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As of 2024, the prevalence of pathology reaches over 90%. In patients aged 20 years, an average of 4 intact teeth with enamel cracks are identified. Before 30 years of age, this rate increases 3 times and after 45–50 years of age it is 100%. In 60% of cases there are single fissures, multiple fissures are found in 40% of examined patients.
This condition occurs in association with denture wearing, and so those affected tend to be middle aged or older adults. 66-75% are estimated to occur in women. [1] Epulis fissuratum is the third most common reactive lesion that occurs in the mouth, after peripheral giant cell granuloma and pyogenic granuloma. [10]
Males are more commonly affected. The condition may be seen at any age, but generally affects older people more frequently. The condition also generally becomes more accentuated with age. The prevalence of the condition increases significantly with age, occurring in 40% of the population after the age of 40. [6]
Cracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain.One definition of cracked tooth syndrome is "a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp and/or periodontal ligament."
A crack, fracture and the mobility of a tooth are all interrelated as the pain and symptoms experienced from a tooth that has been cracked are very similar to that of a tooth that has been fractured. [2] A tooth crack is defined as an incomplete fracture of enamel or dentine and therefore is not usually associated with noticeable mobility. [8]
For instance, the periodontal ligament can detect the pressure exerted when biting on something smaller than a grain of sand (10–30 μm). [13]: 48 When a tooth is intentionally stimulated, about 33% of people can correctly identify the tooth, and about 20% cannot narrow the stimulus location down to a group of three teeth.
People with BMS are more likely to be middle aged or elderly, and females are three to seven times more likely to have BMS than males. [1] [29] Some report a female to male ratio of as much as 33 to 1. [6] BMS is reported in about 10–40% of women seeking medical treatment for menopausal symptoms, and BMS occurs in about 14% of postmenopausal ...
Attrition, abrasion, erosion or a combination of these factors are the main reasons for tooth wear in elderly people who retain their natural teeth. This tooth wear can be pathological or physiological. [10] The number of teeth with incisal or occlusal wear increases with age. [11] [12] Attrition occurs in 1 in 3 adolescents. [12]
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