IADT treatment guidelines for enamel fractures

Clinical findings

  • A complete fracture of the enamel.
  • Loss of enamel. No visible sign of exposed dentin.
  • Not tender. If tenderness is observed, evaluate the tooth for a possible luxation or root fracture injury.
  • Normal mobility.
  • Sensibility pulp test usually positive.

Radiographic findings

  • Enamel loss is visible.
  • Radiographs recommended: periapical, occlusal and eccentric exposures. They are recommended in order to rule out the possible presence of a root fracture or a luxation injury.
  • Radiograph of lip or cheek to search for tooth fragments or foreign materials.


  • If the tooth fragment is available, it can be bonded to the tooth.
  • Contouring or restoration with composite resin depending on the extent and location of the fracture.


  • 6-8 weeks – Clinical and radiographic examination.
  • 1 year – Clinical and radiographic examination.