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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.
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 ...
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]
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]
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 ...
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]
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 ...
Looking into the preparation, the white, outer enamel appears intact, while the yellow, underlying dentin appears recessed. This is because the dentin was decayed and was thus removed. This portion of the enamel is now unsupported, and should be removed to prevent future fracture. Restoring a tooth to good form and function requires two steps: