Abstract:The management of adult dental trauma can be a daunting challenge for practitioners at any level. Like medical emergencies, initial management can have a large influence on prognosis. It is important that practitioners understand the basic principles of managing the acute presentations of dental trauma. This article aims to illustrate a step-by-step approach in order to improve the management within general dental practice for better outcomes for patients.
“…Therefore, both the public and the dental community should be educated on the management of traumatic dental injuries. Early intervention may significantly improve the prognosis of an injured tooth and therefore can restore function, proper development, and a patient's smile to its original state 5,6 . The first few hours following injury are critical in determining the prognosis of an injured tooth 7 .…”
Dental trauma is common and most prevalent in children and adolescents. 1-3 The role of prevention, diagnosis, and treatment of dental trauma is of utmost importance for the survival of primary and permanent teeth. 4 Oral health as a child is considered to be a reliable indicator for oral health as an adult. 5 Therefore, both the public and the dental community should be educated on the management of traumatic dental injuries. Early intervention may significantly improve the prognosis of an injured tooth and therefore can restore function, proper development, and a patient's smile to its original state. 5,6 The first few hours following injury are critical in
“…Therefore, both the public and the dental community should be educated on the management of traumatic dental injuries. Early intervention may significantly improve the prognosis of an injured tooth and therefore can restore function, proper development, and a patient's smile to its original state 5,6 . The first few hours following injury are critical in determining the prognosis of an injured tooth 7 .…”
Dental trauma is common and most prevalent in children and adolescents. 1-3 The role of prevention, diagnosis, and treatment of dental trauma is of utmost importance for the survival of primary and permanent teeth. 4 Oral health as a child is considered to be a reliable indicator for oral health as an adult. 5 Therefore, both the public and the dental community should be educated on the management of traumatic dental injuries. Early intervention may significantly improve the prognosis of an injured tooth and therefore can restore function, proper development, and a patient's smile to its original state. 5,6 The first few hours following injury are critical in
“…In these cases, it is necessary to use imaging tests that show the position and depth of the fragment. Thus, the feasibility of its removal is evaluated (CHAUHAN, 2016), and debridement and suture are performed within 24 hours due to contamination of the oral cavity (DEANGELIS et al, 2014). In the case described, the patient did not present a lack of fractured segments, eliminating the possibility of inoculation and/or aspiration of fragments.…”
Section: Discussionmentioning
confidence: 99%
“…The pulp condition should only be evaluated from the 4th week after the trauma, with the aid of sensitivity tests (electrical or thermal), since, when performed early, they can designate a nonconclusive result due to acute trauma in the region (CHAUHAN, 2016;BOURGUIGNON et al, 2020). The patient, in this case, underwent an endodontic evaluation in the third week after the trauma, with clinical and imaging follow-up for six months.…”
O trauma dentoalveolar é uma adversidade frequente para o sistema de saúde e necessita de diagnóstico e intervenção precoce. A gravidade dessas lesões pode variar de acordo com a sua classificação, de simples trincas em esmalte a avulsões do órgão dental e fraturas ósseas. Sendo assim, o objetivo deste trabalho é relatar um caso clínico de trauma dentoalveolar associado a fratura do bloco ósseo em região anterior de maxila, tratado tardiamente por meio de redução bidigital e esplintagem. Paciente do sexo masculino, vítima de acidente automobilístico, compareceu ao serviço de emergência 04 dias após o trauma. Durante o exame físico maxilofacial foi possível observar presença de mobilidade em bloco anterior de maxila e luxação lateral dos dentes anteriores. Na tomografia de face foi possível analisar a presença de linha de fratura em tábua vestibular e palatina da região anterior da maxila, assim como luxação lateral envolvendo as unidades 12, 11, 21 e 22. Apesar do longo período pós-trauma, o tratamento proposto foi a redução fechada, associada a instalação de contenção semirrígida, proporcionando estabilidade ao segmento fraturado e ambiente propício para correta cicatrização óssea. O manejo inicial do trauma dental tem grande influência no prognostico, no entanto, foi possível observar por meio desse caso, que o tratamento tardio apresenta resultados satisfatórios, auxiliando no reestabelecimento da função e estética do paciente de forma menos invasiva.
“…Treatment of dental fractures often involves different dental specialties due to its complexity. Dental element fracture is one type of trauma that may affect patient's health, and can be classified as: enamel fracture, crown fracture (with or without pulp involvement), crownroot fracture (with or without pulp involvement) and root fracture [1]. The most affected teeth are the upper incisors, which fractures involving enamel and dentin are the most common trauma related by dentists [2].…”
Multiple clinical specialties are usually needed for a successful long-term treatment in buccal cavity. The aim of this article is to report a clinical case of multi-disciplinary rehabilitation of fracture upper incisors without pulp exposure, concerning about endodontics, periodontics and restorative dentistry comments or procedures. A case of a patient reporting trauma that resulted in fracture and substantial loss of hard tissue, in mesial angle of both upper central incisors (11 and 21). In palatal side, fracture extended beyond cingulum up to subgingival region. Periodontal surgery was performed in order to reestablish biological space. Clinical and radiographic assessments demonstrated no need for endodontic treatment, since pulp was vital and non-altered. Preparations for restorative procedures were minimally invasive, followed by composite direct. A three-year follow-up was performed, consisting in re-assessment of clinical and radiographic aspects, re-polishing of the restorations and photographic documentation. No pulp tissue alteration was observed after the follow-up period. Restorative procedures, adjacent tissues and pulp vitality were considered adequate, and the patient was satisfied with the treatment.
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