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. 2024 Jun 30;50(2):237–245. doi: 10.12865/CHSJ.50.02.09

Table 1.

Etiological factors of fatigue tooth fracture (after Ellis et al. [9] and Bhanderi et al. [10]).

Etiological factors of tooth fracture

Factors that increase occlusal overloads

-long term unilateral chewing

-decreased number of teeth

-rotation and tilting of teeth

-isolated teeth

-awake and sleep bruxism

Factors that decrease tooth resistance to occlusal forces

Non-iatrogenic

-increased levels of dental fatigue in teeth with age

-increased number of restored teeth with age

-loss of dentin elasticity with age

-the tooth structural defect (hypoplasia, dentinogenesis imperfecta)

-tooth morphology (steep cusp inclination, deep grooves)

-thermal cycling eating habits

-tongue piercing

Odonto-iatrogenic

-excessive removal of tooth tissue in restorative procedures or root canal treatment

-tooth dehydration and collagen depletion (higher concentration of sodium hypochlorite in root canal treatment)

-large tooth restorations without cuspal protection

-use of restorative materials with different thermal expansion coefficient and different mechanical properties compared with the tooth