Surgical Indications for Fractured Teeth

The chapter “Surgical Indications for Fractured Teeth” presents a comprehensive examination of the causes, classifications, and surgical treatments related to tooth fractures. Tooth injuries can arise from a myriad of reasons, from sports injuries and accidents to daily habits such as teeth grinding or biting hard objects. The annual incidence of dental trauma is noteworthy, with maxillary central incisors being most vulnerable, especially in children and adolescents. The chapter delineates the classification of tooth fractures into enamel, enamel-dentine, fractures with pulp exposure, root fractures, and crown-root fractures, each with its distinct clinical manifestations, diagnostic measures, and treatment options. Surgical approaches vary based on the fracture’s nature, location, and severity. The chapter emphasizes the significance of advanced imaging techniques, such as CBCT, to provide a detailed visualization of fractures and guide therapeutic decisions. A multitude of surgical techniques, from preoperative measures and anesthetic protocols to specific procedures for different fracture types, are elaborated. Root submergence, especially in the aesthetic zone, is underscored for its ability to maintain bone and soft tissue contours. Overall, the chapter encapsulates the multifaceted nature of dental fractures, highlighting their significance and the nuanced approaches required for optimal patient outcomes.