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Trauma to the primary dentition and its sequelae

From Volume 40, Issue 7, September 2013 | Pages 534-542

Authors

Meena Ranka

BDS, MFDS RCS(Eng), FDS(Rest Dent) RCS

Senior House Officer, Birmingham Dental Hospital, Birmingham, UK

Articles by Meena Ranka

Harmeet Dhaliwal

BDS, MFDS RCS(Eng), MOrth RCS(Eng), MDentSci(Leeds)

SpR Orthodontics, Leeds Dental Institute

Articles by Harmeet Dhaliwal

Sondos Albadri

BDS, PhD, MFDS RCSEd, MPaedDent RCS(Eng), FHEA, FDS (Paed Dent) RCS(Eng), BDS, PhD, MFDS RCS(Ed), MPaedDent, FHEA, FDS (Paed Dent)

SpR Paediatric Dentistry, School of Dentistry, University of Liverpool, Liverpool, UK

Articles by Sondos Albadri

Catriona Brown

BDS, MSc(Lond), FDS RCS(Edin), MPaed Dent, FDS(Paed Dent) RCS(Edin)

Consultant, Paediatric Dentistry, Birmingham Dental Hospital, St Chad's Queensway, Birmingham, B4 6NN, UK

Articles by Catriona Brown

Abstract

Trauma to the primary dentition is common. This injury may have an impact on the child and his/her parents. The examining dentist should take appropriate factors into consideration before providing the required treatment. This paper discusses the management of trauma to the primary teeth and describes the sequelae of injury to both the primary and secondary dentitions.

Clinical Relevance: In cases of trauma to the primary teeth, diagnosis and appropriate management is necessary to alleviate the pain and discomfort for the child and to decrease the risk of damage to the permanent successor. It is important to prevent inducing fear and dental anxiety in children during the management of this injury.

Article

Dental injury is a common injury1,2 and a review by Glendor reported that one-third of all pre-school children have suffered a traumatic dental injury involving the primary dentition.3 Trauma to the primary dentition can result in pain, loss of function, aesthetic concerns and psychological consequences for the child and his/her family. The peak incidence of dental trauma is between 1 and 3 years of age and the most commonly affected teeth in both the dentitions are the maxillary incisors,4 because of their position in the dental arch. According to a Brazilian study, gender of the pre-school child and socio-economic factors are not significantly associated with traumatic dental injury to the primary dentition.5

Trauma to the primary dentition can be caused by different factors, such as:

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