[Front tooth trauma--endodontic aspects].
In a short review indication, possibilities and frontiers of modern endodontic treatment concepts for traumatized teeth are summarized.
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In a short review indication, possibilities and frontiers of modern endodontic treatment concepts for traumatized teeth are summarized.
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The diagnosis of endodontic lesions in animal dentistry is complicated and restricted by the use of objective diagnostic procedures. Human endodontics uses subjective symptoms to a large degree, as well as objective symptoms. Subjective symptoms include patient pain; sensitivity to hot or cold; percussion; and foul taste or odor. Veterinary dentists must receive input from clients, as well as using their own clinical and radiographic evaluation. Many endodontic lesions remain undetected because the client fails to notice broken or discolored teeth, facial swelling, drooling, difficulty in chewing, chewing only on one side, and general malaise. An increased awareness of the endodontic problems that can occur in animals increases the level of veterinary care. Numerous techniques, including apexogenesis, apexification, direct and indirect pulp capping, and conventional and surgical endodontic therapy, can be used to treat various endodontic problems successfully.
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This paper presents the results of a house-by-house survey to learn the occurrence of dental injury to the primary teeth in Brazilian children from ten to seventy-two months of age. The study sample comprised 576 children, 295 boys and 281 girls living on sixty-six streets selected in an urban area (Bauru) in the state of Sao Paul, Brazil. There were 174 children (30.2 percent) with positive reports of injuries to the primary teeth. The results show the need of an educational program in order to prevent the occurrence of dental trauma.
The case reported here demonstrates, in the planning and treatment of this patient, a good example of teamwork among different dental specialities. The clinical examination of a healthy, sixteen-year- old Swedish boy produced the diagnoses of osteitis periapicalis resorptiva chronica and root perforation, after unsuccessful treatment by the school dentist who had referred the patient. Orthodontic extrusion was preferred to a surgical approach. The prosthetic treatment was completed immediately after finishing the endodontic procedures.
Based upon innovations in the past 20 years regarding material--as well as surgical techniques indications are given for surgical conservation of teeth, in addition questions of current interest referring to root fillings are answered. Possible ways of tooth conservation by periodontal operations are shown. To conserve traumatically injured teeth guides for emergency treatment are given.
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