Diagnosis and management of maxillary left second molar with cracked tooth syndrome: A case report

Cracked tooth syndrome is known as a major diagnostic challenge in clinical practice. Successful diagnosis and management of this condition requires an awareness of its existence and appropriate diagnostic tests. The aim of this article is to report a clinical case of a cracked tooth syndrome appeared in maxillary left second molar and emphasize on its diagnosis and management. A 45-year-old female patient reported with pain on her maxillary left second molar for the past two months, which increased when biting or chewing. The tooth was tender on palpation and fistula was seen on the gingival region. Radiograph examination revealed a radiolucent area on the apical region. A fracture line running mesio-distally on the occlusal surface was visible using a staining technique. The tooth was diagnosed with chronic periapical abscess et causa necrotic pulp. An orthodontic band was cemented onto this tooth prior to root canal treatment and full-crown was cemented as post-endodontic restoration. The absence of pathological sign and symptoms, and healing of the periapical lesion which can be seen in radiograph examination after 1 month follow-up showing a successful treatment of this case.