth structure, (2) the preparation optimization, and (3) the restorative implications and choices.
The restorative management of CTS is a complex issue which should be carried out systematically. The guidance of an informative, universal decision tree might be useful in daily clinical practice.