Essentials of Traumatic Injuries to the Teeth: A by Jens O. Andreasen, Frances M. Andreasen

By Jens O. Andreasen, Frances M. Andreasen

It is a without problems obtainable, totally illustrated advisor to the preliminary therapy of acute dental accidents. The clinician is guided throughout the preliminary exam of the traumatized sufferer to the layout of a rational, individualized therapy plan. This procedure is geared toward minimizing the chance of long term issues and, thereby, assuaging the uncertainty of the way forward for the the traumatized dentition either for the sufferer, dentist and for different involved members. the fabric is drawn from scientific investigations, statistical research of 20,000 documents of sufferers handled for acute dental accidents over 25 years, and effects from a hundred experimental experiences.

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Extra info for Essentials of Traumatic Injuries to the Teeth: A Step-by-Step Treatment Guide (2nd Edition)

Sample text

34 CHAPTER 2 Complicated crown fractures - pulpal considerations Fig. 7. Treatment of a complicated crown fracture by pulpal extirpation Treatment of pulp exposures depends upon pulpal healing potential and the desirability of maintaining a vital pulp. Thus profound crown fracture of a mature tooth might dictate pulpal extirpation to permit restoration with a post-retained crown (Fig. 7). ) any associated injury to the PDL must not have compromised the vascular supply to the pulp (Fig. 8). If these conditions can be met, pulp capping and partial pulpotomy are the treatments of choice (Figs.

56 CHAPTER 3 Treatment. The coronal fragment is removed, the pulp extirpated and the root canal filled (Fig. 9). e. while the coronal fragment is temporarily splinted to the adjacent teeth). This might facilitate the endodontic procedure. Alternatively, a pulp capping or pulpotomy may be performed, a situation which is indicated if root formation is not complete (Fig. 10). Thereafter, orthodontic traction is applied to either a bracket fastened to the labial surface of the fragment or to a hook cemented into the root canal.

If later assessment of the hard tissue barrier is desired, cover the exposure with pure calcium hydroxide paste, cover the entire fracture surface (enamel and dentin) with a hard-setting calcium hydroxide cement and a temporary restoration for a period of 3 months. At that time, uncover the amputation site, remove the necrotic pulp tissue immediately above the hard tissue barrier and restore with a bacteria-tight restoration. 45 CROWN FRACTURE CHAPTER 3 Crown-root fracture 47 CROWN-ROOT FRACTURE Fig.

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