Enamel-dentin-pulp fracture - diagnostic signs

Description A fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp.
Visual signs Visible loss of enamel and dentin and exposed pulp tissue.
Percussion test Not tender. If tenderness is observed evaluate the tooth for luxation or root fracture injury.
Mobility test Normal mobility.
Sensibility test Not reliable in primary teeth. Inconsistent results.
Radiographic findings The loss of tooth substance is visible.
Radiographs recommended An occlusal exposure is recommended in order to screen for possible signs of displacement or the presence of a root fracture.

The radiograph can furthermore be used as a reference point in case of future complications.

Dental Trauma Guide 2010 - produced in cooperation with the Resource Centre for Rare Oral Diseases and Department of Oral and Maxillo-Facial Surgery
at the University Hospital of Copenhagen - Last edited the 07-01-2014.