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 old
It 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.
Causes

1. Pressure from teeth grinding or clenching
2. Fillings so large they weaken the integrity of the tooth and put pressure on the tooth
3. Chewing or biting hard foods, such as ice, nuts, or hard candy
4. Trauma or impact to the chin and the mouth, such as a car accident, sporting injury, fall, or fistfight
5. Extreme sudden changes in temperature in the mouth, from eating something extremely hot and then trying to cool the mouth with ice water
6. Age, with most teeth cracks happening in people over 50
7. Gum disease
   Types of fractured teeth:
   Craze lines
   Fractured cusp
   Cracks that extend into the gum line
   Split tooth
   Vertical root fracture
   A new Classification of Fractured Tooth is the Ellis Classification of Fractured Tooth (Ellis I - IX)
   Symptoms
   Pain when chewing or biting
   Pain that comes and goes
   Sensitivity to heat, cold
   Swelling of the gum
   Diagnosis
   Look, feel, probe
   Use a dental dye
   Patient to bite down hard
   X-rays teeth
   Treatment:
   Bonding
   Crown
   Root canal
   Cosmetic contouring
   Dental Veneer
   Extraction
   No treatment in cases of hairline fractures
   Fractures 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 reconstruction
   Craze Lines do not need treatment but can be smoothed over with dental paste
   Fractured Tooth needs treatment because it can spread down to the root
   Early 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 removal
   Fractured Cusp is injured through chewing or grinding
   A fractured cusp rarely injures the pulp
   The dentist can put a new filling or crown over the injured tooth to protect it
   Split Tooth results from development of fractured tooth
   A split tooth cannot be salvaged intact
   Normally 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 surface
   The treatment may require ex

Dettagli