Ellis Classification System
- Ellis I: extends through enamel (radiopaque)
- Ellis II: extends through dentin (less radiopaque; similar to bone)
- tender to touch/air
- visible yellow layer of dentin
- Ellis III: extends through pulp (radiolucent)
- tender to touch/air
- visible pink/red area at center of tooth
(EMedicine)
ED Management
- Ellis I: smooth rough corners; no urgent care required; cosmetic follow-up
- Ellis II: cover exposed dentin w/ layer of zinc oxide or calcium hydroxide paste to prevent infection; f/u within 24 hrs
- Ellis III: cover exposed dentin as above; Abx against intraoral flora (Penicillin or Clindamycin); emergency dental referral
- *At Sinai, we use a dentin putty
http://www.aapd.org/media/policies_guidelines/e_fractures.pdf
http://emedicine.medscape.com/article/82755-overview
