By Jens O. Andreasen, Frances M. Andreasen
This can be a without problems obtainable, totally illustrated consultant to the preliminary remedy of acute dental accidents. The clinician is guided in the course of the preliminary exam of the traumatized sufferer to the layout of a rational, individualized remedy plan. This technique is aimed toward minimizing the chance of long term issues and, thereby, assuaging the uncertainty of the way forward for the the traumatized dentition either for the sufferer, dentist and for different involved participants. the cloth is drawn from scientific investigations, statistical research of 20,000 files of sufferers taken care of for acute dental accidents over 25 years, and effects from a hundred experimental reports.
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Additional info for Essentials of Traumatic Injuries to the Teeth: A Step-by-Step Treatment Guide (2nd Edition)
Orthodontic extrusion After verification of a hard tissue closure at the amputation site, the tooth is extruded using an orthodontic appliance. 60 CHAPTER 3 Extrusion complete After extrusion and a fibrotomy the tooth is retained using an acid-etch retainer employing glass fiber and composite resin. Restoration completed The tooth has been restored using a combination of glass ionomer cement and composite resin (Courtesy of Dr. B. Malmgren & K. Ridell, Eastman Dental Institute, Stockholm). Essentials Crown-root fractures may or may not involve the pulp.
Lately veneers have succesfully been used to restore crown fractured teeth. e. by the formation of a calcified bridge) under the following circumstances: CHAPTER 2 - No inflammation prior to trauma. Intact vascular supply after trauma. Two treatment options exist: - Pulp capping. - Partial pulpotomy. e. more than 24 h). - Large exposures (limit not established). - Reduced vascularity due to a concomitant luxation injury. Treatment procedures: Pulp capping - Isolate the pulp exposure. - Cover the pulp with a calcium hydroxide material (either hardsetting cement or pure calcium hydroxide paste).
The enamel and dentin of the fracture surface are then covered with glass ionomer cement. In both cases, the teeth are temporarily restored. In the case of concomitant luxation injuries, the fixation period is the same as for the given trauma entity. The temporary restoration should stabilize the fractured tooth in order to avoid migration of the injured incisor or its antagonists. 30 CHAPTER 2 Bonding of crown fractures The bonding procedure for an uncomplicated crown fracture is illustrated in Fig.