BDS Notes: Anterior Tooth Facture & its Treatment Handwritten Notes PDF

Anterior tooth fracture is one of the most important topics in Pedodontics. Anterior crown fractures are a common form of injury that mainly affects children and adolescents.

These fractured teeth needed to be restored either with inlays or cast restorations. There is also an option that has allowed dentists to use the patient’s own fragment to restore the fractured tooth or the whole tooth itself can be restored back into the socket and it is particularly known as Avulsed tooth.

There are 5 classes of anterior tooth fracture and the approach to treat each class is different and is well- explained in this document.

For enamel fractures, “Acid-etch composite’ may restore the tooth. For both enamel & dentin involvement, “Indirect composite” restoration can be done with the layer of Ca (OH) 2 & GIC.

For fractures with pulp involvement, it needs “pulp capping, pulpotomy, pulpectomy, apexification, apexogenesis.”  Fractured teeth needed to be restored either with Pin-retained composite restoration , Acid- etch technique or Reattachment of fractured component that can be via simple  reattachment, circumferential bevel and internal dentinal groove.

For special class v fracture, treatment depends on the apex of the tooth avulsed.

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