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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.
An enamel fracture occurs when the outer layer of the tooth, known as enamel, is fractured without directly impacting the underlying tooth tissues of the dentine or pulp. [1] This phenomenon typically arises from hard, external forces impacting the tooth to induce enamel breakage. [ 1 ]
Fracture occurs due to the forces exerted on the dental unit. The enamel is splintering: [4] [5] [6] after an unfortunate fall, bump or contusion of the jaw; due to excessive chewing, eating too hard food, and chewing nuts and seeds; grinding of teeth and a bad habit of chewing on things, such as pencils, pens, etc.; due to stresses caused by ...
We asked professionals about the best teeth whitening kits available—from easy pens to stay-put strips—that make brightening your smile practically seamless. The 12 Best Teeth Whitening Kits ...
3) Enamel-dentine fracture Fracture involving both enamel and dentine without pulp exposure Tooth not tender with normal mobility and pulpal response Loss of enamel and dentine May need lip or cheek x-ray to locate tooth fragments or other materials If available, tooth fragment can be bonded back onto the tooth
Another consideration is unsupported tooth structure. When preparing the tooth to receive a restoration, unsupported enamel is removed to allow for a more predictable restoration. While enamel is the hardest substance in the human body, it is particularly brittle, and unsupported enamel fractures easily.
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]
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]
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