Cracked Teeth Clinical Guidelines - Chase? Fibers? WHEN to Intervene - PDP246

Cracked teeth — the diagnosis we all hate as Dentists!

How do you decide when to monitor and when to intervene?

What is the recommended intervention at different scenarios of cracks?
Should we be chasing cracks and reinforcing with fibers; is there actually enough long-term data to support that approach?

Over the years, we’ve had some epic episodes on this topic — from Kreena Patel’s “I Hate Cracked Teeth” - PDP028 (   • I HATE Cracked Teeth with Dr Kreena Patel  ) to Dr. Lane Ochi’s Masterclass on Diagnosis and Management - PDP175 (   • Cracked Teeth and Dentistry's Tough Questi...  .

But in this brand-new episode, Jaz is joined by Dr. Masoud Hassanzadeh (https://www.instagram.com/masoud.hass...) to bring it all together — not just the diagnosis of cracks, but their management. They explore when to intervene, the role of fibers in preventing propagation, and even the fascinating possibility that cracks in teeth may have some ability to heal, just like bone!

This one’s a deep dive that will change how you talk to patients — and how you approach cracked teeth in your own practice.

 Protrusive Dental Pearl
Your patient’s history predicts the future!
Ask if past extractions were difficult → clues you into anatomical challenges.
Ask how they lost other teeth → if cracks, be proactive with today’s cracks.
History isn’t just background—it’s a clinical tool.

Key Takeaways
Cracks in teeth can be diagnosed using magnification and high-quality imaging.
Patient factors such as age and muscle strength play a significant role in crack prognosis.
Symptomatic cracks should be treated to prevent further propagation.
The healing mechanism of cracks in teeth is possible but varies between enamel and dentin.
Fibers can be used to strengthen restorations and manage cracks effectively.
Long-term studies are needed to assess the effectiveness of current crack management protocols.
The use of fluorescence filters can help identify bacteria in cracks.
Chasing cracks should be done cautiously to avoid pulp exposure.
A comprehensive understanding of crack mechanics can improve treatment outcomes.

Highlights of this episode:

00:00 Teaser
00:47 Intro
03:08 Protrusive Dental Pearl - The Importance of Dental History
07:18 Interview with Masoud Hassanzadeh
08:22 Diagnosing and Managing Cracks
21:13 When to Intervene on Cracks
25:50 Restoration Techniques and Materials
28:30 Chasing Cracks: Guidelines and Techniques
36:50 Mechanisms of Crack Healing in Teeth
45:11 Exploring the Use of Fibers in Dentistry
52:43 Introducing the Book on Cracked Teeth
54:57 Percussion-Based Diagnostics (QPD)
56:44 Key Takeaways
57:21 Conclusion and Final Thoughts
01:00:07 Outro

Don’t miss out — get instant access to all the research papers discussed here at https://protrusive.co.uk/cracks

Dr. Masoud Hassanzadeh has written two essential books every dentist should own:
📘 Glossary of Biomimetic Restorative Dentistry - https://amzn.to/47ArN1H

📕 The Cracked Tooth: A Comprehensive Guide to Cracked Teeth - https://amzn.to/4ompJSo

🌴✨ Dubai 2026: Occlusion + Family Fun ✨🌴 - https://globaldentalevents.co.uk
This Easter, join Dr. Jaz Gulati and Dr. Mahmoud Ibrahim for something truly special — a tax-efficient holiday that mixes world-class occlusion training with plenty of family time in Dubai.

What’s included?
20 hours of hands-on occlusion (mornings only: 9 am–1 pm)
Afternoons & evenings free to enjoy Dubai with your family
Pre-learning + online content to deepen your understanding
A not-for-profit event — just dentists, families, and fun!

👉 Learn more & get your quote at: https://globaldentalevents.co.uk

Want to level up your knowledge on cracked teeth? 🎧 Don’t miss PDP098: Cracked Teeth Management with the Direct Composite Splint Technique -    • Cracked Teeth Management with the Direct C...  

#PDPMainEpisodes #EndoRestorative #BreadandButterDentistry

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate)

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