Ellis system of classification system for a tooth fracture:


Ellis 1: injury of the crown into enamel only

 - On exam: nontender, no color change, maybe rough edges
 - Treat: file down sharp edges prn (w emery board), recommend follow up with a dentist for cosmetic treatment


Ellis 2: injury of enamel and dentin

 - On exam:  tender, may see dentin appears as yellow layer
 - Treat: goal to cover exposed dentin, can use calcium hydroxide composition, an adhesive barrier called Stomahesive, Dermabond has also worked if no other adhesive available. Pain medication prn, follow up with dentist in 24 hours
 

Ellis 3: injury of enamel, dentin and pulp

 - On exam: tender, color change, pink or red, possible visible blood
 - Treat: emergent dental referral, cover exposed dentin/pulp with the same as listed above, initiate abx – PCN or clindamycin


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