19 November 2025

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Potential for tooth fracture in restorative dentistry

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Increasing awareness of tooth fracture, both complete and incomplete, as a significant disease entity has led to improved diagnostic techniques. By using compact, easily handled, fiber optic instruments for transillumination and by developing a “predisposition index” to assist in the evaluation of fracture potential, new dimensions have been added in treatment planning, especially for older patients.

Prevention of tooth fracture can best be accomplished by utilizing conservative, nontraumatic tooth preparation procedures, understanding predisposing factors, and using full occlusal coverage, circumferentially retained restorations whenever castings are indicated.

Effective management of incomplete tooth fracture involves early recognition of the problem, appropriate and timely treatment, and a realistic assessment of the prognosis.

Authors: B.V. Braly, E.H. Maxwell

Source: https://www.sciencedirect.com/