Журнал стоматологической патологии и медицины

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Coronal Fractures: An In-depth Analysis of Etiology, Treatment, and Complications

Xuefei Deml

Coronal fractures, also known as crown fractures, are a common type of dental injury characterized by the fracture of the tooth's enamel and dentin without involvement of the pulp. These fractures can occur due to various factors such as trauma, caries, or structural weaknesses in the tooth. This abstract aims to provide a comprehensive overview of coronal fractures, including their classification, diagnosis, and management strategies. The classification system based on the Ellis classification will be discussed, highlighting the different types of coronal fractures and their clinical implications. Diagnosing coronal fractures involves a thorough clinical examination, radiographic assessment, and possibly additional diagnostic tools such as transillumination or vitality testing. The importance of accurate diagnosis lies in determining the extent of the fracture and guiding appropriate treatment decisions. Management of coronal fractures depends on several factors, including the location, extent, and involvement of adjacent structures.Treatment options range from conservative approaches such as bonding or composite restoration to more extensive interventions such as crown placement or endodontic therapy. The choice of treatment should be tailored to each individual case, considering factors such as patient age, esthetics, and long-term prognosis.