References

DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A International Association of Dental Traumatolology guidelines for the management of dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012; 28:2-12
Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dent Traumatol. 2008; 24:603-611
Andreasen JO, Andreasen FM.Oxford: Blackwell Munkgaard; 2000
Cvek M. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fractures. J Endod. 1978; 4:232-237
Murchison DF, Burke FJT, Worthington RB. Incisal edge reattachment: indications for use and clinical technique. Br Dent J. 1999; 186:614-619
Andreasen FM, Noren JG, Andreasen JO, Engelhardtsen S, Lindh-Stromberg U. Long term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int. 1995; 26:669-681
Mazumdar P, Maiti A, Maity I, Das UK. A case report on management of complex crown fracture by non surgical endodontic treatment and fragment reattachment – a novel approach. Int J Adv Res. 2016; 4:1370-1375
Farik B, Munksgaard EC, Kreiborg S, Andreasen JO. Adhesive bonding of fragmented anterior teeth. Endod Dent Traumatol. 1998; 14:119-123
Djemal S, Singh P, Polycarpou N, Tomson R, Kelleher M. Dental trauma 2: Acute management of fracture injuries. Dent Update. 2016; 43:916-926

Ten year follow-up of a trauma case treated in general practice

From Volume 45, Issue 2, February 2018 | Pages 130-134

Authors

Peter Sands

MSc, BDS, LDS, MCGD

Didcot, Oxfordshire

Articles by Peter Sands

Abstract

Traumatic injuries to teeth are commonplace and can result in significant morbidity and aesthetic disfigurement. If the patient has not reached maturity at the time of the injury, efforts should be made to delay the provision of definitive indirect restorations until adulthood and the orofacial development is completed.

CPD/Clinical Relevance: This paper describes a trauma injury and how definitive indirect treatment was delayed for almost ten years, by employing adhesive techniques and retaining the fractured crown of the patient by re-attachment.

Article

Five per cent of all injuries for which treatment is sought are related to dental trauma in children and young adults.1 In a 12-year literature review, undertaken in 2008, it was shown that 25% of all school children experience dental trauma and that 33% of adults have suffered damage to the permanent dentition, the majority of which occurred before reaching 19 years old.2 In the primary dentition, the most common injuries are luxation injuries, whereas crown fractures predominate in the permanent dentition.1

This paper describes the treatment and care offered, over a period of almost ten years, to a 16-year-old young man who suffered a traumatic dental injury to his upper left central incisor. A minimally invasive approach to dental treatment is just as appropriate when dealing with trauma cases as when dealing with ‘routine’ restorative dental care and the approach taken in this case was to minimize the amount of initial treatment needed and to preserve as much natural tissue as possible.

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available