Authors of section

Editors

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

Executive Editors

Edward Ellis III, Kazuo Shimozato

General Editor

Daniel Buchbinder

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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.

Smoothening of rough edges with a burr
Smoothed edges

3. Aftercare following treatment of enamel fractures

Follow-up on tooth vitality is advisable. If pulp vitality is retained at 6 months posttrauma no further follow up is needed. In case of pulp necrosis, appropriate endodontic therapy has to be implemented.