Name of the Condition

• Fracture of tooth (traumatic), sequela

Summary

• A fracture of the tooth typically refers to a break or crack that occurs due to trauma or injury. The term "sequela" indicates that this condition is a complication or consequence of an initial traumatic event affecting the tooth.

Causes

• The primary cause of a tooth fracture is physical trauma, which may result from accidents, falls, sports injuries, or direct impacts to the mouth or face.

Risk Factors

• Participation in contact sports without protective gear.
• Engagement in high-risk physical activities.
• Previous dental trauma or fractures.
• Weakened enamel due to dental conditions or decay.

Symptoms

• Sensitivity to hot or cold temperatures.
• Pain when biting or chewing.
• Visible cracks or chips in the tooth.
• Swelling or irritation around the affected tooth.

Diagnosis

• Dental examination, including visual inspection and probing.
• X-rays or CT scans to assess the extent and location of the fracture.
• Use of dental dyes or transillumination to detect small cracks.

Treatment Options

• Dental Bonding or Filling: For minor fractures, applying a tooth-colored resin can restore its appearance and function.
• Crown Placement: Severe fractures may require covering with a crown to protect and strengthen the tooth.
• Root Canal Therapy: If the fracture affects the pulp of the tooth, a root canal may be necessary to remove damaged tissue.
• Extraction: In cases where the tooth cannot be saved, extraction may be required.

Prognosis and Follow-Up

• With appropriate treatment, many tooth fractures can be effectively managed, allowing for normal function and appearance. Regular dental check-ups are essential to monitor the condition and promptly address any complications.

Complications

• Infection if the fracture has exposed the pulp.
• Tooth loss or need for extraction if the fracture is severe.
• Damage to surrounding teeth or dental structures.

Lifestyle & Prevention

• Wearing mouthguards during sports activities.
• Avoiding chewing hard objects or foods.
• Maintaining good dental hygiene to strengthen teeth.

When to Seek Professional Help

• Persistent pain or sensitivity in a tooth following trauma.
• Swelling or signs of infection around a damaged tooth.
• Visible cracks or chips in teeth after an injury.

Additional Resources

• American Dental Association (ADA): ADA Website
• MouthHealthy by ADA: MouthHealthy
• National Institute of Dental and Craniofacial Research (NIDCR): NIDCR Website

Tips for Medical Coders

• Ensure the use of the correct seventh character for sequela condition (S).
• Verify that the fracture is associated with previous trauma for accurate coding.
• Cross-reference other dental codes if additional conditions or treatments are documented.