Application Of Stabilization Splint In Early Stage Of Cracked Tooth
This report highlights the role of stabilization splints in managing early stage of cracked tooth syndrome—often undetected initially. The case highlights the importance of early intervention to prevent further complications and preserve tooth structure. A 39-year-old female presented with intermittent pain in the maxillary left first molar, aggravated by mastication (particularly hard foods). Examination revealed an occlusal crack line and positive bite test, with a history of bruxism and habitual hard-object chewing. Radiographs showed no pathology. A stabilization splint was made to mitigate occlusal stress and abnormal bite force, with instructions for night-time wear (4 weeks). Follow-up evaluations at 1,2,3 and 6 months showed complete resolution of symptoms and no progression of the crack. Stabilization splint therapy targets occlusal force redistribution, preventing crack propagation—a strategy supported by evidence-based conservative strategies. This noninvasive method effectively eliminated functional stress, offering an alternative option to invasive interventions. Prophylactic stabilization splint application may reduce the incidence of cracked teeth, particularly in high-risk patients with parafunctional habits. This case highlights the pivotal role of stabilization splints in early stage of cracked tooth syndrome management. By providing a conservative and effective treatment option, stabilization splints therapy can significantly reduce the need for extensive restorative procedures, thus better preserving natural structure of the tooth. This approach enhances prognostic outcomes, particularly in bruxism-associated cases, reinforcing its priority in treatment decisions and optimizing long-term prognosis.
Authors
- Xinyu Wan (ORCID: https://orcid.org/0000-0001-9372-9199)
- Yaping Yang (ORCID: https://orcid.org/0000-0002-5046-1919)
Institutions
- Nanjing Traditional Chinese Medicine Hospital (CN)
- Nanjing Medical University (CN)
Publication Details
- Journal
- International Dental Journal
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1016/j.identj.2025.104942
- Primary Topic
- Dental Erosion and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00