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Bonded sealants for fractured teeth
1Animal Dental Care, Colorado Springs, CO 80918, USA. tw@wellpets.com
Abstract:
Dental fractures in veterinary patients are relatively common. Historically, very little treatment has been provided for these fractures. Because of the relatively thin layer of enamel present in canine and feline dentition, most fractures result in exposure of dentin and/or pulp. This article discusses the rationale and procedure for treatment of exposed dentin in vital (live) teeth. Correct case selection and treatment improve patient comfort and help decrease the chance of future endodontic involvement in these teeth. This procedure may be considered an entry-level restorative procedure. Once mastered, the materials and principles will allow the practitioner to branch into more sophisticated restorative procedures, such as composite restorations, auto-incline planes, and restoration of endodontic access sites.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...