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An enamel fracture, or chip, is a complete fracture of the
tooth enamel Tooth enamel is one of the four major tissues that make up the tooth in humans and many other animals, including some species of fish. It makes up the normally visible part of the tooth, covering the crown. The other major tissues are dentin, ...
without the involvement of the
dentine Dentin () (American English) or dentine ( or ) (British English) ( la, substantia eburnea) is a calcified tissue of the body and, along with enamel, cementum, and pulp, is one of the four major components of teeth. It is usually covered by en ...
and
pulp Pulp may refer to: * Pulp (fruit), the inner flesh of fruit Engineering * Dissolving pulp, highly purified cellulose used in fibre and film manufacture * Pulp (paper), the fibrous material used to make paper * Molded pulp, a packaging material * ...
. A fracture occurs when a tooth contacts a hard object with enough force to break a section of enamel. Chips form with minimal plastic deformation since enamel is strong but brittle. A fracture typically occurs as an irregular break on the occlusal edge of the enamel, and is therefore different to other forms of
tooth wear Tooth wear refers to loss of tooth substance by means other than dental caries. Tooth wear is a very common condition that occurs in approximately 97% of the population. This is a normal physiological process occurring throughout life; but with in ...
that leave smooth surfaces.
Pulp sensibility test Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within the pulp chamber and root canals of a tooth. Such investigations are important in aiding dentists in devising a treatmen ...
ing is recommended to confirm pulpal health. Treatment depends on the size of the fractures. If a tooth fragment is still available, it can be bonded to the tooth. For small or minor fractures, it can be smoothed to remove rough margins and edges. For a larger or major fractures,
dental composite Dental composite resins (better referred to as "resin-based composites" or simply "filled resins") are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appe ...
resin can be used to mask the defective enamel for aesthetic purpose. In archaeological samples enamel fractures can give insight into the diet and behaviour of past populations.


References

{{reflist Acquired tooth disorders Emergency medicine