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Treatment will depend on whether the tooth has an open or closed apex and how long the tooth has been out of the mouth prior to dental clinic arrival (see Dental Trauma Guide for full treatment details) 4 weeks: splint removal, clinical and radiographic examination 3 months: clinical and radiographic examination
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."
The clinical examination will detect the reasons behind the failure of the restoration. Upon treatment the dentist will provide options on the tooth's prognosis, these may include a new restoration, extraction, root canal or placement of a crown. The tooth prognosis includes the tooth's vitality and restorability. [7] Crack, fracture and mobility
Vertical root fractures represent between 2 and 5 percent of crown/root fractures. The greatest incidence occurs in endodontically treated teeth, and in patients older than 40 years of age. The occurrence of a complete vertical root fracture is often catastrophic for the individual tooth as tooth extraction is usually the only reasonable treatment.
Before the discovery of antibiotics, chronic tooth infections were often linked to a variety of health problems, and therefore removal of a diseased tooth was a common treatment for various medical conditions. Instruments used for dental extractions date back several centuries.
A systematic review concluded that for decayed baby (primary) teeth, putting an off‐the‐shelf metal crown over the tooth (Hall technique) or only partially removing decay (also referred to as "selective removal" [5]) before placing a filling may be better than the conventional treatment of removing all decay before filling. [6]
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