Traumatic injuries of the teeth: current treatment modalities. 2003

Edwin S Mehlman
University of Pennsylvania School of Dentistry, USA. mehlmane@ada.org

Teeth that have been traumatized and exhibit craze lines, fracture into enamel, fracture into dentin, root fracture, concussion, or subluxation should be pulp tested 3 months after the accident. If the tooth has a vital pulp, root canal treatment likely will not be required. Teeth that have a crown-root fracture should receive immediate endodontic therapy, and--if needed--can be extruded orthodontically. An intruded tooth should have endodontic therapy the same day, with calcium hydroxide placed into the canal. Teeth that have been extruded, displaced in any direction, or totally avulsed must have the canal completely cleaned, shaped, and filled with calcium hydroxide within 1 or 2 weeks post trauma. Clinical research concerning traumatized teeth is ongoing, and it is incumbent upon each practitioner to keep abreast of the current literature. This review has discussed treatment modalities that are recommended at this time.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012390 Root Canal Therapy A treatment modality in endodontics concerned with the therapy of diseases of the dental pulp. For preparatory procedures, ROOT CANAL PREPARATION is available. Therapy, Root Canal,Canal Therapies, Root,Canal Therapy, Root,Root Canal Therapies,Therapies, Root Canal
D018677 Tooth Injuries Traumatic or other damage to teeth including fractures (TOOTH FRACTURES) or displacements (TOOTH LUXATION). Injuries, Teeth,Injuries, Tooth,Teeth Injuries,Injury, Teeth,Injury, Tooth,Teeth Injury,Tooth Injury

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