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However, they are more frequent in children and also males than females. The most frequently fractured teeth are the maxillary central and lateral incisors due to their anatomic location in the oral cavity (Patnana & Kanchan, 2021). While single tooth fractures are more commonly occurring than multiple teeth fractures. (Deepa Lakshmi et al., 2020)
Tender tooth with mobile crown fragment Fracture line extending down the root may not be visible Emergency: aim is to stabilise the loose fragment by splinting it to adjacent teeth Non-emergency: removal of loose fragment (following gingivectomy, surgery or via orthodontics), root canal treatment and restoration with post-retained crown
The ICD-10 Clinical Modification (ICD-10-CM) is a set of diagnosis codes used in the United States of America. [1] It was developed by a component of the U.S. Department of Health and Human services, [ 2 ] as an adaption of the ICD-10 with authorization from the World Health Organization .
An enamel fracture is when the outermost layer of the tooth is cracked, without damaging the inner layers including the dentine or pulp. This can happen from trauma such as a fall where the teeth are impacted by a hard object causing a chip to occur. Enamel fracture of tooth 11 on the incisal, biting, surface
Intraorally, if the fracture occurs in the tooth bearing area, a step may seen between the teeth on either side of the fracture or a space can be seen (often mistaken for a lost tooth) and bleeding from the gingiva in the area. There can be an open bite where the lower teeth, no longer meet the upper teeth.
It is most commonly seen in school children. Dental subluxation is one of the most common traumatic injuries in primary dentition. Maxillary central incisors are the most commonly affected teeth. [10] [11] Some studies have proposed that the resilience nature of periodontium favours dislocation than fracture of the tooth itself. [12]
Root fracture of the tooth is a dentine cementum fracture involving the pulp. Traumatic root fracture occurs most often in the middle third of the roots of fully erupted and fully formed teeth. However, root treated teeth are more susceptible to root fracture, as this involves removing root dentine, thereby weakening the tooth.
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: preparing the tooth for placement of restorative material or materials, and; placement of these materials.