Crown Fractures
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As in primary teeth, there are three types of tooth fractures: simple crown fractures, crown fractures with pulp involvement, and root fractures.
Management in the permanent dentition varies somewhat from management of the primary dentition.
Simple Crown Fracture
- Involves only enamel and dentin
- May be sensitive to hot and cold
- Routine dental referral for restoration
- Long-term follow-up needed to evaluate for complications, such as pulp death or root resorption
Crown Fracture with Pulp Involvement
- Involves enamel, dentin, and pulp and can extend below the gumline
- Urgent-one day referral for pulp treatment and restoration
ICOHP
ICOHP