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This online experiment showed that we can use a technique based on contrast-enhanced CBCT to estimate the crack depth of a cracked tooth. The crack depth of the crackered tooth was on average twice as big as the crack depth of the intact tooth. This means the technique could be used to predict the crack depth of the crackered tooth before treatment. Our aim is to improve the effectiveness of CBCT as a tool to determine the crack depth of cracked teeth.
The complete disappearance of the root crack (layer 715) is not visible in the CBCT images of the intact tooth. The crack depth of the intact tooth (8.833 mm) is more than twice the average crack depth of a cracked tooth (4.131 mm).
CBCT images of an intact tooth (upper right side) and a cracked tooth (upper left side) of the same patient. The colour scales are set to 0% (black) to 100% (white). The white colour indicates where the components are exposed to the x-ray beam. Colourless areas are hidden from the beam. The colour scale used in the left image is 8 times higher than in the right image (scale 0% - 100%). Thus, a crack’s width is more clearly visible in the left image than in the right image. The CBCT images show the crack extent inside the tooth. In the left image, the crack starts at the top of the crown (layer 1213), extends through the enamel (layer 855) and the dentine (layer 715) and ends at the root (layer 1123), while in the right image, the crack starts at the root and extends through the enamel (layer 855) and the dentine (layer 715) and ends at the top of the crown (layer 1213).
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