Evidence map›Paper›PMID 41660023›Full record

ReviewJournal of conservative dentistry and endodontics2026

Saving the split: An umbrella review on therapeutic approaches for cracked tooth syndrome.

Supreet Kaur, Lakshmi Puzhankara, Neetha Shenoy, K Sandya Kini, Deepak Kumar Singhal

Abstract readReview
In one paragraph

Review in Journal of conservative dentistry and endodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Taurodontism as a predisposing factor for cracked tooth syndrome.Journal of conservative dentistry and endodontics · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Supreet KaurDepartment of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Lakshmi PuzhankaraDepartment of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Neetha ShenoyDepartment of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
K Sandya KiniDepartment of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Deepak Kumar SinghalDepartment of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cracked tooth syndrome (CTS) has become a therapeutic dilemma due to a lack of consolidated evidence guiding its management. This umbrella review synthesized evidence from published systematic reviews of therapeutic interventions in CTS. Methods: The protocol was registered in PROSPERO (CRD420250648720), and it was conducted according to PRISMA 2020 guidelines. The searches were conducted up to June 15, 2025, in PubMed, Cochrane Library, Scopus, and EMBASE. Two reviewers screened and extracted data independently. A Measurement Tool to Assess Systematic Reviews 2 was used to measure methodological quality, and a citation matrix and Corrected Covered Area (CCA) to measure overlap of primary studies. Results: Ten systematic reviews were identified, and four of them satisfied the inclusion criteria; they included 30 separate primary studies (45 study entries). The CCA was 17%, indicating high overlap. Endodontic therapy followed by full cuspal coverage demonstrated the highest prognosis with 84%-96% survival, 82%-84% success rate, and a lower chance of extraction by 11.3 times. On the other hand, there was an association of noncrowned teeth with pulpal problems, failure of restoration, and recurring symptoms, particularly in the presence of deep periodontal pockets. Conclusion: Endodontic therapy followed by full cuspal coverage provides the most predictable outcome in CTS. More evidence ought to be augmented using standardized measures, patient-reported outcomes, and cost-effectiveness calculations.

Indexed as

Cracked tooth syndromedental restorationroot canal therapysystematic reviewtooth fractures

Identifiers

PMID41660023
PMCPMC12880780

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.