The document discusses the management of traumatic dental injuries, specifically intrusion injuries, in primary teeth. It presents a case study of spontaneous re-eruption of an intruded primary tooth in an 18-month old patient over 4 years of follow-up. The literature presented suggests waiting up to 1.5 years for spontaneous re-eruption is usually successful, though permanent tooth damage may still occur depending on the child's age at injury. Regular follow-ups are important to monitor healing and potential sequelae.
Introduction
Etiology of traumatic dental injuries
Mechanism of traumatic dental injuries
Epidemiological triad
Host factors
Agent factors
Enviromental factors
Impact of TDI on Oral health related quality of life
Classification of traumatic dental injuries
Public health implications
Conclusion
References
Introduction
Etiology of traumatic dental injuries
Mechanism of traumatic dental injuries
Epidemiological triad
Host factors
Agent factors
Enviromental factors
Impact of TDI on Oral health related quality of life
Classification of traumatic dental injuries
Public health implications
Conclusion
References
A Rare Case of Impacted and Inverted Primary Incisor Tooth “A Case of Develop...QUESTJOURNAL
Introduction: Children generally suffer from dental traumas to their primary teeth. Traumas may lead to complications, depending on the site and potency of the injuries. The acute dental abscess usually occurs secondary to dental caries or dental trauma. The necrotic pulp tissue becomes colonized by a specialized mixed anaerobic biofilm. Case Presentation: A 5-year-old boy referred to clinic (Gaziosmanpasa University, Department of Pediatric Dentistry), with a complaint of acute dental abscess. His mother reported a history of dental injury to upper anterior region at the age of 4-6 months and the boy was not seen by dentist following the trauma. Clinical examination revealed unerupted or missing left primary central tooth. There was pain, swelling and erythema localized to the affected region. Radiographic examination revealed that the left primary tooth was impacted and inverted. Treatment consisted of extraction of the impacted and inverted tooth. Parents were informed about the procedure and written informed consent was taken. The impacted and inverted tooth was extracted under local anesthesia . The patient was recalled for a control visit 6 months later but he came back clinic 2 years later. Postoperative recovery was uneventful and erupted permanent maxillary central tooth had normal morphology. Conclusion: In the present case, the malpositioning of the tooth germ may have been the cause of invertion and impaction. In our opinion, previous trauma could have been the cause of malpositioning of the tooth germ. Parents should be aware of characteristic of primary dentition period and effects of dental injuries. Long-term follow should be planned for traumatized children in primary and permanent dentition period.
Management of medically handicapped childrenDrSusmita Shah
Management of medically handicapped children such cardiovascular disease, pulmonary disease, hematological disorders, endocrine disorders, neurological disorders, Immunological disorders has been discussed in detail with all the possible evidences.
Early orthodontic treatment /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Early orthodontic treatment /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Treatment planning in rpd/certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Dental trauma can range from minor enamel injuries to significant loss of teeth and hard and soft tissues. When faced with such emergencies, the clinician must consider
surgical, restorative, endodontic, and periodontal implications and make quick decisions on a treatment that can lead to the best long term result. In this presentation,
Dr. H. Ryan Kazemi will review various types of dental injuries and a simplified map to choosing the most appropriate treatment quickly and easily. In addition, he will discuss complicating factors and treatment concepts.
A Rare Case of Impacted and Inverted Primary Incisor Tooth “A Case of Develop...QUESTJOURNAL
Introduction: Children generally suffer from dental traumas to their primary teeth. Traumas may lead to complications, depending on the site and potency of the injuries. The acute dental abscess usually occurs secondary to dental caries or dental trauma. The necrotic pulp tissue becomes colonized by a specialized mixed anaerobic biofilm. Case Presentation: A 5-year-old boy referred to clinic (Gaziosmanpasa University, Department of Pediatric Dentistry), with a complaint of acute dental abscess. His mother reported a history of dental injury to upper anterior region at the age of 4-6 months and the boy was not seen by dentist following the trauma. Clinical examination revealed unerupted or missing left primary central tooth. There was pain, swelling and erythema localized to the affected region. Radiographic examination revealed that the left primary tooth was impacted and inverted. Treatment consisted of extraction of the impacted and inverted tooth. Parents were informed about the procedure and written informed consent was taken. The impacted and inverted tooth was extracted under local anesthesia . The patient was recalled for a control visit 6 months later but he came back clinic 2 years later. Postoperative recovery was uneventful and erupted permanent maxillary central tooth had normal morphology. Conclusion: In the present case, the malpositioning of the tooth germ may have been the cause of invertion and impaction. In our opinion, previous trauma could have been the cause of malpositioning of the tooth germ. Parents should be aware of characteristic of primary dentition period and effects of dental injuries. Long-term follow should be planned for traumatized children in primary and permanent dentition period.
Management of medically handicapped childrenDrSusmita Shah
Management of medically handicapped children such cardiovascular disease, pulmonary disease, hematological disorders, endocrine disorders, neurological disorders, Immunological disorders has been discussed in detail with all the possible evidences.
Early orthodontic treatment /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Early orthodontic treatment /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Treatment planning in rpd/certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Dental trauma can range from minor enamel injuries to significant loss of teeth and hard and soft tissues. When faced with such emergencies, the clinician must consider
surgical, restorative, endodontic, and periodontal implications and make quick decisions on a treatment that can lead to the best long term result. In this presentation,
Dr. H. Ryan Kazemi will review various types of dental injuries and a simplified map to choosing the most appropriate treatment quickly and easily. In addition, he will discuss complicating factors and treatment concepts.
Replantation of Avulsed Permanent Anterior Teeth: A Case Report.Abu-Hussein Muhamad
Tooth avulsion in the permanent dentition constitutes a dental emergency. Replantation of the avulsed tooth restores aesthetics and occlusal function shortly after the injury. This article describes the management of a 12-year old male with four avulsed anterior maxillary permanent teeth. The avulsed teeth were replanted and root canal treatment carried out after a short fixation. The result obtained was very satisfactory and the teeth remain in good functional status one year after replantation. Early treatment and regular attendance to clinic following replantation is an important factor for good result.
Introduction: Impaction of maxillary canines is a frequently encountered clinical problem in orthodontic therapy. When a preventive approach fails, treatment involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the dental arch. The aim of the present report was to demonstrate by case reports of an adult patient with bilateral impacted maxillary canines treated with surgical exposure and orthodontic treatment
Introduction: Impaction of maxillary canines is a frequently encountered clinical problem in orthodontic therapy. When a preventive approach fails, treatment involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the dental arch. The aim of the present report was to demonstrate by case reports of an adult patient with bilateral impacted maxillary canines treated with surgical exposure and orthodontic treatment.
Pre-Prosthetic Orthodontic Implant for Management of Congenitally Unerupted L...Abu-Hussein Muhamad
The maxillary lateral incisor is one of the most common congenitally missing teeth of the permanent
dentition. With the advent of implants in the field of restorative dentistry, a stable and predictable fixed
prosthetic replacement has become a reality, especially for young adult patients who suffer from congenital
absence of teeth. The dual goals of establishment of functional stability as well as enhancement of esthetic
outcomes are made achievable by the placement of implants. A multidisciplinary team approach involving the
triad of orthodontist, periodontist and restorative dentist will ensure the successful completion of the integrated
treatment approach in these patients. The present case report achieved successful implant based oral
rehabilitation in a patient diagnosed with congenital absence of bilateral maxillary lateral incisors utilizing a
preprosthetic orthodontic implant site preparation for the purpose of space gain.
Keywords: Preprosthetic, interdisciplinary treatment, implant placement
Clinical Management of Bilateral Impacted Maxillary CaninesAbu-Hussein Muhamad
Introduction: Impaction of maxillary canines is a frequently encountered clinical problem in orthodontic therapy. When a preventive
approach fails, treatment involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the
dental arch. The aim of the present report was to demonstrate by case reports of an adult patient with bilateral impacted maxillary canines
treated with surgical exposure and orthodontic treatment.
Material and Methods: A 15year-old female with various degrees of bilateral palatal impaction of maxillary canines were managed
by the described technique.
Results and Discussion: Autonomous eruption of the impacted canines after surgical uncovering was witnessed in all patients
without the need for application of a vertical orthodontic force for their extrusion.
Conclusion: The described method of surgical uncovering and autonomous eruption created conditions for biological eruption of the
palatally impacted canines into the oral cavity and facilitated considerably the subsequent orthodontic treatment for their proper alignment
in the dental arch.
Keywords: Impacted canines; Surgical; Tooth exposure; Orthodontic treatment
THE ART AND SCIENCE OF TREATMENT PLANNING ON ORTHODONTIC EXTRUSIONAbu-Hussein Muhamad
Traumatized anterior teeth with subgingival fractures of crown are a challenge to treat. This paper reports the man¬agement of subgingival fractures of crown of the maxillary central incisor in an 29 year old female. The technique described here involves the use of fixed appliance, post and core with a loop fabricated on it for retention of fixed appliance.
Keywords: Fracture, Tooth, Root Extrusion, Crown Fracture.
Pre prosthetic orthodontic implant for management of congenitally unerupted l...Abu-Hussein Muhamad
The maxillary lateral incisor is one of the most common congenitally missing teeth of the permanent dentition. With the advent of implants in the field of restorative dentistry, a stable and predictable fixed prosthetic replacement has become a reality, especially for young adult patients who suffer from congenital absence of teeth. The dual goals of establishment of functional stability as well as enhancement of esthetic outcomes are made achievable by the placement of implants. A multidisciplinary team approach involving the triad of orthodontist, periodontist and restorative dentist will ensure the successful completion of the integrated treatment approach in these patients. The present case report achieved successful implant based oral rehabilitation in a patient diagnosed with congenital absence of bilateral maxillary lateral incisors utilizing a preprosthetic orthodontic implant site preparation for the purpose of space gain.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Introduction
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1.
2. Drs. Ruviére and Costa are post doctoral
students, and Dr. Cunha is adjunct professor, all in
the Department of Pediatric and Social
Dentistry, School of Dentistry of Araçatuba, São
Paulo State University (UNESP), Araçatuba, São
Paulo, Brazil. Correspond with Dr. Cunha at
cunha@foa.unesp.br
J Dent Child 2009;76:87-91
3. INTRUSION
Apical displacement of tooth into the
alveolar bone. The tooth is driven into
the socket, compressing the periodontal
ligament and commonly causes a
crushing fracture of the alveolar socket
4. Dental traumatic injuries in infants and
young children are common.
Retrospective and prospective studies
related that prevalence of these injuries
involving the primary dentition ranged
from 4% to 33%.
5. color change,
pulp necrosis,
obliteration of the pulp canal,
gingival retraction,
primary tooth displacement,
pathological root resorption, and
premature loss of the primary tooth.
6. tooth displacement within the socket
and
can affect the crown, root, or entire
permanent tooth germ.
anomalous development of the
permanent teeth, with a frequency
between 18% and 69%.
7. The aim of diagnosis and treatment of
traumatic injuries in primary teeth is to
manage pain and prevent sequelae for
the developing permanent tooth germ
8. If the apex is displaced toward or
through the labial bone plate, the tooth
is left for spontaneous re-eruption.
If the apex is displaced toward the
permanent tooth germ, the tooth should
be extracted.
9. To describe the treatment of a primary
maxillary right lateral incisor in which
spontaneous re-eruption after severe
traumatic intrusion occurred and its
possible consequences on the
developing successive permanent
germs.
10. The research protocol was submitted for
review to the Ethics in Human Research
Committee of the School of Dentistry of
Araçatuba, São Paulo State
University, Araçatuba, São
Paulo, Brazil, and the case report design
was approved.
18-month-old male
11. The extraoral examination revealed a mild
edema and several small cuts and
lacerations on the maxillary and
mandibular lips.
The intraoral examination revealed
complete intrusion of the primary maxillary
right lateral incisor, crown fracture of the
primary maxillary right central incisor
without pulp involvement, and disruption of
the superior labial frenum, with no pain
related.
14. The primary maxillary right lateral incisor’s
apex was dislocated into the
vestibule, indicating a labial
displacement direction
15. After 30 days, although the tooth had
not initiated the re-eruption
process, clinical examination showed a
normal aspect, characterized by no
dental crown discoloration, mobility, or
pain.
Radiographic examination also revealed
normal aspects
16. Sixty days following the dental trauma,
the beginning of spontaneous re-
eruption of the primary maxillary right
lateral incisor was observed clinically.
18. Twelve months after the trauma,
radiograph evaluations showed that the
root resorption was stabilized and clinical
findings revealed no pain, discoloration,
or mobility of the dental crown. The
endodontic intervention was not
performed.
22. The parents were informed of the
sequelae of the primary intruded tooth’s
condition and morphological alterations
in the permanents teeth.
23.
24. If the apex is dis-placed labially, the
apical tip can be seen radiographically
with the tooth appearing shorter than its
contralateral
If the apex is displaced palatally towards
the permanent tooth germ, the apical
tip cannot be seen radiographically and
the tooth appears elongated.
25. to allow spontaneous re-eruption except
when displaced into the developing
successor
26. to reposition passively,
actively
or surgically
and then to stabilize the tooth with a splint
for up to 4 weeks
27. For immature the objective is to allow for
spontaneous eruption
In mature teeth, the goal is to reposition
the tooth with orthodontic or surgical
extrusion and initiate endodontic
treatment within the first 3 weeks of the
traumatic incidence
28. The preference for intrusion into the
permanent maxillary central and lateral
incisor appears to be related to the
common fall direction in which these
teeth are generally the first to make
contact with extraoral objects.
29. Depending on the vestibular curvature
of the primary teeth’s root and the
impact’s direction, the apexes of these
teeth are usually dislocated into the
vestibular.
The most common initial treatment for
traumatically intruded primary teeth is to
wait for spontaneous re-eruption.
30. timing of seeking care
the family’s eagerness to maintain the
teeth, and
the patient’s age
31. Gondim et al, who evaluated 22 intruded
teeth and showed a total re-eruption in
43% of cases, partial re-eruption in 47% of
cases, and no re-eruption in 11% of cases.
Gondim JO, Moreira Neto JJS. Evaluation of intruded primary incisors. Dent
Traumatol 2005;21:131-3.
32. In a follow-up study of 123 intruded
primary incisors, total re-eruption
occurred in 84% of the completely
intruded teeth and in 92% of those who
had suffered partial intrusion.
Borssén E, Holm A-K. Treatment of traumatic dental injuries in a cohort of 16-year-
olds in northern Sweden. Endod Dent Traumatol 2000;16:276-81.
33. In addition, in a clinical study of 123
intruded teeth available for follow-up
evaluation, 88% re-erupted fully, 10% did
not return to the occlusal plane, and 2%
failed to re-erupt due to ankylosis
Holan G, Ram D. Sequelae and prognosis of intruded primary incisors: A
retrospective study. Pediatr Dent 1999;21:242-7.
34. In a study of 11 cases of primary intruded
tooth Seven cases have been observed
satisfactory without surgical treatments such
as re-positioning and fixation, and all those re-
erupted to the occlusal level of the contra-
lateral side within 1.5 year. Otherwise, 4 cases
treated with re-positioning and fixation
revealed periapical periodontitis in
radiographic feature, alveolar abscess
formation, or discoloration.
Hirata et al. Management of Trauma of Primary Tooth: Report of Intrusion
Case. J.Hard Tissue Biology 2005;14(4):361-362.
35. Diab et al described that when the tooth
was intruded completely, the tooth
should be extracted because re-
eruption could not be expected. On the
other hand, Holan et al reported 108 of
123 intruded teeth were re-erupted
spontaneously.
Diab M. and Elbadrawy H.E.: Intrusion injuries of primary incisors. Part :
Review and Management. Quintessennce Int 31:327-334, 2000
36. Several studies support that the
permanent tooth germ’s malformation
may be the result of severe intrusion by
the primary tooth and invasion of the
developing germ during the earliest
phases of odontogenesis, when the child
is between 1 and 3 years old
37. The type of traumatic primary tooth injury
combined with the child’s age at the
time of the injury can indicate the
probability of subsequent damages to
the primary tooth or permanent tooth
germ involved.
The importance of regular follow-ups
should be emphasized to evaluate
healing, oral hygiene, infection control,
and evolution of the case
38. In this case report, secondary damage
on the permanent maxillary right central
and lateral incisors’ germs was observed
radiographically.
The extent and type of actual damage
was not definitively established.
39.
40. Ruviére, Costa, Cunha. Conservative Management of Severe
Intrusion in a Primary Tooth: A 4-year Follow-up. J Dent Child
2009;76:87-91.
Guideline on Management of Acute Dental Trauma. AAPD
201;33(6): 220-28.
Gondim JO, Moreira Neto JJS. Evaluation of intruded primary
incisors. Dent Traumatol 2005;21:131-3.
Borssén E, Holm A-K. Treatment of traumatic dental injuries in
a cohort of 16-year-olds in northern Sweden. Endod Dent
Traumatol 2000;16:276-81.
Holan G, Ram D. Sequelae and prognosis of intruded primary
incisors: A retrospective study. Pediatr Dent 1999;21:242-7.
Diab M. and Elbadrawy H.E.: Intrusion injuries of primary
incisors. Part : Review and Management. Quintessennce Int
2000;31:327-334.
Hirata et al. Management of Trauma of Primary Tooth: Report
of Intrusion Case. J.Hard Tissue Biology 2005;14(4):361-362.