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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.
These fractures are often characterised by irregular breaks on the biting surface of the tooth, in contrast to the smoother surfaces associated with typical tooth degradation. [1] Enamel fractures can vary in severity, ranging from minor cosmetic issues to more significant structural problems. [1] An enamel fracture typically doesn't cause any ...
The primary cause of enamel wear in the grooves is the direct mechanical forces applied during chewing, such as vertical pressure and lateral forces as teeth grind or shear food. Particularly in areas where food is more frequently trapped or where contact is poor, the continuous friction between the food and the tooth surface causes abrasion ...
A crack in enamel with no loss of tooth structure Tooth is not tender No abnormalities Generally no treatment needed Discolouration of prominent cracks can be prevented by etching and sealing with resin No follow-up required 2) Enamel fracture Fracture involving enamel only Tooth not tender with normal mobility and pulpal response Loss of enamel
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 ]
A fracture of a tooth can involve the enamel, dentin, and/or pulp, and can be orientated horizontally or vertically. [10]: 24–25 Fractured or cracked teeth can cause pain via several mechanisms, including dentin hypersensitivity, pulpitis (reversible or irreversible), or periodontal pain. Accordingly, there is no single test or combination of ...
It is suggested that these lesions are caused by forces placed on the teeth during biting, eating, chewing and grinding; the enamel, especially at the cementoenamel junction (CEJ), undergoes large amounts of stress, causing micro fractures and tooth tissue loss. Abfraction appears to be a modern condition, with examples of non-carious cervical ...
Demineralization occurs for several reasons, but the most important cause of tooth decay is the ingestion of fermentable carbohydrates. [citation needed] Tooth cavities are caused when acids dissolve tooth enamel: [22] Enamel is also lost through tooth wear and enamel fractures. [23] Ca 10 (PO 4) 6 (OH) 2 (s) + 8H + (aq) → 10Ca 2+ (aq) + 6HPO ...