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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.
As of 2024, the prevalence of pathology reaches over 90%. In patients aged 20 years, an average of 4 intact teeth with enamel cracks are identified. Before 30 years of age, this rate increases 3 times and after 45–50 years of age it is 100%. In 60% of cases there are single fissures, multiple fissures are found in 40% of examined patients.
These fractures are often characterised by irregular breaks on the biting surface of the tooth, in contrast to the smoother surfaces associated with typical tooth degradation. [1] 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 ...
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 ]
A crack in enamel with no loss of tooth structure Tooth is not tender No abnormalities Generally no treatment needed Discolouration of prominent cracks can be prevented by etching and sealing with resin No follow-up required 2) Enamel fracture Fracture involving enamel only Tooth not tender with normal mobility and pulpal response Loss of enamel
Demineralization occurs for several reasons, but the most important cause of tooth decay is the ingestion of fermentable carbohydrates. [citation needed] Tooth cavities are caused when acids dissolve tooth enamel: [22] Enamel is also lost through tooth wear and enamel fractures. [23] Ca 10 (PO 4) 6 (OH) 2 (s) + 8H + (aq) → 10Ca 2+ (aq) + 6HPO ...
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 ...
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 ...