Endodontics · single question

Which tooth fracture type has the BEST prognosis?

  1. Cracked tooth syndrome
  2. Crown infraction
  3. Oblique crown-root fracture
  4. Vertical root fracture
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Correct answer: B. Crown infraction

Crown infraction (incomplete enamel fracture without loss of structure) has the best prognosis because only enamel is involved, with no dentin, pulp, or structure loss.
  • A. Cracked tooth syndrome has a guarded prognosis — cracks can propagate toward the root, with long-term prognosis depending heavily on crack depth.
  • B. CORRECT. Crown infraction = incomplete fracture of enamel only, with no tooth structure lost. Prognosis is excellent — no pulp involvement, typically only requires monitoring and possibly sealant.
  • C. Crown-root fractures have variable prognosis depending on how far below the gingival margin the fracture extends.
  • D. Vertical root fracture has the WORST prognosis of all fracture types and virtually always results in extraction.

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