1. INTRODUCTION
Cracked tooth syndrome is a common well documented condition that many
occur due to morphologic, physical and iatrogenic factors. Epidemiologic
data revealed that splits or fractures are the third most common cause
of tooth loss, indicating a high clinical significance of this syndrome1.
Diagnosis of cracked tooth is challenging, and the treatment has been
controversial. Stainless steel bands were often used as a diagnostic
tool and a temporary before a full coverage restoration1. Root Canal Treatment (RCT), followed by a crown is
recommended if the pulp becomes irreversibly inflamed2. One study reported successful treatment with a
bonded composite restoration after six months, with no differences
between restorations with or without cusp coverage 3.
The prognosis of the relevant tooth depends on the extent of the crack
and whether the crack has extended through enamel, dentin, pulp and/or
the pulp chamber floor. Cracks that extended to the pulpal floor or
beyond alveolar bone have been deemed hopeless 2.
Data involving management of a cracked teeth is rare in the literature,
which makes clinical decisions more difficult, and additional
information regarding cracked teeth would provide a better perspective
on the clinical management and outcome of these teeth. In this case
report, we introduce a description for the treatment of a cracked
maxillary central incisor using simvastatin as intra-canal medicament.