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Clinical Practice Guidelines for The Management of Complicated Crown Fracture in Permanent Teeth
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| Author:
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KEERTHIKA.R , NIVEDHITHA M.S
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| Abstract:
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Traumatic dental injury(TDI) is an unanticipated event , which has to be managed efficiently to avoid any serious consequences for the patient.Traumatic dental injury is most commonly seen in anterior teeth ,main cause being sports activities,accidental fall ,physical assaults,vehicle accidents.Among the TDIs crown fracture and luxation are the most common dental injuries which require proper diagnosis , treatment plan and follow up for favourable prognosis. The International Association of Dental Traumatology (IADT) has developed the guidelines for the management of these dental traumatic injuries based on literature search and professional opinion. The main objective of these guidelines is to delineate an approach for the immediate or urgent care of TDIs,while subsequent treatment requires interventions involving specialist consultations, services, and/or materials/methods not always available to the primary treating clinician.The recent IADT Guidelines 2012 has given the guidelines for management of TDI as three parts1)fractures and luxations of permanent teeth 2)Avulsion of permanent teeth 3)Injuries in the primary dentition .Complicated crown fracture involves enamel,dentin and pulp.Treatment of such complicated fracture depends on various factors like cause of trauma,time elapsed between the occurrence of trauma and the treatment seeked for the same ,condition of the oral supporting structures ,root development stage ,pulpal involvement,availability of fractured tooth fragments,level and position of fracture line.Recent advances in adhesive dentistry has paved the way for more conservative and esthetic approach for the treatment of crown fracture thus preserving the tooth structures.
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| Keyword:
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Complicated crown fracture; Crown fracture; Ellis class 3 fracture;Fragment reattachment; Pulp exposure;Traumatic dental injuries;Treatment guidelines;Tooth fractures
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.395
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| Download:
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