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

From Volume 35, Issue 7, September 2008 | Pages 439-452

Authors

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, UK

Articles by Helen D Rodd

Alison M Murray

BDS, MSc, DOrth, FDS RCPS, MOrth, FDS RCS(Eng)

Consultant Orthodontist, Derbyshire Royal Infirmary, UK

Articles by Alison M Murray

Grainne Yesudian

BDS

Trust Grade in Paediatric Dentistry, Department of Oral Health and Development, School of Dentistry, University of Sheffield, UK

Articles by Grainne Yesudian

Benjamin RK Lewis

BDS, MFDS, RCS(Eng), MClinDent, MOrth RCS(Eng), FDS(Orth) RCS(Eng)

Specialist Registrar, Derbyshire Royal Infirmary, Derbyshire, UK

Articles by Benjamin RK Lewis

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.

Article