Enamel infraction

Enamel infractions, as opposed to cavities, may not need bacterial decay or tooth structure loss, although they may still result in sensitivity or cosmetic issues.

All these factors combined in early childhood can reduce ameloblast activity which can result in insufficient enamel matrix protein secretion.

This can lead to a weakened enamel surface that is more porous, thinner, prone to pits and grooves which raises the risk of dental caries and sensitivity.

In order for the provider to take preventive action depending on the health of the teeth or any abnormalities, it is important that a child has a dental examination during the early years of tooth development and continue with check ups throughout their life.

Even uncomplicated patients who show no strong effects can be recommended to undergo a crown restoration to be preventive and frequently x-rayed to stay updated on the condition of the tooth.

[14] However, it is important to note that while enamel infractions are more common in males, they can affect individuals of all ages and genders, especially when there are contributing factors such as bruxism or malocclusion.

[15] Despite their frequency, enamel infractions are often underreported, as they are typically asymptomatic and may not be easily noticeable without a detailed clinical assessment or x-ray which is why it is important to be preventive.

Infiltrant resin application is a promising minimally invasive technique for superficial enamel cracks that can improve functionality and appearance.

The two case studies illustrate the method's conservative nature and present a viable option for patients with enamel infractions who would prefer not to undergo more invasive procedures.

[16] In another article, it emphasizes how the detection of enamel cracks has greatly improved due to recent technological advancements like transillumination, OCT, and AI.

In an article focused on the advancements of AI allows especially for the diagnosis, localization, classification, estimate, and evaluation of oral disease in the field of dentistry.

Given how quickly AI technology has developed recently, it can allow early detection or signs of these enamel infractions and help create a treatment plan.

As these technologies advance, they might provide more accurate, non-invasive, and economical methods of detecting enamel cracks, improving dental care outcomes.

An up-close look at enamel infractions reveals pits and grooves that show how developmental defects affect tooth structure and make teeth more susceptible to decay.
An oral examination is being held and can be observed through the image.
Up above is the dental operating microscope where enamel infractions can be observed.
The transilluminator is the device she is working on used to observe enamel infractions.