Fractured Tooth, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
This book describes Fractured Tooth, Diagnosis and Treatment and Related Diseases.
A fractured tooth can result from biting on hard foods, grinding the teeth at night, and can even happen naturally as the patient grows old
It is a frequent disorder and the leading cause of tooth loss in modernized nations.
When the outer hard tissues of the tooth are fractured, chewing can cause movement of the pieces, and the pulp can become irritated.
Ultimately, the pulp will become injured to the point that it can no longer recover itself.
The tooth will not only be painful when biting but may also become very sensitive to temperature extremes.
In time, a fractured tooth may start to become painful all by itself.
Excessive cracks can result in infection of the pulp tissue, which can extend to the bone and gum surrounding the tooth.
Infections can rapidly extend to bone or gum nearby and induce severe amounts of pain and complications.
Often a fractured tooth will be painful as the patient bites down, as the tooth opens and closes slightly because of the pressure it is placed under.
It tends also likely that the patient will feel higher heat sensitivity within the tooth.
Excess fractured teeth will be persistently painful.
Causes
1. Pressure from teeth grinding or clenching
2. Fillings so large they weaken the integrity of the tooth and put pressure on the tooth
3. Chewing or biting hard foods, such as ice, nuts, or hard candy
4. Trauma or impact to the chin and the mouth, such as a car accident, sporting injury, fall, or fistfight
5. Extreme sudden changes in temperature in the mouth, from eating something extremely hot and then trying to cool the mouth with ice water
6. Age, with most teeth cracks happening in people over 50
7. Gum disease
Types of fractured teeth:
Craze lines
Fractured cusp
Cracks that extend into the gum line
Split tooth
Vertical root fracture
A new Classification of Fractured Tooth is the Ellis Classification of Fractured Tooth (Ellis I - IX)
Symptoms
Pain when chewing or biting
Pain that comes and goes
Sensitivity to heat, cold
Swelling of the gum
Diagnosis
Look, feel, probe
Use a dental dye
Patient to bite down hard
X-rays teeth
Treatment:
Bonding
Crown
Root canal
Cosmetic contouring
Dental Veneer
Extraction
No treatment in cases of hairline fractures
Fractures do not resolve themselves and instead becomes increasingly worse and worse, affecting other areas surrounding them also.
Even after they have been treated the fractures do not close and need reconstruction
Craze Lines do not need treatment but can be smoothed over with dental paste
Fractured Tooth needs treatment because it can spread down to the root
Early diagnosis is important in order to save the tooth.
If the fracture has extended into the pulp, the tooth can be treated with a root canal procedure and a crown to protect the fracture from spreading.
If the fracture extends below the gum line, it is no longer treatable, and the tooth cannot be saved and will need to be extracted.
Occasionally the gums might be involved by a fractured tooth, depending on infection and gum injury the tooth might require removal
Fractured Cusp is injured through chewing or grinding
A fractured cusp rarely injures the pulp
The dentist can put a new filling or crown over the injured tooth to protect it
Split Tooth results from development of fractured tooth
A split tooth cannot be salvaged intact
Normally the dentist will have to extract the tooth once it has reached this split tooth stage.
Vertical Root Fractures are cracks that start in the tooth root and spread toward the chewing surface
The treatment may require extraction of the tooth, bonding, root canal or crowning
TABLE OF CONTENT
Introduction
Chapter 1 Fractured Tooth
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Fractured Tooth, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Fractured Tooth,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Fractured Tooth, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Fractured Tooth)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these