Abstract
BackgroundSplit 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.MethodsThe 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).ResultsSplit 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.ConclusionSplit 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.
Highlights
Split tooth is an unstudied reason for tooth extraction
The 39 split teeth were extracted from 38 patients as one patient had two split teeth 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
Summary
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. Trauma has been reported as the third most common reason for tooth extraction after dental caries and periodontal disease [3] This trauma may either be in form of unrestorable tooth fracture or tooth in jaw fracture line. Split tooth is the evolution of a cracked tooth, though a split can occur suddenly, it results more commonly from long-term growth of an incomplete cracked tooth [5]. It is considered as one of the five specific variations of cracked teeth alongside craze line, fractured cusp, cracked tooth and vertical root fracture according to the classification by American Association of Endodontists (AAE) [4]. The crack tooth is difficult to diagnose as the crack are usually invisible to the naked eye and undiscloseable with staining in the early stages [9]
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