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In cases of a simple enamel fracture, the recommended approach is to reattach the broken tooth fragment, if it is possible. [4] Following reattachment, smoothing of the edges is undertaken. [ 4 ] [ 1 ] Depending on the extent of the fractured portion, a choice is made between a glass ionomer or permanent restoration, such as composite resin ...
If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted, and instead the injury site should be cleaned to allow the adult tooth to begin to erupt). Reassure the patient and keep them calm. If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part.
Enamel infractions are microcracks seen within the dental enamel of a tooth. [1] They are commonly the result of dental trauma to the brittle enamel, which remains adherent to the underlying dentine. They can be seen more clearly when transillumination is used. Enamel infractions are found more often in older teeth, as the accumulated trauma is
Enamel-dentine fracture is a complete fracture of the tooth enamel and dentine without the exposure of the pulp. Pulp sensibility testing is recommended to confirm pulpal health. Treatment depends on how close the fracture is in relation to the pulp. If a tooth fragment is available, it can be bonded to the tooth.
Deciduous tooth Enamel/ crown infraction: Incomplete crack limited to the enamel with no loss of tooth structure: Visible fracture or craze line/s, no tender to percussion, no mobility, positive to vitality testing, no radiographic abnormalities: No immediate treatment required and no follow-up needed if no associated dental injuries
[10]: 24 The term is falling into disfavor and has given way to the more generalized description of fractures and cracks of the tooth, which allows for the wide variations in signs, symptoms, and prognosis for traumatized teeth. A fracture of a tooth can involve the enamel, dentin, and/or pulp, and can be orientated horizontally or vertically.
These forms of tooth wear can further lead to a condition known as abfraction, [3] where by tooth tissue is 'fractured' due to stress lesions caused by extrinsic forces on the enamel. Tooth wear is a complex, multi-factorial problem and there is often difficulty identifying a single causative factor. [ 3 ]
Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, [1] resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.