International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition

Division of Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Dental Traumatology (Impact Factor: 1.6). 06/2012; 28(3):174-82. DOI: 10.1111/j.1600-9657.2012.01146.x
Source: PubMed


Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.

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Available from: Alex Moule, Jan 09, 2014
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    • "Os dentes decíduos podem sofrer diversos tipos de lesões traumáticas, em graus de severidade e demanda de tratamento distintos. Malmgren et al. (2012) 11 descrevem uma relação em forma crescente da complexidade dos traumatismos envolvendo ou não a fratura do elemento dentário. Nos casos onde há fratura, esta pode envolver somente esmalte, esmalte e dentina, fratura coronária e exposição pulpar, fraturas corono-radiculares e fratura da tábua óssea. "
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    ABSTRACT: In the last decade, the alveolar-dental trauma been recognized as public health problems. The trauma of the primary dentition can provide both loss of deciduous tooth, as damage to the permanent dentition. Children are more susceptible to the alveolar-dental trauma, and the most affected teeth are the maxillary central incisors. Thus, the aim of this study was to report a clinical case of dental trauma, where a male patient, 3 years and 6 months old, has undergone trauma of deciduous maxillary central incisors. Were evaluated soon after the trauma, the teeth presented a slight mobility and marginal bleeding, there is still swelling and lip lacerations. Clinical and radiographic follow-up of the case and after nine months of control been established, despite the darkening of dental crowns, endodontic treatment was discarded, and the patient will continue to be monitored until the exfoliation of the teeth that have suffered trauma occurs, and that the eruption of the respective permanent successors can be observed. Through a correct diagnosis is possible to keep the traumatized tooth in the oral cavity without invasive interventions, facilitating psychological recovery of patients and parents after the trauma, and preserving the deciduous teeth with its function and aesthetics.
    Full-text · Article · Dec 2014
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    • "Traumatic injuries to teeth are common in children and young adults and comprise 5% of all injuries.[1] Anterior teeth are most commonly involved in traumatic injuries.[2] "
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    ABSTRACT: Traumatic injuries occur commonly in children and adolescents and the prevalence of such injuries has increased over the last decade. Such injuries may result in pulpal exposure, which can endanger tooth vitality. Therefore, the treatment for such injuries should be carefully planned so as to preserve the pulp vitality. Teeth with immature roots pose a great challenge for the clinician and procedures like pulpotomy may prove effective as a treatment strategy. Such procedure may ensure continued root development and apexogenesis. Lasers have varied applications in the dental practice such as oral surgical procedures, cavity preparation, disinfection etc. This article is a case report on the use of diode laser for pulpotomy in a young permanent tooth with traumatically exposed pulp in an 8-year-old male.
    Full-text · Article · Apr 2014

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