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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.
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 noticeable symptoms such as tenderness or an increase in mobility. However, if sensitivity and mobility are present, it may indicate an enamel-dentine fracture or a root fracture. [1]
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 ...
Trauma to primary teeth occurs most commonly at the age of two to three years, during the development of motor coordination. [7] When primary teeth are injured, the resulting treatment prioritises the safety of the adult tooth, [7] and should avoid any risk of damaging the permanent successors. [8]
In 1984, Smith and Knight developed the tooth wear index (TWI) where four visible surfaces (buccal, cervical, lingual, occlusal-incisal) of all teeth present are scored for wear, regardless of the cause. [8] A more recent index Basic Erosive Wear Examination (BEWE) from 2008 by Bartlett et al., is now also in use. [9]
Fractures (dental trauma) can occur anywhere on the tooth or to the surrounding bone, depending on the site and extent of the fracture the treatment options will vary. Dental restoration falling out or fracturing can also be considered a dental emergency as these can impact function in regards to aesthetics, eating and pronunciation and as such ...
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 ...
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 ...