Executive Editor: Edward Ellis III, Kazuo Shimozato

General Editor: Daniel Buchbinder

Authors: J Andreasen, CP Cornelius, N Gellrich, S Hillerup, K Kusumoto, W Schubert

Dentoalveolar Trauma - Tooth fracture, enamel/dentin - Enamel only

Enamel only - no immediate treatment

1. Decision/Indication

In many cases no immediate treatment is needed other than smoothing of sharp fracture edges. The fracture can be left for later restoration which in most cases will consist of augmentation with composite resin material.

In case of pulp necrosis (which occurs very rarely), appropriate endodontic therapy has to be instituted.

2. Treatment

Smoothing of rough edges with a burr will suffice as primary treatment. If the loss of substance necessitates replacement this may be achieved with composite resin materials or in more severe cases with a porcelain veneer.

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v1.0 2009-12-03