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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
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.
Ravn JJ. Follow-up study of permanent incisors with enamel-dentin fractures after acute trauma. Scand J Dent Res. 1981;89:355–65.
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.
Ram D, Holan G. Partial pulpotomy in a traumatized primary incisor with pulp exposure: case report. Pediatr Dent. 1994;16:46–8.
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.
Kupietzky A, Holan G. Treatment of crown fractures with pulp exposure in primary incisors. Pediatr Dent. 2003;25:241–7.
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.
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.
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.
Majorana A, Pasini S, Bardellini E, Keller E. Clinical and epidemiological study of traumatic root fractures. Dent Traumatol. 2002;18:77–80.
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.
Andreasen JO, editor. The dental trauma guide. San Diego: International Association of Dental Traumatology; 2012. https://dentaltraumaguide.org/. Accessed 1/3/2019.
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.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Slayton, R.L., Palmer, E.A. (2020). Primary Tooth Crown and Root Fractures. In: Traumatic Dental Injuries in Children. Springer, Cham. https://doi.org/10.1007/978-3-030-25793-4_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-25793-4_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-25792-7
Online ISBN: 978-3-030-25793-4
eBook Packages: MedicineMedicine (R0)