11/104. The management of traumatic ankylosis during orthodontics: a case report.Dental ankylosis may be a significant complication in orthodontic clinical practice. This case report describes the management of a malocclusion, complicated by an ankylosed maxillary central incisor, which arose during orthodontic treatment, following an acute traumatic injury. The use of the ankylosed incisor in successfully managing the significant Class II division 1 malocclusion is described.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
12/104. Comprehensive treatment of traumatic fracture and luxation injuries in the anterior permanent dentition.The increased incidence of traumatic injuries in anterior teeth is a consequence of modern leisure activities. The key factors to successful functional and aesthetic rehabilitation of such injuries are proper diagnosis and adequate primary and subsequent treatment. In severe cases, sequential multidisciplinary treatment is required. All-ceramic crown and post-and-core systems allow for superior aesthetics without compromising function. This article addresses fractures and luxation injuries in the anterior permanent dentition and discusses updated treatment options. The multidisciplinary rehabilitation of a clinical case for optimal function and aesthetics is presented.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
13/104. Inappropriate treatment of traumatic dental injuries.Traumatic dental injuries are emergencies that must be treated expediently and efficiently to reduce pain and to restore function and appearance. With an increase in the incidence of traumatic dental injuries in our community (I) it is essential that the dental practitioner has "up-to-date" knowledge of dental trauma. The peak incidences of injury are 2-4 years and 8-10 years of age, with statistics revealing 30% of children suffer trauma to the primary dentition, and 22% of children suffer trauma to the permanent dentition by the age of 14 (I). The male to female ratio is 2:1. Aside from the emergency treatment and clinical decisions that must be made at the time of injury there is a need for long-term follow-up because of the high incidences of complications (2, 3). The factors that will influence the extent of injury will be energy impact, the direction of the impacting object, its shape and its resilience (4). Recent articles have raised concerns about inappropriate treatment for traumatic dental injuries (5, 6). This report will look at one such case.- - - - - - - - - - ranking = 1.8keywords = trauma (Clic here for more details about this article) |
14/104. Trauma quiz. Terribly troublesome, trauma teeth.Unfortunately, we come across many traumatised teeth during our practising career. Some of these traumatic injuries are rather simple to treat whereas others provide us with a real challenge. It is absolutely essential that the diagnosis of the injury be known before any treatment is attempted. When it comes to trauma, however, defining the exact form of treatment can often be very difficult. In this paper I will discuss some of the cases that I have managed and leave it up to YOU to decide whether my treatment has been correct, incorrect or whether there is some other form of treatment that we have at our disposal that could have been attempted.- - - - - - - - - - ranking = 1.4keywords = trauma (Clic here for more details about this article) |
15/104. Extraction as a treatment alternative follows repeated trauma in a severely handicapped patient.Handicapped patients with protruding maxillary incisors are prone to repeated dental trauma. A 13-year-old girl with cerebral palsy, severe mental retardation and seizure disorder was referred to our department for restoring the traumatized anterior teeth. Despite drug combination, the frequency of seizure attack was around 10 times a month. The oral examination showed multiple caries, gingival hyperplasia, class II malocclusion with 14 mm overjet and deep overbite. During the first 3 years of a 7-year follow-up period, six episodes of anterior tooth trauma due to seizure attack occurred. The trauma-related treatment performed included endodontic therapy, multiple composite restorations, apical repositional flap, and finally extraction of all four upper incisors with fabrication of a semi-fixed band-retained denture. The denture restored normal overbite and overjet with improved esthetics. For 4 years following the fabrication of denture, no trauma occurred to the anterior teeth in later seizure attacks. Considering inadequate control of seizure disorder, little ability of the patient to receive comprehensive orthodontic treatment, poor prognosis of restorations, and possible future injuries, the removal of non-functional, nonesthetic, trauma-susceptible incisor teeth can be justified as an alternative to tooth preservation.- - - - - - - - - - ranking = 2keywords = trauma (Clic here for more details about this article) |
16/104. The use of orthodontic treatment and immediate implant loading to restore the traumatic loss of a maxillary central incisor.This clinical case describes a new orthodontic/surgical concept for immediate loading of hydroxyapatite-coated cylindric implants, placed at the end of orthodontic treatment, to restore a traumatically lost maxillary central incisor. Further clinical and histologic studies are necessary to promote routine clinical application of this technique.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
17/104. Auto-alloplastic transplantation of a primary canine after traumatic loss of a permanent central incisor.This report describes the transplantation of a primary canine after traumatic loss of a central incisor in an 8-year-old boy. The 7-month follow-up revealed normal periodontal healing with absence of infection, ankylosis or progressive resorption. The patient was then lost for control. After 16 months another trauma in the same patient resulted in an avulsion of the transplant. However, the alveolar bone was maintained in vertical and sagittal dimensions. Another primary canine was transplanted and followed for further 11 months. Again normal periodontal healing could be observed. The transplantation of a primary canine is seen as a promising method to replace a lost permanent tooth and maintain the surrounding tissues in very young patients.- - - - - - - - - - ranking = 1.2keywords = trauma (Clic here for more details about this article) |
18/104. Laser Doppler flowmetry for monitoring traumatized teeth.Laser Doppler Flowmetry (LDF) has been shown to be valuable in monitoring revascularization of immature incisors following severe dental trauma. Several investigators have demonstrated the ability of LDF to record blood flow signals from vital tooth pulps. In this case report, LDF was used for a 7-year-old child patient following a severe luxation of tooth #9. During follow-up examinations the traumatized tooth was unresponsive to traditional vitality testing during the first 6 months; however, LDF indicated that revascularization had occurred much sooner. Until recently, CO2 ice has been the most effective method for sensitivity testing in trauma cases such as presented here. In this case, LDF gave us the assurance that we could defer invasive care during a critical time period when root canal therapy might have been initiated for this child patient.- - - - - - - - - - ranking = 1.4keywords = trauma (Clic here for more details about this article) |
19/104. The treatment and long-term management of severe multiple avulsions of primary teeth in a 19-month-old child.Traumatic injury to the primary dentition is a common occurrence in young preschoolers. The maxillary incisors and, more specifically, the central incisors, are the most commonly injured teeth. The purpose of this article is to present the immediate and long-term treatment and management of a severe case of multiple avulsions involving all maxillary incisors and canines and the right first primary molar in a 19-month-old child, due to trauma. Esthetic, functional and orthodontic considerations are discussed.- - - - - - - - - - ranking = 0.2keywords = trauma (Clic here for more details about this article) |
20/104. Combined apexification and orthodontic intrusion of a traumatically extruded immature permanent incisor.A patient with a traumatic extrusion of the maxillary right central incisor was referred to the Pedodontic Clinic of Gazi University faculty of dentistry after 15 days. Orthodontic repositioning of the tooth was planned in 6 months. At the beginning of orthodontic therapy it was observed that the tooth was necrotic and needed an apexification procedure. The apexification procedure and orthodontic intrusion were successfully performed at the same time. In addition, a "walking bleach" was performed after the orthodontic and endodontic procedures were completed. At the 3-year recall, the tooth appeared normal in all respects.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
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