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Krell KV, Rivera EM J Endod 2007; 33: 1405–1407

Reliable data on the clinical outcome of treatment of cracked teeth are limited. In a US endodontic practice over a 6 yr period, 796 of 8175 teeth were diagnosed with cracks, on the basis of a definite shadow with transillumination. Reversible pulpitis (RP) was identified in 127 of these (no spontaneous pain history, cold response lasted <5 sec, no radiographic pathosis).

Crowns were provided for all teeth with RP. In teeth with cracks and RP, 21 developed irreversible pulpitis within 2 months, and 6, a necrotic pulp within 5 months. None of the other 100 required RCT. There were increases of up to 2 mm in proximal PD adjacent to 5 cracks.