Background. The author presents an evidence-based protocol for the diagnosis and treatment of incomplete tooth fractures. It is designed to help dentists recognize fractures, distinguish between restorable and nonrestorable fractures, and follow a rational approach to treatment.
Overview. An incomplete tooth fracture is a frequently encountered problem that dentists need to assess carefully to arrive at the correct treatment decision. The author presents a review of representative literature corroborating the assertions made in the evidence-based protocol. Treatment approaches are presented for each of two major fracture types.
Clinical Implications. Dentists need to be aware of the classic symptoms of incomplete tooth fracture, the methods used in formulating a differential diagnosis, criteria for determining pul-pal status and restorability, iatrogenic factors involved in the etiology of incomplete fracture, and the consequences of inadequate diagnosis or treatment.
