Traumatic dental injuries present difficult problems for both
patients and their dentists. Current evidence allows the dental
health care provider to manage situations that, in the past, often
resulted in crippled dentition and unsightly appearance.
Appropriate treatment can turn what at first glance looks like a
hopeless situation into a very satisfactory outcome for patients.
Most dental injuries involve damage to one or two teeth. However,
often multiple teeth are injured and injuries are associated with
soft tissue and alveolar fractures. In these cases, treatment must
be prioritized and preference given to injuries for which time is
important in determining long-term prognosis. Dental traumatology
has progressed in recent years to improve the understanding of the
biological considerations involved in both diagnosis and treatment
principles. Through public awareness efforts, people now are more
knowledgeable about dental trauma (e.g. knowing to put an avulsed
tooth in milk). Research explores new approaches (e.g. laser
doppler flowmeter for pulpal evaluation) and materials (e.g.
Emdogains). The future has promise for even more successful
management of traumatic dental injuries.
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