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) to Dr. Lane Ochi’s Masterclass on Diagnosis and Management (PDP175).

But in this brand-new episode, Jaz is joined by Dr. Masoud Hassanzadeh 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!

History isn’t just background—it’s a clinical tool.

Need to Read it? Check out the Full Episode Transcript below!

Key Takeaways

Highlights of this episode:

As promised, here are the studies mentioned during the discussion:

Historical Studies on Enamel Crack Healing
– 1949 (Sognnaes): The Organic Elements of the Enamel: III. The Pattern of the Organic Framework in the Region of the Neonatal and other Incremental Lines of the Enamel

– 1994 (Hayashi): High Resolution Electron Microscopy of a Small Crack at the Superficial Layer of Enamel

– 2009 (S. Myoung): Morphology and fracture of enamel

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

Dr. Masoud Hassanzadeh has written two essential books every dentist should own:

📘 Glossary of Biomimetic Restorative Dentistry
🔑 Your quick-reference guide to the language and principles of biomimetics — explained in a way you can actually use chairside.

📕 The Cracked Tooth: A Comprehensive Guide to Cracked Teeth
🦷 Everything you need to know about diagnosis, management, and the science behind one of dentistry’s biggest headaches.

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: globaldentalevents.co.uk

💡 Make memories with your loved ones while making your CPD hours tax-deductible

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

#PDPMainEpisodes #EndoRestorative #BreadandButterDentistry

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. 

This episode meets GDC Outcomes A and C.

AGD Subject Code: 070 ENDODONTICS

Aim: To provide clinicians with practical, evidence-based guidance for diagnosing, monitoring, and restoring cracked teeth, with emphasis on prognosis, risk factors, and restorative decision-making.

Dentists will be able to –