Endodontics · single question

What is the BEST prognosis of the following tooth fracture types?

  1. Oblique root fracture
  2. Cracked tooth (incomplete fracture) and fractured cusp
  3. Vertical root fracture
  4. Split tooth
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Correct answer: B. Cracked tooth (incomplete fracture) and fractured cusp

  • A. Incorrect. Oblique root fractures have variable prognosis depending on the level of the fracture — those in the cervical third have worse prognosis.
  • B. Correct. CRACKED TOOTH and FRACTURED CUSP have the BEST prognosis among fracture types. A cracked tooth (incomplete fracture) can often be treated with a cuspal-coverage restoration (crown). A fractured cusp, if above the gingival level, can also be restored. Early detection and treatment result in good outcomes.
  • C. Incorrect. Vertical root fractures have the WORST prognosis — they usually require extraction as the fracture line propagates and bone loss occurs on each side.
  • D. Incorrect. A split tooth (complete fracture through the tooth) has poor prognosis and often requires extraction.

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