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4.4.4 Clinical Features

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 Majority of patients are 30–50 years of age

 Men and women are equally affected

 Most affected teeth are the mandibular second molars, followed by mandibular first molars, and maxillary premolars

 Deep cracks may involve pulp (Figure 4.4)

 Patient complains of pain on biting that ceases after the masticatory pressure has been withdrawn

 Pain on tooth grinding and with cold drinks or food

 Difficulty in identifying offending tooth (by the patient)

 Vitality test is usually positive

 Tenderness can be elicited when pressure is applied to an individual cusp

 Pain/tenderness increases as the occlusal force increases, and relief occurs once the pressure is withdrawnFigure 4.4 Cracked tooth syndrome; fractured premolar tooth (black arrows) viewed in the mouth (left) and after extraction (right). (Source: Coronation Dental Specialty Group Canada; Wikipediahttps://en.wikipedia.org › wiki. Creative Commons Attribution‐Share Alike 3.0 Unported license

Handbook of Oral Pathology and Oral Medicine

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