Classification of Dental Traumatic Fractures

Fracture

Additional Finding

Class

fracture of the enamel (outer layer of tooth)

I

fracture into the dentin (second layer)

yellow color; sensitive to hot or cold temperatures

II

fracture into the pulp (inner layer or core)

extremely painful

III

fracture of the root

IV

subluxation (partial dislocation)

tooth moved within the alveolar bone

V

avulsion (complete removal from the alveolus)

VI

Class

Management

I

Smoothing of sharp edges and/or bonding tooth colored material to the chipped surface.

II

Usually requires a filling.

III

Endodontic root canal with post and crown.

IV

Extract the tooth.

V

Replace tooth to its original position and splint for 2-3 weeks. If the periodontal support is lost, then extract.

VI

Reimplantation if possible.