Fractured Tooth, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

This book describes Fractured Tooth, Diagnosis and Treatment and Related Diseases. A fractured tooth can result from biting on hard foods, grinding the teeth at night, and can even happen naturally as the patient grows oldIt is a frequent disorder and the leading cause of tooth loss in modernized nations. When the outer hard tissues of the tooth are fractured, chewing can cause movement of the pieces, and the pulp can become irritated.
Ultimately, the pulp will become injured to the point that it can no longer recover itself. The tooth will not only be painful when biting but may also become very sensitive to temperature extremes. In time, a fractured tooth may start to become painful all by itself. Excessive cracks can result in infection of the pulp tissue, which can extend to the bone and gum surrounding the tooth. Infections can rapidly extend to bone or gum nearby and induce severe amounts of pain and complications.
Often a fractured tooth will be painful as the patient bites down, as the tooth opens and closes slightly because of the pressure it is placed under. It tends also likely that the patient will feel higher heat sensitivity within the tooth. Excess fractured teeth will be persistently painful. Causes1. Pressure from teeth grinding or clenching2. Fillings so large they weaken the integrity of the tooth and put pressure on the tooth3.
Chewing or biting hard foods, such as ice, nuts, or hard candy4. Trauma or impact to the chin and the mouth, such as a car accident, sporting injury, fall, or fistfight5. Extreme sudden changes in temperature in the mouth, from eating something extremely hot and then trying to cool the mouth with ice water6. Age, with most teeth cracks happening in people over 507. Gum diseaseTypes of fractured teeth:Craze linesFractured cuspCracks that extend into the gum lineSplit toothVertical root fractureA new Classification of Fractured Tooth is the Ellis Classification of Fractured Tooth (Ellis I - IX)SymptomsPain when chewing or bitingPain that comes and goesSensitivity to heat, coldSwelling of the gumDiagnosisLook, feel, probeUse a dental dyePatient to bite down hardX-rays teethTreatment:BondingCrownRoot canalCosmetic contouringDental VeneerExtractionNo treatment in cases of hairline fracturesFractures do not resolve themselves and instead becomes increasingly worse and worse, affecting other areas surrounding them also.
Even after they have been treated the fractures do not close and need reconstructionCraze Lines do not need treatment but can be smoothed over with dental pasteFractured Tooth needs treatment because it can spread down to the rootEarly diagnosis is important in order to save the tooth. If the fracture has extended into the pulp, the tooth can be treated with a root canal procedure and a crown to protect the fracture from spreading.
If the fracture extends below the gum line, it is no longer treatable, and the tooth cannot be saved and will need to be extracted. Occasionally the gums might be involved by a fractured tooth, depending on infection and gum injury the tooth might require removalFractured Cusp is injured through chewing or grindingA fractured cusp rarely injures the pulpThe dentist can put a new filling or crown over the injured tooth to protect itSplit Tooth results from development of fractured toothA split tooth cannot be salvaged intactNormally the dentist will have to extract the tooth once it has reached this split tooth stage.
Vertical Root Fractures are cracks that start in the tooth root and spread toward the chewing surfaceThe treatment may require extraction of the tooth, bonding, root canal or crowningTABLE OF CONTENTIntroductionChapter 1 Fract...