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Article: Volume 35 Number 7 Page 439 - September 2008

  Dent Update 2008; 35: 439-452  Read article

Paediatric dentistry:  Decision-making for Children with Traumatized Permanent Incisors: A Holistic Approach

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Abstract: Traumatic injury to permanent central incisors is a common occurrence in childhood and adolescence. It is of paramount importance that expedient and appropriate care is provided to ensure an optimum short- and long-term outcome for injured teeth and, importantly, the patients themselves. Treatment planning should thus adopt a holistic approach, taking into account a number of patient- and dental-related factors. Multidisciplinary care, involving paediatric dentistry, orthodontics or oral and maxillofacial surgery may be indicated. Decisions should also be informed by a sound understanding of the exact nature and prognosis of the presenting dental injury.

Author notes: Helen D Rodd, BDS, FDS RCS(Paed), PhD, Professor and Honorary Consultant in Paediatric Dentistry, Department of Oral Health and Development, School of Dentistry, University of Sheffield, Alison M Murray, BDS, FDS RCS, MSc, MOrth, Consultant Orthodontist, Derbyshire Royal Infirmary, Grainne Yesudian, BDS, Trust Grade in Paediatric Dentistry, Department of Oral Health and Development, School of Dentistry, University of Sheffield and Benjamin RK Lewis, BDS, MFDS RCS, MClinDent, MOrth, Specialist Registrar, Derbyshire Royal Infirmary, Derbyshire, UK.

Objective: To highlight the need for evidence-based primary management and holistic treatment planning for the young patient following trauma to permanent incisors