Classification for traumatic injuries to teeth for epidemiological purposes.
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A significant percentage of people suffer dental traumatims along his life. In view of aesthetic and functional importance of dental traumatisms we carry out a aethiological and epidemiological revision, with a study of classification and localization of these lesions.
A model for the initial medical certificate is presented. It is a key document in the child's record and will constitute a reference during an expertise.
Oral trauma is a common event. It has been estimated that up to 20% of the United States population has sustained injuries to the teeth. In a perspective study, Andreasen reported that one of every two Danish children had sustained an oral injury by age 14. This article will discuss the different types of injuries that can happen to permanent teeth, endodontic management of these injuries, and possible complications. Exarticulations (totally avulsed teeth) will not be thoroughly discussed.
This study comprises an analysis of traumatic dental injuries in children, from cases treated at the dental unit of the National Institute of Pediatrics over a period of seven years; a total of 1,444 traumatic injuries were seen in 809 children. Data under study included; type, frequency and site of injury, sex and age of patients, maxilla more often predisposed, dentition most affected by trauma and, finally, time of the year in which more cases occurred.
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Endodontic practice is not risk-free; a variety of technical accidents can complicate root canal treatment, influencing the prognosis and prejudicing the chances of the success. Although such events are infrequent, the author presents a review of the various types of accidents, which he examines in the light of correct diagnosis, prognosis and treatment on the basis of material collected in hospitals and private surgeries.
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The paper analyses the incidence and etiology of bruxism through a review of the literature. The effects that this pathology has on teeth are discussed and there is a brief discussion of therapy.
Root canal therapy consists of a cascade of scientifically-based technical procedures. Lack of knowledge, its poor application, or a compromise or a break in the chain of proper procedures can lead to a number of accidents which are collectively called 'endodontic mishaps'. These accidents can occur during diagnosis, access preparation, cleaning and shaping, obturation and post-space preparation. Those who perform root canal therapy must have a basic knowledge of etiologic factors and methods of prevention as well as recognition, management and prognosis. This knowledge reduces the rate of endodontic failures and increases our chances of saving more teeth.
The authors, explain the need of a pulpo-dentinal protection, and present the way to adopt in case of dental traumas, as well for hard tissues (coronal and radicular) and for non calcified tissues (luxations). This protection allows a cicatrisation of dento-periodontal tissues.
Traumatisms on the deciduous upper incisors could induce orthodontic indirect consequences on the permanent germ, dependent on his growth level and his malleability, dependent on connection between the root of deciduous incisor and the crown of permanent germ and according to the type of traumatism. According to those various data, it should be observed on the permanent incisor: germination of two germs, multiple odontoma, crown dilaceration, severe tipping of the crown with facial angulation, retention of the permanent germ with lack of root resorption of the deciduous teeth or simple cross-bite, without speaking of enamel defect.
The diagnosis and emergency treatment of acute dental pain that arises from periodontal or pulpal involvement are presented. Part I of this two-part series investigates periodontal-related emergencies that manifest as abscesses, cysts, and necrotizing ulcerative gingivitis (NUG). An attempt is made to clarify the differences among these emergencies by presenting their commonly associated symptoms and suggesting a logical approach to diagnosis and treatment.
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In this article the technique and results of intra-alveolar transplantation are presented. The surgical technique consisted of extrusion of the root, lying under the gingival margins, within its own socket. By this technique the root was placed into the appropriate position required for the prosthodontic restoration.