[Anterior tooth trauma. The preservation and treatment of the injured tooth].
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The major emphasis of this review rests on articles written within the past 12 months. Many of these papers comprise comprehensive surveys of treatment of various aspects of dental trauma in the primary and permanent dentition, as well as epidemiologic studies. There have also been some very good experimental studies that have attempted to standardize luxation injuries as well as tooth replantation in order to study pulpal and periodontal healing in reproducible animal models. However, it can been seen from the reference list that 1 year's production in dental traumatology would not suffice to cover the scope of the treatment needs nor to adequately orient the reader to the progress made with respect to our present knowledge of wound healing following injury and the most recent developments in the restoration of the traumatized dentition. To present an overall view of the philosophy that has evolved concerning wound healing in the dental pulp and periodontium following injury as well as innovations in the treatment of acute dental trauma, this review must of necessity delve back into the mid-1980s and probe forward into publications that are on the way in 1991.
Injuries to the periodontium as well as to the crowns and roots of teeth are the most common results of traumatic insults in childhood. The main problem in the fixation of luxated teeth is associated with the state of dentition and the anatomy of the deciduous and permanent teeth. In a clinical follow-up examination the quality of several splints for treating luxated teeth was evaluated. We observed that some acrylic cap splints showed marked mechanical faults and poor fit. Modification of the Construction technique could eliminate such problems.
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AIM: This paper reports the results of a fifteen-year study carried out at the Dentoalveolar trauma study Centre of the University of Cagliari Dental Department, on treatment modes utilised for the recovery of periodontal injuries in primary dentition. MATERIALS AND METHODS: The data referred to dental injuries were collected and recorded according to Andreasen's dental trauma classification: clinical signs and symptoms, patient's age and gender, lesion site and extent of the injury, timeframe between trauma and first dental examination. The authors focused their attention on intrusive luxations in primary dentition, which are a very frequent trauma in children between 1 and 4 years of age. It is extremely difficult to treat such injuries and there is an ongoing discussion about the advisability of extracting the intruded teeth, as opposed to wait and assist their natural repositioning using non-invasive techniques aimed at the maintenance of the eruptive space in the dental arch. RESULTS: This careful conservative approach allowed the repositioning of about 60% of the 85 intruded teeth examined. It substantially reduced the number and severity of undesirable sequelae, both local (enamel-hypoplasia) and occlusal (tooth retention), so that only in about 25% of the followed-up cases damages of the successor tooth were found in the permanent dentition. CONCLUSION: The authors conclude their study emphasizing that all those involved in paediatric dentistry must be familiar with periodontal injuries and trained in their treatment, particularly as regards intrusive luxations in primary dentition.
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Two cases in which tooth splinting was required after traumatic dental injuries are documented. In each patient, an acid-etch-retained composite resin/ligature wire splint was used to stabilize displaced teeth after they were replaced into their proper positions. The step-by-step splinting technique is described, and the rationale for the method is reviewed.
This article is designed to help an athletic team dentist treat dental athletic injuries with implants. The different emergency situations that the team dentist will face are discussed, and an attempt is made to group the most likely implants that he or she may encounter. Advantages and disadvantages of each of the implant groups available are discussed in relation to the particular type of bone morphology resulting from athletic dental injuries. Currently, there are 58 root-form implants being sold, with new ones coming out monthly. The athletic team dentist is interested primarily in immediate single-tooth replacement systems, which can be classified into single-tooth blades and root forms. The latter groups can be subdivided into press-fit, cylindrical hollow baskets, cylindrical screws, and cylindrical fin-shaped implant systems. Certain implants systems have been selected, and their advantages and disadvantages described in detail. In addition, similar implants of each type are presented. Some implants which have more efficient prosthetic and delivery systems are mentioned. Several early devices are discussed as well, because the team dentist may encounter one of these in his practice. This paper will serve as a guide for the dentist who assumes the responsibility of treating athletic injuries with the use of dental implants.
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A series of lawsuits for negligence was filed against a dentist who failed to consult with the family physician and other health-care providers before instituting intermaxillary fixation for the control of obesity. Additional allegations were lack of informed consent and lack of proper care. This article presents the case report, with emphasis on its physical, emotional, and legal outcome.
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