The management of traumatic tooth loss with dental implants: Part 1

Abstract

Traumatic dental injuries are relatively common causes of emergency presentation to general dental practitioners. There are well established guidelines for the management of traumatised teeth, which practitioners should be familiar with and able to deliver. Some teeth, however, are either lost at the time of injury or are found to have a hopeless long-term prognosis despite appropriate treatment. The first article in this two-part series covers the important aspects of maintaining teeth where possible, to preserve the supporting hard and soft tissues. It then describes the replacement of a single tooth lost due to trauma and the relative challenges faced. The second article covers more extensive trauma, involving multiple teeth and where significant supporting tissues are lost. It describes the replacement of teeth, including the hard and soft tissues with implant supported restorations, whilst highlighting the need for a multidisciplinary team in severe cases.

Autotransplantation: A biological treatment alternative for a patient after traumatic dental injury

“…14 The treatment options include removable or conventional fixed prostheses, dental implant-supported crowns, autotransplantation, and simple orthodontic space closure with tooth substitution. 15 …”

“…Currently, an implant-supported restoration is considered the gold standard for the conservative replacement of a lost tooth in adult patients. 15 In a growing child, this treatment modality generally necessitates space maintenance until facial growth is completed. During this time, there is continued alveolar bone remodeling in terms of both width and height; this may require alveolar bone grafting procedures and consequently increase the total cost of treatment.…”

Clinical performance of a modified Resin‐Bonded fixed partial denture (Carolina bridge): A retrospective study

“…There are numerous reasons for tooth loss, including caries, periodontal disease, trauma, and congenital reasons. 4‐6 The prevalence of congenitally missing teeth seems to vary between 6% and 10%. Approximately 20% of all congenitally missing teeth are maxillary lateral incisors 7 .…”

Timing of implant placement after traumatic dental injury

“…1 However, TDI most often occurs in young patients 2 in whom continuous growth of the facial skeleton contraindicates placement of dental implants because of the risk of infraposition. 1 However, TDI most often occurs in young patients 2 in whom continuous growth of the facial skeleton contraindicates placement of dental implants because of the risk of infraposition.…”

“…Dental implant therapy constitutes a reliable treatment option in case of tooth loss because of traumatic dental injury (TDI). 1 However, TDI most often occurs in young patients 2 in whom continuous growth of the facial skeleton contraindicates placement of dental implants because of the risk of infraposition. In addition, concomitant damage to the gingiva and alveolar bone often warrants a prolonged healing period.…”