I Hate Cracked Teeth with Kreena Patel – PDP028

I love Dentistry…but I FREAKING HATE CRACKS. CRACKS = DIFFICULT CONVERSATIONS with our patients. https://www.youtube.com/watch?v=IIsjE2Km-po Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: When checking for cracked cusp syndrome using a tooth slooth, make sure to jiggle it a little bit because it can help to get a more accurate result! I am joined by Endo Queen Dr. Kreena Patel - @kreenaspecialistendodontics to discuss all things cracks to make our decision making process clearer in General Practice! We discuss: How do you manage situations where pain is difficult to localise and you're in a diagnostic dilemma?What if you just CANNOT find out which tooth it is? What should you say to the patient? 🤔What % chance of success should you give to the patient based on clinical findings?Can you use a cotton wool roll as an alternative to a tooth slooth?SHOULD YOU CHASE A CRACK???When you open a molar access cavity and trace a crack - where is the cut off for the extent of the crack before it is deemed not worth saving?Any advice for GDPs dealing with CTS?What is the evidence for RCT in patients with cracks?What is the consent conversation you have regarding cracks? And right at the start we touch on: Impact of CBCT in EndodonticsCan you spot a crack on a CBCT? Click below for full episode transcript: Opening Snippet: Hello guys and welcome to another episode of the Protrusive Dental podcast... Jaz's Introduction: Today I've got endo Queen, Kreena Patel on the show today and we're talking all about cracked teeth, something as you will hear, I absolutely despise in general practice, I think it's the bane of my existence. It's one of the most difficult things to sort of diagnose sometimes. And the amount of conversation that's involved with the patient, the amount of sort of discussion and complexities and nuances and possibilities your tooth might not be able to, might not even be able to save your tooth, we might have to put a crown on. But if then it fails, you might end up have to remove it. You may or may not be better off having an implant, the success isn't that good. I'm not even sure which tooth it is. These are sort of things that you sort of end up discussing when it comes to cracked teeth. So we're going to be discussing things like how far into a canal orifice does a crack need to extend before you look and say, You know what, this is unrestorable and when discuss about diagnosis of cracked tooth, which is one most challenging aspects of cracked teeth. And we'll also discuss about how Kreena suggests is managed endodontically and also buy us in terms of cuspal coverage. So I hope you enjoy the episode. The episode as well as everything from Episode 20 onwards is going to be eventually on Dentinal Tubules for enhanced CPD, so thank you Dentinal Tubules for quality assuring my CPD. So if you wanted to get your CPD hours in, then you can go to Dentinal Tubules search Protrusive Dental podcast and answer a few questions, acknowledged the aims objectives and they are you will have CPD, enhanced CPD for this meeting. We know with all the outcomes written there. It's all well and proper. So the Protrusive Dental Pearl I have for you is an endodontic one. And it's the one that actually Kreena gave me in the middle of the episode actually, she told me when we're using a tooth slooth, which is one of those rigid plastic thingies that you put on the teeth, and you get the patient to bite together and what it does is it flexes the tooth to then see if you are confirming the diagnosis of cracked tooth basically is essentially how you do it. And Kreena talks a little bit more about that. When you're using that one thing that I don't do as much at the moment I had an occasion I found Oh yes, this helps. But I never really made it protocol was to actually once you get the patient to bite down on the tooth slooth, you jiggle it a little bit,