Advertisement

Primary Tooth Crown and Root Fractures

  • Rebecca L. Slayton
  • Elizabeth A. Palmer
Chapter

Abstract

In the primary dentition, luxation injuries are more common than crown or root fractures because the surrounding bone is less dense. Fractures of enamel are not uncommon but may not be reported as frequently as they occur. At very young ages, many children have not yet established a dental home and a minor dental injury may not be considered serious enough to seek care. Primary tooth fractures that involve enamel and dentin or that cause a pulp exposure are relatively infrequent but do usually result in the child being seen in a dental office or emergency room. This chapter focuses on fractures in the primary dentition and discusses treatment, prognosis, and sequelae as well as the behavior guidance techniques that allow safe treatment of the child.

Keywords

Dental trauma Pediatric Tooth fracture Primary tooth Pulp necrosis Pulpotomy Trauma guidelines Behavior management 

References

  1. 1.
    Flores MT, Holan G, Andreasen JO, Lauridsen E. Injuries to the primary dentition. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken: Wiley-Blackwell; 2019. p. 556–88.Google Scholar
  2. 2.
    Jorge KO, Moyses SJ, Ferreira e Ferreira E, Ramos-Jorge ML, de Araujo Zarzar PM. Prevalence and factors associated to dental trauma in infants 1-3 years of age. Dent Traumatol. 2009;25:185–9.CrossRefGoogle Scholar
  3. 3.
    Viegas CM, Scarpelli AC, Carvalho AC, Ferreira FM, Pordeus IA, Paiva SM. Predisposing factors for traumatic dental injuries in Brazilian preschool children. Eur J Paediatr Dent. 2010;11:59–65.CrossRefGoogle Scholar
  4. 4.
    Ravn JJ. Follow-up study of permanent incisors with enamel-dentin fractures after acute trauma. Scand J Dent Res. 1981;89:355–65.PubMedGoogle Scholar
  5. 5.
    Malmgren B, Adreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks ML, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M, International Association of Dental Traumatology. International Association of Dental Traumatology Guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28:174–82.CrossRefGoogle Scholar
  6. 6.
    Ram D, Holan G. Partial pulpotomy in a traumatized primary incisor with pulp exposure: case report. Pediatr Dent. 1994;16:46–8.Google Scholar
  7. 7.
    Holan G, McTigue DJ. Introduction to dental trauma: managing traumatic injuries in the primary dentition. In: Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH, editors. Pediatric dentistry infancy through adolescence. Philadelphia: Elsevier; 2019. p. 227–43.Google Scholar
  8. 8.
    Kupietzky A, Holan G. Treatment of crown fractures with pulp exposure in primary incisors. Pediatr Dent. 2003;25:241–7.PubMedGoogle Scholar
  9. 9.
    Andreasen JO, Flores MT, Lauridsen E. Injuries to developing teeth. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken: Wiley-Blackwell; 2019. p. 589–625.Google Scholar
  10. 10.
    Mendoza-Mendoza A, Iglesias-Linares A, Yanez-Vico RM, Abalos-Labruzzi C. Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe. Dent Traumatol. 2015;31:144–9.CrossRefGoogle Scholar
  11. 11.
    Costa VP, Oliveira LJ, Rosa DP, Cademartori MG, Torriani DD. Crown-root fractures in primary teeth: a case series study of 28 cases. Braz Dent J. 2016;27:234–8.CrossRefGoogle Scholar
  12. 12.
    Majorana A, Pasini S, Bardellini E, Keller E. Clinical and epidemiological study of traumatic root fractures. Dent Traumatol. 2002;18:77–80.CrossRefGoogle Scholar
  13. 13.
    Kim G-T, Sohn M, Ahn HJ, Lee D-W, Choi SC. Intra-alveolar root fracture in primary teeth. Pediatr Dent. 2012;34:e215–8.PubMedGoogle Scholar
  14. 14.
    Andreasen JO, editor. The dental trauma guide. San Diego: International Association of Dental Traumatology; 2012. https://dentaltraumaguide.org/. Accessed 1/3/2019.Google Scholar
  15. 15.
    Akin A, Uysal S, Cehreli ZC. Segmental alveolar process fracture involving primary incisors: treatment and 24-month follow up. Dent Traumatol. 2011;27:63–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rebecca L. Slayton
    • 1
  • Elizabeth A. Palmer
    • 2
  1. 1.Department of Pediatric DentistryUniversity of Washington School of DentistrySeattleUSA
  2. 2.Department of Pediatric DentistryOregon Health & Science University School of DentistryPortlandUSA

Personalised recommendations