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Enamel fracture or Enamel-dentin fracture
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Same as E/D fracture, with pulp exposure.
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The coronal fragment is attached to the gingiva and mobile. The pulp may or may not be exposed. Minimal to moderate tooth displacement
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Tooth is mobile and sometimes displaced
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The tooth containing fragment is mobile and usually displaced
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Radiographic assessment and findings
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Take one radiograph (2)
Evaluate size of pulp chamber and stage of root development.
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Take one radiograph (2)
Evaluate size of pulp chamber and stage of root development.
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Take one radiograph (2)
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Take one radiograph (2)
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Take one radiograph (2)
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Smoothen sharp edges. If possible the tooth can be restored with glass ionomer filling material or composite (xx)
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Perform pulpotomy (ZOE + formocresol) (xx)
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The tooth should be extracted (xx)
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If displaced, extract only the coronal fragment. The apical fragment is left to be resorbed physiologically(xx) If the coronal fragment is not displaced, reposition and splint for 3 weeks (xx)
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Reposition the fragment. Splint to adjacent teeth for 3 weeks (xx)
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