Prepare for the American Board of Pediatric Dentistry Oral Boards. Utilize flashcards and multiple-choice questions with hints and explanations to ace your exam!

Multiple Choice

An enamel-dentin fracture is characterized by a fracture through enamel and dentin with no pulp exposure. What is the recommended treatment?

Preserve vitality and restore structure after an uncomplicated enamel-dentin fracture. If the broken fragment is available, reattach it using enamel-dentin bonding with a adhesive resin to restore anatomy and esthetics. Placing a liner over the dentin near the pulp helps protect the pulp and seal dentin against sensitivity, then finish with a resin-based composite to rebuild contour and function. Extraction or immediate root canal therapy isn’t indicated when there is no pulp exposure, and doing nothing would fail to restore form and function. If the fragment isn’t available, a direct composite restoration with bonding is an alternative, but the combination of bonding the fragment, applying a liner, and resin repair is the best approach when the fragment can be reused.

Preserve vitality and restore structure after an uncomplicated enamel-dentin fracture. If the broken fragment is available, reattach it using enamel-dentin bonding with a adhesive resin to restore anatomy and esthetics. Placing a liner over the dentin near the pulp helps protect the pulp and seal dentin against sensitivity, then finish with a resin-based composite to rebuild contour and function. Extraction or immediate root canal therapy isn’t indicated when there is no pulp exposure, and doing nothing would fail to restore form and function. If the fragment isn’t available, a direct composite restoration with bonding is an alternative, but the combination of bonding the fragment, applying a liner, and resin repair is the best approach when the fragment can be reused.