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Incomplete
Fracture of a Tooth (Cracked Tooth)
Pain
associated with a cracked tooth often manifest itself similarly
to that of a lose or mobile tooth, without the mobility. Biting
down is painful but there is often no clinical evidence of decay
or damage. However, a dentist will generally run tests to detect
hairline fractures of the crown and/or the root of a tooth. This
condition is referred to as "Cracked Tooth Syndrome".
Temporary
Treatment for a Cracked Tooth
Follow
the suggestion used for a lose or mobile
tooth
Complete
Fracture of a Tooth
There
are a number of systems used for the classification of tooth fractures.
Most are based upon how far the fracture extends into the tooth
structure. Prognosis of a fracture treatment is dictated by whether
the pulp was exposed by the fracture and the extent of damage to
the root and coronal portion (the part covered by enamel) of the
tooth.
1.
Complete fracture of enamel only
Fractures
of front teeth are most common among children. In most cases when
only the enamel is involved there is little cause for immediate
concern. While there maybe acute pain initially, it usually subsides.
The exception to this is when there is an unseen fracture of the
root or bone. Observe the edge of the fracture, if it appears that
the fracture is in the all white enamel and there is no transition
to the yellow of the dentin, or to the pink to red color of the
pulp (innermost portion where the nerve and blood vessel terminate),
the tooth will probably be find. However, the tooth should also
be checked for movement particularly if it's an adult tooth. If
mobility exists there may be a root or bone fracture
Temporary
Treatment of an Enamel Fracture
If
there is no exposure of the dentin or pulp chamber the sensitivity
associated with the trauma will generally subside. In many cases
a dentist will smooth out any jagged areas to prevent damage to
the tissue or perform a cosmetic procedure to restore the appearance
of the tooth. Little can be done at home other than use of an analgesics
for pain relief. A dentist should be consulted immediately to rule
out possible root or bone damage.
2.
Complete Fractures extending into the dentin
If
the fracture of a tooth extends into the dentin, the tooth can often
become very sensitive to hot and cold even when there is a substantial
amount of dentin between the fracture and innermost portion of the
tooth the pulp. If only a small amount of dentin remains, the possibility
of bacteria reaching the pulp is increased, and the tooth may die.
Temporary
Treatment of a Dentin Fracture
As
with fractures of the enamel, pain relieving analgesics may be helpful
until a dentist can be seen. Another suggestion that may aid to
reduce sensitivity if the fracture contour will allow it, as with
a fracture associated with a lost filling, is to use of one of the
over the counter temporary filling materials, call us for more information.
1.
Dry the tooth thoroughly, place
the medication over the fractured area.
2. Using a cotton gauze to separate the fractured area from the
opposing tooth, and preventing moisture contamination, bite down
gently.
This procedure may become difficult to maintain after an hour.
Do
not use these medications if there is swelling or throbbing in the
affected area, or if you are allergic to there components. Contact
your dentist immediately, and keep out of reach of children.
3.
Fractures extending into the pulp
Fractures
involving the pulp (terminating area of the principle blood vessel
and nerve) are usually easily seen as red or bleeding areas in the
center of the tooth. These fractures can be extremely painful, and
the use of the aforementioned medications may or may not be helpful.
Consult with a dentist without delay, saving the tooth is directly
related to early diagnosis and treatment.
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