IADT treatment guidelines for enamel fractures
- 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.
- 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.