[Dental reimplantation using biological glues and hydroxyapatite. A clinical case].
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Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical terms. Treatment and referral options were offered. Techniques for local dental anesthesia and avulsed tooth splinting were described.
Sports events, particularly those in which mouth protectors are not commonly used, can be associated with injuries to the oral structures. While the incidence of sports-related orofacial injuries is not as high as for other traumatic events, the incidence could be reduced further by increased use of mouth and face protection. When injuries occur, quick action by primary health care providers can significantly improve the final outcome of the definitive treatment. Also important is appropriate follow-up evaluation and care since the effect of trauma on teeth is not always immediately apparent. Destructive resorption, unnecessary tooth loss, and possible alveolar infections may be prevented by referral to appropriate health care providers for evaluation following the initial urgent care of trauma patients.
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The use of calcium hydroxide in the treatment of traumatic injuries are reviewed in this paper and demonstrated by some clinical cases. The necessity of a proper crown reconstruction is also emphasized as it is impossible to use posts in these treatments.
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The authors described a personal treatment method for the traumatic root fractures in the permanent incisors, and the review of their results after 15 years. The method consists in the good immobilisation and fixation of the injured teeth, with orthodontic bands and brackets and arch wire. They put this orthodontic contention for one-two months, and after x-ray control and pulp vitality checks, removed it. They presented also the use of the same technique in the luxations of permanent incisors, and compared the results. In the root fractures the authors obtain good long distance results, such as pulp vitality, good health, calcified tissue in the fracture zone, good stability of the tooth. Otherwise in the incisors luxations they frequently founded pulp necrosis, and root resorption in the long distance controls.
Among the many cases of teeth subjected to trauma, this one, that it has been observed, was fit for an attempt of replant for the good possibilities of success; it has been considered the age, very young, of the patient, the good health and principally her good orodental situation. Two radiografies made after short time have revealed the formation of osseus trabeculae, irrefutable sign of taking root.
The authors show an orthodontic closing spaces solution in twelve year old subject, after loss of central maxillary incisor with an aesthetic and functional result satisfactory.
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This paper describes several emergencies in pediatric dentistry, its prevention, diagnosis and treatment.