Dental fracture

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Background

Clinical Features

Differential Diagnosis

Dentoalveolar Injuries

Odontogenic Infections

Other

Evaluation

Management

  1. Enamel (Ellis Class I)
    1. Routine follow up only; nothing to do
  2. Enamel + dentin (yellowish) (Ellis Class II)
    1. Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
    2. Cover exposed dentin to decrease pulpal contamination
      1. Place dental cement over fracture site
      2. Next day follow up
  3. Enamel + dentin + pulp (reddish) (Ellis Class III)
    1. On wiping fractured surface with gauze, blood is easily seen
    2. Immediate referral (dental emergency)
    3. If no dentist is available:
      1. Cover exposed pulp with calcium hydroxide base
      2. Cover this and the remaining exposed dentin with dental cement

Disposition

See Also

Video

References