Mostrando entradas con la etiqueta Dental Trauma. Mostrar todas las entradas
Mostrando entradas con la etiqueta Dental Trauma. Mostrar todas las entradas


DENTAL TRAUMA : Treatment options for broken down permanent teeth in the mixed dentition

Dental Trauma

Management of cariously involved and traumatized permanent teeth in the mixed dentition depends on many factors.

This article will seek to identify the factors involved in the treatment planning of permanent dentition that require root canal therapy due to trauma or caries.

Immature permanent dentition requiring endodontic intervention can be researched by following the lifetime work of Jens Ove Andreasen or by reading the landmark research of Mejare Cvek and are beyond the scope of this review.

Of principal concern in the management is the mean time to permanent restoration.

In general, the permanent restoration is desired after full growth of the individual. Individual growth can be measured by taking a hand wrist film or two consecutive cephalometric radiographs that confirm no further dental growth is seen.


When considering a candidate for dental restoration, the first step is to determine the etiology of the disease. If dental caries is determined to be the primary cause of necessary endodontic intervention, the individual and guardian must be educated about the etiology of dental decay.

Dietary modification, oral hygiene instruction, and topical or systemic flouride therapy where indicated are necessary in the further prevention of the disease. Sealant therapy on at-risk teeth should be treatment planned.

Orthodontic considerations that impede proper hygiene and serve as food entrapment should be considered as well.


°Dismay with kid decay: treatment options for broken down permanent teeth in the mixed dentition
°By Joseph F. DiBernardo, DDS, and Doreen Toskos, DMD


DENTAL TRAUMA : Guideline on Management of Acute Dental Trauma

Dental Trauma

The American Academy of Pediatric Dentistry (AAPD) intends these guidelines to define, describe appearances, and set forth objectives for general management of acute traumatic dental injuries rather than recommend specific treatment procedures that have been presented in considerably more detail in textbooks and the dental/medical literature.

Facial trauma that results in fractured, displaced, or lost teeth can have significant negative functional, esthetic, and psychological effects on children.

Dentists and physicians should collaborate to educate the public about prevention and treatment of traumatic injuries to the oral and maxillofacial region.

The greatest incidence of trauma to the primary teeth occurs at 2 to 3 years of age, when motor coordination is developing. The most common injuries to permanent teeth occur secondary to falls, followed by traffic accidents, violence, and sports.

All sporting activities have an associated risk of orofacial injuries due to falls, collisions, and contact with hard surfaces.

Read Also: ORAL MEDICINE : How to manage a pediatric patient with oral ulcers

The AAPD encourages the use of protective gear, including mouthguards, which help distribute forces of impact, thereby reducing the risk of severe injury.

Dental injuries could have improved outcomes if the public were aware of first-aid measures and the need to seek immediate treatment. Because optimal treatment results follow immediate assessment and care,18 dentists have an ethical obligation to ensure that reasonable arrangements for emergency dental care are available.

The history, circumstances of the injury, pattern of trauma, and behavior of the child and/or caregiver are important in distinguishing nonabusive injuries from abuse.


°Guideline on Management of Acute Dental Trauma


Consequences of dental trauma to the primary teeth on the permanent dentition

Dental Trauma

Dental trauma to primary teeth or to the jaws may cause disorders on the development of permanent successor teeth.

The alterations may either occur at the time of accident or be caused by post-traumatic consequences.

Objective: The aim of this paper is to present cases of alterations on permanent dentition following dental trauma to primary teeth.

Case reports: Three cases are presented in this paper. The severity of the post-traumatic sequels shown by the permanent teeth kept a direct relationship with the extent of the impact and patient’s age at the accident.

These sequels resulted in whitish or brownish opacities, enamel hypoplasia, root dilacerations, and total arrest of root development.

Read Also: ENDODONTIC treatment for children

Conclusion: It can be concluded that the protocols for patients who had experienced dental trauma must observe a systematic clinical and radiographic follow-up as well as alternatives of treatment for the primary and permanent teeth involved.

Prognostics and treatments related to the sequels in permanent teeth may be obtained from a close analysis of clinical and radiographic aspects, avoiding more damages to the stomatognathic system.


° Authors : Miranda et al. - Consequences of dental trauma to the primary teeth on the permanent dentition


DENTAL EMERGENCY : Pediatric expert tips

Dental Emergency

Injuries to children’s teeth can be very distressing for children as well as their parents.

Dental trauma may occur as a result of a sports mishap, an altercation, a fall inside of the home, or other causes.

Prompt treatment is essential for the long-term health of an injured tooth.

Obtaining dental care within 30 minutes can make the difference between saving or loosing a tooth.

Approximately 30% of children have experienced dental injuries.

Injuries to the mouth include teeth that are: knocked out, fractured, forced out of position, pushed up, or loosened. Root fracture and dental bone fractures can also occur.

Read Also: ORAL PATHOLOGY : Residual Neonatal Teeth: A Case Report

Youtube / East Tennessee Children's Hospital


Management of late dental trauma healing complications in primary teeth: a case report of 3 years follow-up

Dental Trauma

Injuries to primary dentition are among the most common traumas that occur in the maxillofacial region. Preschool children experience at least one injury to their primary teeth.

In the early years of life, the most common trauma cause related by children’s parents or guardians is a fall from the child’s own height.

Healing complications of trauma are usually described in primary teeth, and the most common pulpal healing complication is calcification followed by obliteration of the pulp of the injured tooth.

Pulp degeneration followed by necrosis is not always easy to diagnose early in primary teeth. However, its consequences can lead to acute clinical situations.

Furthermore, complications with the unerupted permanent teeth are frequently associated with trauma to their predecessors and usually depend on the developmental stage of permanent buds and their close relationship with the apex of the primary tooth at the moment of trauma occurrence.

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They also depend on the severity and direction of the trauma. The treatment for traumatic injuries to primary teeth should always take into account the possibility of damage to permanent successor.

The Internacional Association for Dental Traumatology define uncomplicated crown fracture as an enamel fracture or an enamel-dentin fracture that does not involve the pulp.


° Rev. bras. odontol., Rio de Janeiro, v. 73, n. 3, p. 253-56, jul./set. 2016 - Nashalie Andrade de Alencar / Tatiana Kelly da Silva Fidalgo / Jacckeline Barros / Maria da Encarnação P. Requejo da Costa / Lucianne Cople Maia


How to manage a patient with a traumatically displaced primary incisor

Traumatically displaced primary incisor

Incidents of primary incisors displaced as a result of trauma caused by impact occur most often when a child's gross motor skills and coordination are still under development.

The younger the child, the more likely that total tooth displacement will occur, as opposed to tooth/root fracture.

The pediatric alveolus by nature tends to be more elastic and will preferentially yield to the force of impact, resulting in total tooth displacement.

Read Also : DENTAL TRAUMA : Treatment options for broken down permanent teeth in the mixed dentition


Pre- and school-aged children. Generally, the sequelae of primary incisor displacement injuries become less significant as the child enters the mixed dentition stage.

Karen M. Campbell


Developmental Disturbance of an Unerupted Permanent Incisor Due to Trauma to Its Predecessor

Developmental disturbances of permanent teeth can result from trauma to primary teeth because of the proximity of the root of the primary teeth to their permanent successors.

We describe the case of a 14-month-old boy who was referred to the baby clinic of the School of Dentistry, Universidad Estadual Paulista, Araçatuba, Brazil, after sustaining a severe trauma that led to intrusion of the right primary central incisor.

Radiographic examination 4 years after the trauma showed a developing morphological change in the germ of the permanent successor.

Read Also : Clinical Management of Regional Odontodysplasia. Clinical Case

On eruption of the permanent central incisor, a crown malformation along with enamel hypoplasia was observed.

We conclude that radiographic follow-up is indicated after trauma to monitor possible sequelae in the permanent successors even before their eruption.

Alessandra Cristina Gomes, DDS, MSc / Leciana Paula De Angelis Messias, DDS / Alberto Carlos Botazzo Delbem, DDS / Robson Frederico Cunha, DDS


DENTAL TRAUMA : A story of dental injury and orthodontics

Traumatic Dental Injuries (TDI) are a serious public dental health problem throughout the world. 

About 10.3% of patients seeking orthodontic treatment have suffered from dental trauma. 

Maxillary incisors are the most vulnerable teeth to TDI, with increased overjet and incompetent lip coverage considered to be the most significant predisposing factors. 


Indeed, traumatized incisors can impose challenges to orthodontists during orthodontic treatment. 

Early orthodontic intervention can however help prevent TDI of maxillary incisors. 

► Read also: Management of Multiple Traumatic Injuries in a Single Patient - A Case Report 

This article will discuss the epidemiology and etiology of TDI, early stage orthodontic prevention of TDI, dental trauma problems present during orthodontic treatment and how to manage cases with traumatized teeth in orthodontics. 
Yunlong Kang, Christopher Stephen Franco


DENTAL TRAUMA : Post-traumatic impaction of maxillary incisors: diagnosis and treatment

Trauma to oral and facial structures is a significant problem that may have serious medical, esthetic and psychologic consequences on both children and their parents. 

Studies have shown that approximately 30% of all children under the age of 7 years experience injuries to ≥ 1 of their primary incisors and that most serious injuries to primary teeth occur between the ages of 1 and 3 years. 


This high incidence is related to the passage to the upright posture, the early stages of walking, a lack of motor coordination and the unconsciousness of the child. 

The majority of the trauma occurs as a result of fall accidents at home or during sporting activities. 
According to gender, boys were injured more frequently in all age than girls (2) and owing to their exposed position in the dental arch, the upper central incisors are the teeth most commonly affected by traumatic injury in both primary and permanent dentition. 

Valeria Paoloni, DDS, Chiara Pavoni, DDS, Manuela Mucedero, DDS, Patrizio Bollero, DDS, PhD, Giuseppina Laganà, DDS, and Paola Cozza, MD, DDS, MS