The Dental Head Start Podcast

Most played episode series #6 – The Cracked Tooth with Dr Michael Mandikos

March 3, 2026·17 min
Episode Description from the Publisher

One of the most common findings when charting is a crack in a tooth, but determining the severity and the right treatment path can be a dilemma. In this episode, host Erica Hwin sits down with specialist prosthodontist Dr. Michael Mandikos to decode the complexities of cracked teeth, from initial diagnosis to the final restoration. You will learn the critical differences between benign craze lines and structural fractures, and why the biomechanics of old amalgam fillings often lead to these issues. Dr. Mandikos tackles the age-old debate of “chasing the crack,” offering practical advice on when to intervene with bonded look composites versus when to move to full coverage. Plus, discover strategies for communicating these issues to patients without overwhelming them or over-treating. Key moments 00:54 Defining Cracks: Vertical vs. Partial 02:12 When to Intervene: Staining and Symptoms 03:31 Biomechanics: Why Amalgams Crack Teeth 04:22 Treatment Planning: Bond or Crown? 06:33 The Golden Rule: Don’t Chase the Crack 09:27 Common Mistakes and Patient Communication The post Most played episode series #6 – The Cracked Tooth with Dr Michael Mandikos appeared first on Dental Head Start.

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