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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.
Cracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain.One definition of cracked tooth syndrome is "a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp and/or periodontal ligament."
Sharp, shooting pain when you eat or drink something cold, hot, sweet or sour, or when you put pressure on the tooth could be a sign of a cavity, cracked tooth or even an exposed tooth root, per JADA.
Composites and amalgam are used mainly for direct restoration. Composites can be made of color matching the tooth, and the surface can be polished after the filling procedure has been completed. Amalgam fillings expand with age, possibly cracking the tooth and requiring repair and filling replacement, but chance of leakage of filling is less.
A crack, fracture and the mobility of a tooth are all interrelated as the pain and symptoms experienced from a tooth that has been cracked are very similar to that of a tooth that has been fractured. [2] A tooth crack is defined as an incomplete fracture of enamel or dentine and therefore is not usually associated with noticeable mobility. [8]
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