The endodontic management of traumatized permanent anterior teeth: a review.

Australian Dental Journal (Impact Factor: 1.48). 04/2007; 52(1 Suppl):S122-37. DOI: 10.1111/j.1834-7819.2007.tb00520.x
Source: PubMed

ABSTRACT Despite the many journal articles and reviews that have been published regarding the treatment of trauma to teeth, the endodontic management of these injuries is often still not fully understood. The purpose of this review is to establish clear and up-to-date guidelines for practitioners who are faced with treating dental injuries on a day-to-day basis, based on an assessment of current available scientific information relating to the endodontic management of these injuries. Treatment is discussed under the headings: infractions, uncomplicated crown fractures, complicated crown fractures, crown-root fractures, root fractures, luxation injuries, avulsion, root resorption, pulp canal obliteration and open-apex teeth. Emphasis is placed on the treatment of traumatized immature teeth where maintenance of pulp blood supply is important to encourage continued development of the root system. Only the treatment of traumatized permanent anterior teeth is reviewed. Information contained in this article is based on a review of the literature on dental trauma which involved a MEDLINE search using the key words "dental trauma" and the individual topics listed above. The guidelines produced by the International Association of Dental Traumatology, the American Academy of Pediatric Dentistry and the American Association of Endodontists were also reviewed and the recommendations contained in this paper are in concert with the major recommendations of these bodies.


Available from: Alex Moule, Oct 29, 2014
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Pulp canal obliteration is characterized by the reduction of the pulp space and a yellow discoloration of the tooth crown, caused by traumatic injuries to the teeth. The frequency and the extension of the obliteration depend on the severity of the trauma and the stage of the root development. The lack of response to the pulp tests as well as the crown discoloration, common in these cases, demands a differential diagnosis to outwit pulp necrosis. A misdiagnosis may lead to a more invasive therapy and eventually an unnecessary one. With the present report of a single tooth with pulp canal obliteration, due to a traumatic event, the authors want to emphasize the role of an accurate clinical history and the features of the pulp physiology involved, presenting a conservative and stable approach, very rewarding to the patient, using Componeer® venners
    05/2015; 9. DOI:10.1016/j.rpemd.2015.04.004
  • [Show abstract] [Hide abstract]
    ABSTRACT: The paper discusses a case of an immature premolar tooth with a large periapical lesion, in which Metapex (calcium hydroxide paste containing iodoform and barium sulphate as a radiopacifier) was used. There was an un-intentional extrusion of calcium hydroxide during application. The patient was evaluated for periapical healing at 12 and 24 months. The follow up revealed that the accidental extrusion of metapex did not have any detrimental effect on periapical healing. However, delayed resorption of Metapex as well as healing of the periapical lesion may be attributed to the presence of BaSO4 and iodoform as compared to plain Calcium hydroxide.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Anterior crown fractures are the most common type of injury in dental trauma. The ideal treatment is to reattach the fragments as quickly as possible following intraoral and radiographic examination, but sometimes delayed treatment appointments are necessary because of uninformed patients/parents or multidisciplinary cases included endodontically and periodontically. Delayed reattachment may lead to unesthetic results because of the dehydration of fragments. The purpose of this study was to present 1-year follow-ups of reattachment of dehydrated fragments using dentin bondings and flowable composites in two different cases. The color of the dehydrated fragments was natural in the control appointments and 1-year follow-ups show harmonious integration of color, form and texture after the reattachment of the original piece of tooth. Restoration of the tooth by reattaching the original fragment is the best way of treatment in esthetic, conservative and economic point of view.
    Nigerian journal of clinical practice 01/2015; 18(1):140-143. DOI:10.4103/1119-3077.147004 · 0.41 Impact Factor