Enamel Fracture Management — NDEB AFK MCQ

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EasyPaediatric DentistryEnamel Fracture ManagementNDEB AFK

A coronal fracture of a permanent incisor involving enamel only (Ellis Class I / uncomplicated enamel fracture) is best managed by which of the following?

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Correct answer: B — Smooth sharp edges and restore with composite if aesthetics require

An enamel-only fracture (Ellis Class I) requires smoothing of sharp edges to prevent soft tissue laceration and restoration with composite resin if aesthetics or tooth contour is affected. If the fractured fragment is available and fits accurately, fragment reattachment with composite bonding is an excellent option. Pulp vitality should be tested at baseline and follow-up (1, 3, 6, 12 months) as concomitant PDL injury (concussion, subluxation) may cause delayed pulp necrosis.

Reference: IADT – Guidelines for Management of Traumatic Dental Injuries, 2020