The document discusses various types of traumatic injuries to teeth, including classifications and treatment approaches. It covers injuries such as enamel fractures, crown fractures with and without pulp exposure, crown-root fractures, root fractures, and vertical fractures. For each type of injury, the summary discusses typical clinical and radiographic findings and outlines treatment options such as pulpotomy, root canal treatment, splinting fractured segments, and orthodontic or surgical repositioning of fragments. The prognosis depends on factors like the distance between fractured segments and their immobilization after injury. Healing may involve calcified tissue, connective tissue, or granulation tissue formation between fragments.
This document discusses endo-perio lesions, which are lesions involving both the pulp and periodontium of a tooth. It begins by describing the pathways of communication between the pulp and periodontium, including developmental canals. Factors that can contribute to or cause endo-perio lesions are then discussed. The document outlines how pulpal disease can influence the periodontium and vice versa. It also provides classifications for different types of endo-perio lesions and describes their clinical signs and diagnosis. The final sections discuss management, including treatment and prognosis, of various endo-perio lesions.
This document provides guidance on managing traumatic dental injuries in primary teeth. It discusses various types of injuries including enamel fractures, root fractures, luxations, and avulsions. For each injury type, it describes treatment objectives, options for treatment or observation, and follow-up recommendations. Conservative management is prioritized when possible to avoid harming the developing permanent dentition. While some injuries require extraction, others may be treated with pulpotomy, splinting, or simply monitoring for complications. Frequent follow-up is important to check for issues like infection, resorption, or eruption disturbances in the permanent teeth.
A short slideshow covering the basics of Intrusive luxation and total avulsion, from an endodontic point of view.. Highlight are the photographs chosen with care to explain the points well. Ideal for under-graduate and Post-graduate students. Based on Grossman's Endodontic Practice, 13th Edition.
This document discusses the classification, assessment, and management of dental injuries involving traumatic injuries to teeth. It begins with an overview of various classification systems for dental injuries. It then discusses the general assessment of traumatic dental injuries, including patient history, clinical examination, and radiographic evaluation. The document focuses on specific injury types like crown fractures, root fractures, and luxation injuries. It provides details on pulp testing and the endodontic and restorative treatment of traumatized teeth. Classification systems help categorize injuries to determine appropriate treatment and prognosis. A thorough clinical and radiographic examination is important for assessing traumatic dental injuries. Management depends on the specific type and severity of injury.
The document discusses the relationship between pulpal and periodontal diseases. It states that diseases of the pulp or periodontium can lead to secondary diseases in the other via the apical foramen, lateral canals, or dentinal tubules. Both endodontic and periodontal examinations are important to diagnose the origin of lesions. Treatment should focus first on the primary disease, but both may need treatment if the secondary disease is established.
This document discusses common errors that can occur during endodontic treatment and ways to prevent or manage them. It covers errors related to accessing the pulp space like treating the wrong tooth, incomplete caries removal, or perforating through a full coverage restoration. It also discusses errors during canal cleaning and shaping such as ledge formation, canal deviations, or instrument separation. Finally, it addresses procedural errors during obturation like underfilling or overfilling the canal with gutta percha. Throughout, it provides tips for preventing errors like using small instruments sequentially, maintaining canal patency, and taking pre-operative radiographs to understand anatomy.
This document discusses endo-perio lesions, which are lesions involving both the pulp and periodontium of a tooth. It begins by describing the pathways of communication between the pulp and periodontium, including developmental canals. Factors that can contribute to or cause endo-perio lesions are then discussed. The document outlines how pulpal disease can influence the periodontium and vice versa. It also provides classifications for different types of endo-perio lesions and describes their clinical signs and diagnosis. The final sections discuss management, including treatment and prognosis, of various endo-perio lesions.
This document provides guidance on managing traumatic dental injuries in primary teeth. It discusses various types of injuries including enamel fractures, root fractures, luxations, and avulsions. For each injury type, it describes treatment objectives, options for treatment or observation, and follow-up recommendations. Conservative management is prioritized when possible to avoid harming the developing permanent dentition. While some injuries require extraction, others may be treated with pulpotomy, splinting, or simply monitoring for complications. Frequent follow-up is important to check for issues like infection, resorption, or eruption disturbances in the permanent teeth.
A short slideshow covering the basics of Intrusive luxation and total avulsion, from an endodontic point of view.. Highlight are the photographs chosen with care to explain the points well. Ideal for under-graduate and Post-graduate students. Based on Grossman's Endodontic Practice, 13th Edition.
This document discusses the classification, assessment, and management of dental injuries involving traumatic injuries to teeth. It begins with an overview of various classification systems for dental injuries. It then discusses the general assessment of traumatic dental injuries, including patient history, clinical examination, and radiographic evaluation. The document focuses on specific injury types like crown fractures, root fractures, and luxation injuries. It provides details on pulp testing and the endodontic and restorative treatment of traumatized teeth. Classification systems help categorize injuries to determine appropriate treatment and prognosis. A thorough clinical and radiographic examination is important for assessing traumatic dental injuries. Management depends on the specific type and severity of injury.
The document discusses the relationship between pulpal and periodontal diseases. It states that diseases of the pulp or periodontium can lead to secondary diseases in the other via the apical foramen, lateral canals, or dentinal tubules. Both endodontic and periodontal examinations are important to diagnose the origin of lesions. Treatment should focus first on the primary disease, but both may need treatment if the secondary disease is established.
This document discusses common errors that can occur during endodontic treatment and ways to prevent or manage them. It covers errors related to accessing the pulp space like treating the wrong tooth, incomplete caries removal, or perforating through a full coverage restoration. It also discusses errors during canal cleaning and shaping such as ledge formation, canal deviations, or instrument separation. Finally, it addresses procedural errors during obturation like underfilling or overfilling the canal with gutta percha. Throughout, it provides tips for preventing errors like using small instruments sequentially, maintaining canal patency, and taking pre-operative radiographs to understand anatomy.
This document discusses various types of root resorption including their causes, characteristics, diagnosis and treatment. It describes internal and external root resorption, further dividing external resorption into surface, inflammatory, replacement and invasive types. The key causes are trauma, pressure from impacted teeth or tumors, and systemic conditions. Diagnosis involves history, clinical exams, and radiographs to identify patterns of tooth structure loss. Treatment aims to arrest the resorptive process through root canal therapy or surgery depending on the type and severity.
This document discusses various types of tooth cracks and fractures, including craze lines, fractured cusps, cracked tooth syndrome, and split teeth. It begins with an introduction to how common cracks and fractures are for dentists to encounter. It then provides background on the history and classification of different crack types. The majority of the document discusses each specific crack type in detail, covering definitions, etiology, clinical features, diagnosis, and treatment options. It aims to provide an overview and review of longitudinal tooth cracks and fractures.
This document contains information about several dental devices and procedures:
1. It provides specifications for the BONART ART-E1 dental laser, including its power output, power supply requirements, and included electrode tip sets.
2. It lists contact information for Dr. Nikhil Srivastava, a professor of pedodontics.
3. It provides specifications for the Sunny gold dental laser, including its laser source, output power, wavelength, timing functions, dimensions, weight, and electrical input.
4. The remainder of the document discusses various endodontic procedures for primary and young permanent teeth such as indirect pulp therapy, pulp capping, pulpotomy, pulpectomy, and
The document discusses the endodontic-periodontal interrelationship. It begins by introducing how Simring and Goldberg first described this relationship in 1964. It then discusses the classifications of endodontic and periodontal lesions put forth by various studies. The document covers the anatomical considerations between the pulp and periodontium like apical foramina, lateral canals, and dentinal tubules which allow communication between the two tissues. It also discusses the etiological factors involved like bacteria, fungi, and viruses that can lead to endodontic or periodontal diseases.
A detailed description about endo perio interrelationship, including introduction, development and etiology, historical aspects, definition, classification, diagnosis, differential diagnosis, management, special consideration in management,controversies prognosis, conclusion.
The document provides guidelines for managing traumatic dental injuries in primary teeth. It discusses special considerations for injuries in primary teeth including their close relationship to developing permanent teeth. Treatment guidelines are presented for different types of injuries like fractures, luxations, avulsions and alveolar fractures. Clinical and radiographic examinations are important. Potential sequelae are outlined. Splinting may be used for alveolar fractures or intruded teeth. Antibiotics are usually not needed unless other injuries require surgery. Crown discoloration is common after luxation but root canals are not indicated unless infection is present.
This document discusses various aspects of vital pulp therapy, including indirect pulp capping (IPC) and direct pulp capping (DPC). IPC involves retaining a small amount of deep carious dentin to avoid pulp exposure, while DPC places a medicated material directly on an accidentally exposed pulp. Factors like remaining dentin thickness, blood supply, and obtaining homeostasis are important considerations for successful vital pulp therapy. The goal is to preserve pulp vitality and maintain a tooth's function.
Restoration of endodontically treated teethIAU Dent
This document summarizes the effects of endodontic treatment on teeth and considerations for restoring endodontically treated teeth. Key points include:
- Endodontic treatment can result in loss of tooth structure, altered physical properties making teeth more brittle, and discoloration.
- Remaining tooth structure, function, and aesthetics must be evaluated to determine the appropriate restoration. Teeth with minimal structure may be restored with composites while those with heavier function typically need crowns.
- Temporary cements must be completely removed before bonding permanent restorations to avoid inhibiting the bond. Teeth exposed to sodium hypochlorite also require treatment to reverse its oxidizing effects.
- Common restorative
vertical root fracture and it's management .....ms khatib
Impossible is just a word used by people who are unwilling to change things. Impossible is an opinion, not a fact, and is a challenge rather than a declaration. Impossible is only temporary and represents potential and opportunity. Impossible means nothing.
Minor oral surgical procedures are sometimes needed in children to address conditions like dental infections, unerupted teeth, and oral lesions. Common procedures include incision and drainage of abscesses, removal of unerupted or impacted teeth, frenectomies, and excision of cysts or tumors. These procedures aim to remove the cause of problems and relieve pain or swelling, and are generally low-risk when performed by an experienced pediatric dentist.
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
The document discusses guidelines for preparing access cavities for root canal treatment. It outlines principles such as removing all caries and defective restorations, conserving tooth structure, and providing straight-line access to canal orifices. Specific guidelines covered include visualizing internal anatomy, evaluating anatomical landmarks, preparing cavities through lingual/occlusal surfaces, and locating all root canals before placing a dental dam. The goal is to efficiently locate and treat all canals following principles of access cavity design.
Management of fractured endodontic instruments in root canalMohammed Sa'ad
1) The document discusses management of fractured endodontic instruments in root canals. It notes that instrument fracture can occur due to factors like canal curvature, anatomical variations, practitioner experience, and torque/speed of rotation.
2) The presence of a separated instrument alone may not compromise prognosis unless it prevents adequate disinfection and obturation. Successful retrieval depends on factors like tooth anatomy, instrument shape/size, equipment used, and clinician skill.
3) Guidelines are suggested for managing separated instruments, including attempting retrieval, bypassing, or referring for surgery. The ethical responsibilities of practitioners are also discussed.
Diagnosis and treatment planning in conservative dentistry and endodonticsIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses the use of lasers in endodontics. It begins with a brief history of lasers, describing their development from Einstein's work in the early 1900s to their first use in dentistry in the 1970s. It then covers laser physics and components, different types of lasers including wavelengths used in dentistry, and laser tissue interactions. The main body discusses several clinical applications of lasers in endodontics such as pulp testing, pulp capping, pulpotomy, root canal disinfection and shaping, and endosurgery. Lasers can provide benefits like reduced need for anesthesia, hemostasis, and less collateral damage compared to other tools. Training is required and no single laser can perform all
This document discusses open apex and apexification treatment. It defines open apex as an immature root with incomplete development and a large apical opening. Treatment depends on pulp vitality - apexogenesis aims to encourage continued root development if the pulp is vital, while apexification induces apical closure if the pulp is necrotic. The document outlines the stages of root development, causes of open apex, complications, diagnosis, and various treatment options and materials used for apexogenesis and apexification such as calcium hydroxide, MTA, and Biodentine.
1) The document discusses furcation involvement in multi-rooted teeth due to periodontal disease. It defines furcation defects and provides terminology to describe root anatomy involved in furcation defects.
2) Classification systems for furcation defects from Hamp and Glickman are presented, ranging from initial horizontal bone loss to complete bone loss exposing the furcation.
3) Diagnosis and treatment options for different degrees of furcation involvement are outlined, including furcation plasty, tunnel preparation, root separation/resection, guided tissue regeneration, and extraction.
This document discusses various types of dental emergencies that may occur during or after endodontic treatment. It describes three types of pre-treatment, intra-appointment, and post-obturation emergencies. Specific emergencies discussed in detail include acute reversible and irreversible pulpitis, acute apical periodontitis, acute periapical abscess, flare-ups during treatment, instrument separation beyond the apex, and overfilling of the root canal. The document provides descriptions of symptoms, causes, and recommended treatment approaches for resolving each emergency.
Tooth wear can occur through abrasion, attrition, erosion, and abfraction. Abrasion involves foreign objects rubbing teeth, while attrition is tooth-to-tooth contact. Erosion is acid etching of teeth and abfraction involves microfractures from occlusal stresses. Diagnosis involves examining location, appearance, and progression of tooth wear. Management focuses on controlling factors, restoring function and aesthetics, and using materials like composites and night guards to minimize further wear. Ongoing maintenance appointments are needed to monitor wear and refurbish restorations as the condition is progressive.
Flare ups described as occurrence of pain, swelling or combination of both during the course of root canal therapy which result in unscheduled visit by the patient
This document provides an overview of traumatic dental injuries, including:
- Common causes of dental trauma like sports accidents, assaults, and biting hard objects.
- Garcia & Godoy's classification system for injuries which includes enamel fractures, crown fractures, root fractures, luxations, and avulsions.
- Diagnostic methods like clinical examination, vitality testing, and radiography to evaluate injuries.
- Descriptions and treatment approaches for different injury types such as direct pulp capping, pulpotomy, endodontic treatment, and reattachment of fragments.
- Factors that influence healing of injuries like distance between fragments and immobilization duration.
The document serves as a reference for
This document discusses various types of root resorption including their causes, characteristics, diagnosis and treatment. It describes internal and external root resorption, further dividing external resorption into surface, inflammatory, replacement and invasive types. The key causes are trauma, pressure from impacted teeth or tumors, and systemic conditions. Diagnosis involves history, clinical exams, and radiographs to identify patterns of tooth structure loss. Treatment aims to arrest the resorptive process through root canal therapy or surgery depending on the type and severity.
This document discusses various types of tooth cracks and fractures, including craze lines, fractured cusps, cracked tooth syndrome, and split teeth. It begins with an introduction to how common cracks and fractures are for dentists to encounter. It then provides background on the history and classification of different crack types. The majority of the document discusses each specific crack type in detail, covering definitions, etiology, clinical features, diagnosis, and treatment options. It aims to provide an overview and review of longitudinal tooth cracks and fractures.
This document contains information about several dental devices and procedures:
1. It provides specifications for the BONART ART-E1 dental laser, including its power output, power supply requirements, and included electrode tip sets.
2. It lists contact information for Dr. Nikhil Srivastava, a professor of pedodontics.
3. It provides specifications for the Sunny gold dental laser, including its laser source, output power, wavelength, timing functions, dimensions, weight, and electrical input.
4. The remainder of the document discusses various endodontic procedures for primary and young permanent teeth such as indirect pulp therapy, pulp capping, pulpotomy, pulpectomy, and
The document discusses the endodontic-periodontal interrelationship. It begins by introducing how Simring and Goldberg first described this relationship in 1964. It then discusses the classifications of endodontic and periodontal lesions put forth by various studies. The document covers the anatomical considerations between the pulp and periodontium like apical foramina, lateral canals, and dentinal tubules which allow communication between the two tissues. It also discusses the etiological factors involved like bacteria, fungi, and viruses that can lead to endodontic or periodontal diseases.
A detailed description about endo perio interrelationship, including introduction, development and etiology, historical aspects, definition, classification, diagnosis, differential diagnosis, management, special consideration in management,controversies prognosis, conclusion.
The document provides guidelines for managing traumatic dental injuries in primary teeth. It discusses special considerations for injuries in primary teeth including their close relationship to developing permanent teeth. Treatment guidelines are presented for different types of injuries like fractures, luxations, avulsions and alveolar fractures. Clinical and radiographic examinations are important. Potential sequelae are outlined. Splinting may be used for alveolar fractures or intruded teeth. Antibiotics are usually not needed unless other injuries require surgery. Crown discoloration is common after luxation but root canals are not indicated unless infection is present.
This document discusses various aspects of vital pulp therapy, including indirect pulp capping (IPC) and direct pulp capping (DPC). IPC involves retaining a small amount of deep carious dentin to avoid pulp exposure, while DPC places a medicated material directly on an accidentally exposed pulp. Factors like remaining dentin thickness, blood supply, and obtaining homeostasis are important considerations for successful vital pulp therapy. The goal is to preserve pulp vitality and maintain a tooth's function.
Restoration of endodontically treated teethIAU Dent
This document summarizes the effects of endodontic treatment on teeth and considerations for restoring endodontically treated teeth. Key points include:
- Endodontic treatment can result in loss of tooth structure, altered physical properties making teeth more brittle, and discoloration.
- Remaining tooth structure, function, and aesthetics must be evaluated to determine the appropriate restoration. Teeth with minimal structure may be restored with composites while those with heavier function typically need crowns.
- Temporary cements must be completely removed before bonding permanent restorations to avoid inhibiting the bond. Teeth exposed to sodium hypochlorite also require treatment to reverse its oxidizing effects.
- Common restorative
vertical root fracture and it's management .....ms khatib
Impossible is just a word used by people who are unwilling to change things. Impossible is an opinion, not a fact, and is a challenge rather than a declaration. Impossible is only temporary and represents potential and opportunity. Impossible means nothing.
Minor oral surgical procedures are sometimes needed in children to address conditions like dental infections, unerupted teeth, and oral lesions. Common procedures include incision and drainage of abscesses, removal of unerupted or impacted teeth, frenectomies, and excision of cysts or tumors. These procedures aim to remove the cause of problems and relieve pain or swelling, and are generally low-risk when performed by an experienced pediatric dentist.
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
The document discusses guidelines for preparing access cavities for root canal treatment. It outlines principles such as removing all caries and defective restorations, conserving tooth structure, and providing straight-line access to canal orifices. Specific guidelines covered include visualizing internal anatomy, evaluating anatomical landmarks, preparing cavities through lingual/occlusal surfaces, and locating all root canals before placing a dental dam. The goal is to efficiently locate and treat all canals following principles of access cavity design.
Management of fractured endodontic instruments in root canalMohammed Sa'ad
1) The document discusses management of fractured endodontic instruments in root canals. It notes that instrument fracture can occur due to factors like canal curvature, anatomical variations, practitioner experience, and torque/speed of rotation.
2) The presence of a separated instrument alone may not compromise prognosis unless it prevents adequate disinfection and obturation. Successful retrieval depends on factors like tooth anatomy, instrument shape/size, equipment used, and clinician skill.
3) Guidelines are suggested for managing separated instruments, including attempting retrieval, bypassing, or referring for surgery. The ethical responsibilities of practitioners are also discussed.
Diagnosis and treatment planning in conservative dentistry and endodonticsIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses the use of lasers in endodontics. It begins with a brief history of lasers, describing their development from Einstein's work in the early 1900s to their first use in dentistry in the 1970s. It then covers laser physics and components, different types of lasers including wavelengths used in dentistry, and laser tissue interactions. The main body discusses several clinical applications of lasers in endodontics such as pulp testing, pulp capping, pulpotomy, root canal disinfection and shaping, and endosurgery. Lasers can provide benefits like reduced need for anesthesia, hemostasis, and less collateral damage compared to other tools. Training is required and no single laser can perform all
This document discusses open apex and apexification treatment. It defines open apex as an immature root with incomplete development and a large apical opening. Treatment depends on pulp vitality - apexogenesis aims to encourage continued root development if the pulp is vital, while apexification induces apical closure if the pulp is necrotic. The document outlines the stages of root development, causes of open apex, complications, diagnosis, and various treatment options and materials used for apexogenesis and apexification such as calcium hydroxide, MTA, and Biodentine.
1) The document discusses furcation involvement in multi-rooted teeth due to periodontal disease. It defines furcation defects and provides terminology to describe root anatomy involved in furcation defects.
2) Classification systems for furcation defects from Hamp and Glickman are presented, ranging from initial horizontal bone loss to complete bone loss exposing the furcation.
3) Diagnosis and treatment options for different degrees of furcation involvement are outlined, including furcation plasty, tunnel preparation, root separation/resection, guided tissue regeneration, and extraction.
This document discusses various types of dental emergencies that may occur during or after endodontic treatment. It describes three types of pre-treatment, intra-appointment, and post-obturation emergencies. Specific emergencies discussed in detail include acute reversible and irreversible pulpitis, acute apical periodontitis, acute periapical abscess, flare-ups during treatment, instrument separation beyond the apex, and overfilling of the root canal. The document provides descriptions of symptoms, causes, and recommended treatment approaches for resolving each emergency.
Tooth wear can occur through abrasion, attrition, erosion, and abfraction. Abrasion involves foreign objects rubbing teeth, while attrition is tooth-to-tooth contact. Erosion is acid etching of teeth and abfraction involves microfractures from occlusal stresses. Diagnosis involves examining location, appearance, and progression of tooth wear. Management focuses on controlling factors, restoring function and aesthetics, and using materials like composites and night guards to minimize further wear. Ongoing maintenance appointments are needed to monitor wear and refurbish restorations as the condition is progressive.
Flare ups described as occurrence of pain, swelling or combination of both during the course of root canal therapy which result in unscheduled visit by the patient
This document provides an overview of traumatic dental injuries, including:
- Common causes of dental trauma like sports accidents, assaults, and biting hard objects.
- Garcia & Godoy's classification system for injuries which includes enamel fractures, crown fractures, root fractures, luxations, and avulsions.
- Diagnostic methods like clinical examination, vitality testing, and radiography to evaluate injuries.
- Descriptions and treatment approaches for different injury types such as direct pulp capping, pulpotomy, endodontic treatment, and reattachment of fragments.
- Factors that influence healing of injuries like distance between fragments and immobilization duration.
The document serves as a reference for
This document discusses different types of traumatic dental injuries including concussions, luxations, fractures, and root fractures. It provides details on clinical signs, radiographic findings, treatment objectives, and treatment plans for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, often tearing the periodontal ligament. Fractures can be confined to enamel, extend into dentin, or expose the dental pulp. Root fractures occur below the gumline. Treatment aims to relieve pain, reposition displaced teeth, and restore tooth structure depending on the specific injury.
This document provides an overview of the management of dental traumatic injuries in paediatric patients. It discusses the classification, aetiology, epidemiology, clinical evaluation and treatment protocols for various injuries. Key points include:
- Dental trauma is common in children aged 2-4 and 7-10 years old, often due to falls or collisions.
- Injuries range from enamel fractures to luxations and avulsions and are classified systems like Andreasen.
- Clinical evaluation involves medical history, extraoral/intraoral exams, sensitivity tests, and radiographs to diagnose the injury.
- Treatment depends on the injury but may include allowing re-eruption, extraction, or restoration with composite for fractures.
The document summarizes traumatic dental injuries and their management. It discusses the classification, clinical features, treatment, and stabilization periods for various types of dentoalveolar injuries including enamel fractures, crown fractures, root fractures, luxations, and avulsions. Splinting is described as the best method for immobilizing mobile teeth or displaced teeth, with different splinting techniques and materials discussed. Prompt treatment of dental trauma is emphasized to save injured teeth.
Exodontia or Extraction is the painless removal of whole tooth or tooth root with minimal trauma to the investing tissues, so that the wound heals uneventfully and no post-operative prosthetic problem is created.
The document provides guidelines from the American Association of Endodontists for treating traumatic dental injuries. It includes tables outlining treatment for different types of injuries like fractures, luxations, and avulsions. The guidelines aim to help practitioners manage injuries and maximize tooth retention through timely treatment. They note variations between patients mean treatment must be tailored individually and cannot guarantee outcomes. Permission was granted from another dental organization to reference their guidelines in developing these recommendations.
Tooth infarction, also known as cracked tooth syndrome, refers to an incomplete tooth fracture extending partially through the tooth. It can occur in the crown, originating from the pulp towards the dentinoenamel junction or propagating apically in the root. Symptoms include pain upon chewing or with temperature changes. Diagnosis involves visual examination, transillumination, staining with methylene blue dye, biting tests, and occasionally radiography. Treatment depends on factors like fracture location and pulp involvement.
This document discusses the management of various types of traumatic dental injuries. It begins by classifying injuries based on Andreasen's modified classification system, including enamel infractions, fractures, luxation injuries, and root fractures. For each type of injury, the document describes characteristics, diagnosis, and treatment recommendations. It emphasizes the importance of promptly repositioning displaced or avulsed teeth and splinting when needed to allow for periodontal ligament healing. The document also stresses the need for follow-up evaluations and root canal treatment in mature teeth to prevent complications like pulp necrosis and resorption.
Surgical procedures done alongside orthodontic treatment are called surgical orthodontics. They are performed to address issues like impacted teeth, dentofacial abnormalities, or when orthodontics alone cannot fully correct a problem. Surgical orthodontic procedures are classified as minor (e.g. extractions, frenectomies) or major (e.g. orthognathic surgery). Minor procedures are often an integral part of orthodontic treatment, while major procedures aim to treat severe malocclusions. Close coordination between the orthodontist and oral surgeon is important for successful treatment.
Minor oral surgery procedures include trans alveolar extractions and removing impacted teeth. Impacted teeth fail to erupt into the dental arch due to issues like lack of space, obstruction, or malpositioning. Impacted third molars can be difficult to remove depending on their position, depth, orientation, and root morphology. A thorough clinical and radiographic examination is needed to assess difficulty and plan the surgery appropriately. Complications are minimized by using proper surgical techniques like raising a mucoperiosteal flap to provide access and visibility while preserving the blood supply.
This document discusses various types of physical and chemical injuries that can occur in the oral cavity. It covers traumatic injuries including fractures, luxations and avulsions of teeth. It also discusses injuries to the supporting structures of teeth such as concussions, subluxations and ankylosis. Soft tissue injuries from factors like linea alba, toothbrush trauma, traumatic ulcers and cotton roll injuries are explained. Specific conditions like traumatic ulcerative granuloma with stromal eosinophilia, Riga-fede disease and angina bullosa hemorrhagica affecting the oral soft tissues are also summarized. Storage media for avulsed teeth and classification systems for different types of tooth fractures are highlighted.
Management of traumatic lesions to primary dentitionSaeed Bajafar
This document discusses the management of traumatic injuries to primary teeth. It covers the etiology, epidemiology, classification systems, examination process, and various types of injuries including their treatment and potential sequelae. The types of injuries discussed include enamel fractures, crown fractures, root fractures, luxation injuries, alveolar fractures, and avulsion. Treatment depends on factors such as the child's age, tooth development, and severity of injury. The goal is often to preserve the primary tooth and its function until exfoliation when possible.
Interceptive orthodontics refers to early orthodontic treatment during mixed dentition to guide proper development of the dentition. Common procedures include serial extraction to relieve crowding, correction of developing crossbites, and control of abnormal habits like thumb sucking. Early intervention is beneficial as it is simpler and more stable than later treatment, prevents worsening of issues, and offers psychological benefits to children. The optimal age for screening and interceptive treatment is around 9-11 years old.
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This document discusses various types of traumatic injuries to teeth. It begins by introducing the topic and defining some key terms. It then provides a detailed classification system for dental injuries developed by the International Association of Dental Traumatology, which categorizes injuries based on their effects on hard dental tissues, periodontal tissues, supporting bone, and soft tissues. The document also discusses several other classification systems. It provides descriptions, clinical findings, radiographic findings, and treatment approaches for different injury types including enamel fractures, uncomplicated crown fractures, crown-root fractures, and luxation injuries.
If the fracture is in the apical third of the root, the prognosis is favorable, provided the tooth is immobilized and it is not placed under undue pressure during mastication. The apposing tooth or teeth should be ground down, to minimize incisal-occlusal stress.
1) The document discusses various theories of third molar impaction including orthodontic, phylogenic, Mendelian, and pathological theories.
2) It also covers classifications of third molar impaction based on angulation, position, eruption state, and root morphology. Historical classifications including Winter's and Pell & Gregory are summarized.
3) Surgical considerations for impacted third molar removal are outlined, including pre-operative assessment, radiographic evaluation, difficulty indices, surgical anatomy, and mucoperiosteal flap design. Complications of retained impacted teeth are also briefly mentioned.
This document provides a classification and descriptions of various radiolucent lesions according to their diagnostic features. It describes lesions located at the apex of teeth, in the midline of the maxilla, around missing or impacted teeth, and soap bubble-like or multiple radiolucencies. Specific lesions are defined, including their typical locations, appearances on radiographs, effects on surrounding teeth or bone, patient demographics, and recommended treatments.
Botulism is caused by a potent neurotoxin produced by Clostridium botulinum bacteria. It causes descending flaccid paralysis beginning with cranial nerves. There are several forms of transmission including foodborne (from contaminated foods), wound, and intestinal (from spore ingestion). Clinical manifestations include nausea, blurred vision, weakness, and respiratory failure. Diagnosis involves detecting toxin in samples or through electromyography. Treatment requires intensive care including ventilator support and administration of botulism antitoxin to prevent progression of paralysis.
This document discusses aphakia, a condition where the crystalline lens is absent from its normal position in the eye. It defines three types of aphakia - congenital, acquired through trauma or operative measures like couching. Congenital aphakia can be primary, caused by genetic mutations or developmental anomalies, or secondary where the lens developed but was reabsorbed before or during birth. Symptoms and signs of aphakia include changes in the eye's refraction and appearance. Treatment options mentioned are spectacles, contact lenses, intraocular lens implantation, and refractive surgery.
This document discusses antigens and their properties. It defines an antigen as a substance that generates an immune response through antibodies or T cells. Antigens have epitopes that bind to immune cells. Examples of antigens include autoantigens from one's own body, alloantigens from the same species, and heterophile antigens found across species. The document also examines the chemical nature of antigens as mostly proteins and polysaccharides, and properties such as size, degradability, and dose that influence antigenicity. Superantigens are described as antigens that can polyclonally activate a large fraction of T cells. Finally, some common tests for detecting antigens are listed.
Viral conjunctivitis is caused by several viruses and is characterized by inflammation of the conjunctiva. The most common type is adenovirus conjunctivitis. Clinical presentations include acute serous conjunctivitis, which involves minimal congestion and watery discharge; acute hemorrhagic conjunctivitis, seen with adenovirus and involving multiple conjunctival hemorrhages; and acute follicular conjunctivitis, associated with marked follicular hyperplasia. Epidemic keratoconjunctivitis is caused most often by adenovirus types 8, 19, and 37 and involves stages of acute serous conjunctivitis, follicular conjunctivitis, and pseudomemb
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nursing management of patient with Empyema pptblessyjannu21
prepared by Prof. BLESSY THOMAS, SPN
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Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
2. INTRODUCTION
Trauma of the oral and maxillofacial region occur frequently
Dental injuries are common among facial injury
Can occur at any age
Child groups – while learning to walk, falling from chair, child
abuse
Teenagers & young adult – sports accident
Other age groups –automobile accident
3. CAUSE & INCIDENCE
The common causes are
Direct/indirect trauma
Sports accident
Automobile accident
Fight & assault
Biting hard items
INCIDENCE
About 5%
Boys have 2/3 times as many fracture teeth as girls
8. 1. INFORMATION ABOUT THE INJURY:
The following questions are intended to elicit
essential information about the traumatic event.
When did the injury occur?
Where did the injury occur?
How did the injury occur?
Are there previous injuries to the teeth?
Is there a change in the bite?
Past medical history.
9. 2. CLINICAL EXAMINATION:
SOFT TISSUE WOUNDS
[ presence of impacted foreign bodies]
TEETH
(for fractures or infractions)
(displacement of teeth )
PULP
[the extent of exposure]
BONE
10. 3.DIAGNOSTIC METHODS
Pulp vitality:
by electric pulp vitality tester
When negative- injured nerve bundle
,paralyzed.
o Radiographic examination:
3 recommended angulations are-
90 degree horizontal angle with
central beam through root
Occlusal view
Lateral view from mesial/distal aspect
of tooth
11. ENAMEL INFARCTION
CLINICALFINDINGS:
Visual examination- by DYES (Methylene Blue)
Tooth is not tender on percussion. If tender on
percussion check for luxation injury/root
fracture
RADIOGRAPHIC FINDINGS:-
No radiographic abnormality
Periapical view radiograph is used.
(additional added if any other signs and symptoms
present)
TREATMENT:
Etching and sealing with resin to prevent
discoloration of infarction line
12. ENAMEL FRACTURE
CLINICALFINDINGS:-
Visual signs-
loss of enamel without dentin exposure
No tenderness on percussion
Pulp sensitivity test is recommended
RADIOGRAPHIC FINDINGS:-
Visible enamel loss
Radiograph of lip ,cheek to find out root fragments or
foreign material
TREATMENT
Smoothening the margins to prevent laceration of soft tissue
In extensive cases:- recontouring of the roughened margins
followed by esthetic composite restoration
If fractured segment is available - re positioned and bonded to
the tooth
13. CROWN FRACTURE WITHOUT PULPAL EXPOSURE (E+D)
OBJECTIVES
Elimination of discomfort
Preservation of vital pulp
Restoration of fractured crown
CLINICALFINDINGS:-
No tender on percussion
Pulp test is positive
RADIOGRAPH:-
E+D loss is visible
TREATMENT
Remaining dentinal thickness of 2mm is sufficient for pulpal protection
Composite is prefferd- reapproximation and bonding the segments with DBA &
composite
Another approach is use of indirect
veneering
Tooth is periodically tested with pulp tester
If more current is necessary to elicit pulpal response for vitality, the prognosis is
unfavorable
14. CROWN FRACTURE WITH PULP EXPOSURE (E+D+P)
CLINICALFINDINGS:
Tooth is not tender on percussion
RADIOGRAPHIC:
Loss of tooth structure is visible
4 kinds of treatment
Direct Pulp Capping
Pulpotomy (pulp is vital)
Apexification (pulp is necrotic)
Pulpectomy (endodontic treatment)
15. E+D+C with no pulpal
involvement
E+D+C with pulpal
involvement
CROWN
ROOT
FRACTURE
16. CROWN-ROOT FRACTURE WITH NO PULPAL INVOLVEMENT
Oblique line # ,begins incisal to marginal gingiva and extend beyond
the gingival crevice
# segments are held by the PDL
Tooth is tender on percussion
Coronal fragment is mobile
Sensibility pulp test is positive for apical fragment
RADIOGRAPH
Radiograph recommended are Periapical, Occlusal, & Eccentric exposures to
detect fracture lines of root
TREATMENT
Localization of fracture line-
CBCT reveals whole fracture extension
Emergency treatment-
Temporary stabilization of loose segment to adjacent teeth
Definitive treatment-
Removal/reattachment of fractured segment
Removal is indicated in superficial /chisel fractures Subgingival extension is converted
into supra gingival fracture by gingivectomy / ostectomy
17. CROWN-ROOT FRACTURE WITH PULPAL INVOLVEMENT
# line is single
Symptoms are mild and pain is due to mobility of fractured segment
Tooth is tender on percussion
Coronal fragment is mobile
RADIOGRAPH
Recommended are periapical and occlusal
TREATMENT
With pulpal exposure and immature roots-
Partial Pulpotomy to preserve pulp
Pulp exposure with mature roots-
Perform Endodontic Treatment
Use Fiber-Reinforced Composite Post for retention of the fractured segment if
reapproximation is proper
18. ORTHODONTIC EXTRUSION OF APICAL FRAGMENT
This was first advocated by HEITHERSAY in 1973
The coronal fragment is unrestorable & remaining
radicular portion is partly below the gingiva
This procedure is indicated in case where C:R ratio is
compromised
Subgingival portion is made to supra gingival position
19. SURGICAL EXTRUSION OF APICAL FRAGMENT
Surgical movement of apical fragment to supra
gingival position
Indicated where tooth is long enough to
accommodate a post retained crown after surgical
extrusion
This method is faster than orthodontic extrusion
20. • Forms about 3% of
dental injuries
• Results from
horizontal impact
• Usually transverse to
oblique in nature
• Clinically coronal is
mobile and
displaced with
tender on percussion
ROOT
FRACTURE
23. CORONAL THIRD FRACTURE
Prognosis is LESS FAVOURABLE
(because of difficulty in immobilizing the
root)
Repair does not occur due to movement
of tooth & exposure of pulp to oral
environment
Tooth become loose or exfoliated due to
resorption
Apical fragment is retained
24. MIDDLE THIRD ROOT FRACTURE
Prognosis depend on :
1. Position of the tooth after root
fracture
2. Mobility of the coronal segment
3. Status of pulp
4. Position of fracture line
TREATMENT OPTIONS AVAILABLE ARE:
RCT of both segments
1. Indicated where the segment are not separated
2. Allow passage of instruments from coronal to apex
RCT of coronal segment and removal of apical segment
1. Apex has separated from coronal
Use of intra radicular splint
1. After endodontic, a post space is prepared in canal to extend from coronal segment to
apical one, allowing placement of rigid-type post to stabilize root segments
RCT of coronal segment and no treatment of apical one
1. The apical segment is vital healthy pulp tissue.Apexification of the coronal segment.
2. Most effective is to employ MTAto form apical barrier in coronal segment and
backfill the canal with thermoplasticized GP
25. APICAL THIRD ROOTFRACTURE
Prognosis is favourable,provided that the tooth is immobilized and
not placed under pressure of mastication
TREATMENT
•Opposing teeth should be grinded to minimize
incisal – occlusal stress
•Tooth with its root fracture at apical segment
has excellent prognosis because pulp at the
apex is vital & firm in the socket. Mobile tooth
should be ligated
•If pulp in coronal fragment is vital and tooth is stable with/without
ligation, no additional treatment is indicated
•If pulp is dead in coronal fragment, endodontic treatment can be done
•If tooth fails to recover the apical part, then it is surgically removed
26.
27. HEALING DEPENDS ON 3 CRITERIA
Distance between fragments
Degree & Duration of immobilization
Presence or absence of infection
ANDREASEN & HJORTING-HANSEN DESCRIBED 4 TYPES
OF REPAIR FOLLOWING ROOT FRACTURE
Calcified tissue
Connective tissue
Connective tissue and bone
Granulomatous tissue
28. Tissue replaced with
cementum by
cementoblast & cover
the # root surface
Following # complete
union does not occur
Healing depends on
PDL
Pulp is vital, blood clot
forms & macrophages
dispose damaged tissue
Meshwork of
granulation tissue
develops
Fibroblast appear and
lay down fibrous tissue
29. Pulp is vital
Odontoblast covers the
medial # root surface
with dentin like tissue
Cementum extends into
the canal, & covers the
irregular dentinal
surface for short
distance
CT fills the space
between cementum
covered fragments
Fibrous tissue replaced
by bone
If treatment fails,
granulation tissue
replaces bone between #
segments
30. VERTICAL FRACTURE
Diagnosis is often difficult to establish by radiograph
Patient c/o sensitivity ,may/ may not able to locate the
affected tooth
Tooth react normally to EPT or may be hypertensive
Chew on tooth slooth,cotton applicator helps in identifying
the tooth
Common causes are:-
• Traumatic occlusion
• Excessive load on endodontically treated tooth
• Bruxism
32. VERTICAL CROWN FRACTURE
Prognosis depends on location
Favorable prognosis-
#passes through clinical crown of
multirooted tooth & through its
furcation(provided tooth can be
hemisected)
If vertical fracture occurs through the crown furcation of maxillary molars in
M-D plane, endodontic treatment is done following :
1. Section the crown into two segments- buccal & palatal and extract the less
strategic of the two
2. Restore the remaining segment with full coverage restoration that has
narrower contoured occlusal table to limit the occlusal forces to long axis
of the root of retained segment
3. Segment the crown into two and move the segment with ortho
appliance & splinted by full coverage restoration
33. VERTICAL ROOT FRACTURE
Longitudinal fracture of the root,
the prognosis is hopeless
Fracture segments are extracted,
and recememted with cyanoacrylate
Endodontic treatment is completed
extra orally within 30min and tooth is
replanted into the socket
First the tooth recovered but later
failure happened by pocket
formation, root resorption and
finally extraction is recommended
35. CONCUSSION
Injury to supporting structure of tooth, without abnormal
loosening/displacement of tooth but significant reaction
to percussion
Tooth may feel numb shortly after blow.
No bleeding & no radiographic changes
Tooth respond normal to sensitivity
Treatment confines to occlusal adjustment of opposing
teeth and repeated periodic vitality testing
36. SUBLUXATION
Injury to supporting tissue with abnormal loosening of
tooth without displacement
Tooth is in normal position in arch, but exhibit
horizontal mobility and have pain on percussion
Bleeding from the gingival crevice indicating
damage to periodontal tissue
Teeth respond normally to sensitivity test
Treatment similar to concussion. Splinting might be
required for multiple tooth injuries
37. EXTRUSIVE LUXATION
Partial displacement of tooth from its alveolar socket
Teeth appear elongated with lingual deviation of crown
Dull sound on percussion and bleeding from PDL
38. Extruded tooth is forced back into
socket done after anaesthetizing the
region and by means of gentle finger
pressure or pressure exerted on a
wooden tongue blade against the
incisal surface of adjacent teeth to
force them back in their socket
Affected tooth is splinted for 2-3
week
Vitality is tested once in month
If more current is required for pulp
testing and response to cold test
become weaker “dying pulp” is
expected
If pulp is dead RCT is indicated
TREATMENT
39. LATERAL LUXATION
Eccentric displacement of tooth other
than axial direction
Associated with comminution
or fracture of alveolar socket
Crown is displaced in lingual
direction along with # of alveolar
socket wall
TREATMENT
• Reposition of tooth back into its normal
position
• Difficult and painful and has to be done with
forceps under infra-orbital regional anesthesia
• Teeth is stabilized with splint for 3 weeks
(longer fixation for marginal bone break down)
40. INTRUSIVE LUXATION
Intrusion into the alveolar socket along the long axis of tooth & accompanied by fracture of
socket
Only small amount of tooth visible due to swelling of soft tissue
Occur greater in primary teeth than in permanent
Diagnosed by history and radiographic examination
Not sensitive to percussion
TREATMENT
Immediate treatment is not needed unless its not primary teeth(because permanent
tooth bud present at apex)
Apply cold to alleviate swelling, pain & stop bleeding
Spontaneous re-eruption is treatment of choice & varies from
2-14 months
Surgical extrusion is done in case of multiple teeth intrusion
41. Complete and total displacement
of tooth from socket
Incidence varies from .5 to 3% in
permanent teeth and 7 to 13% in
primary teeth
ETIOLOGY
Sports & fight injuries
Maxillary central is most
affected
AVULSION
42. (b)Administer systemic antibiotics. Tetracycline is the
first choice( doxycycline 1-0-1 x7days)
Tetracycline is not recommended for patient under age of
12yrs
Penicillin v is given to children under age 12 as an alternative to
tetracycline
1.Tooth has been replanted at the site of
avulsion
(a)Clean the area with water spray, saline or chlorhexine.verify
the normal position clinically and radiographically .apply
flexible splint for a period of 2 weeks
43. IF AVULSED TOOTH CONTACTED SOIL
Patient recommended on soft diet for 2 weeks and brush with soft
tooth brush
Use chlorhexidine (0.1%) for 1 week
(ii)Tooth with open apex
The goal of replanting in still developing teeth in children is to allow for possible
revascularization of the tooth pulp.
If that does not occur RCT may be recommended
(i)Tooth with a closed apex
Root canal treatment done after 7-10 days of replantation and before splint removal.
Calcium is placed as intra canal medicament until filling of the root canal
44. 2.TOOTH KEPT IN SPECIAL STORAGE MEDIA WITH
EXTRA ORAL DRY TIME LESS THAN 60MIN
Tooth with
closed apex
• If contaminated, clean the root surface and apical foramen
with stream of saline and place the tooth in saline. Remove
the coagulum in stream of saline
• If fracture occurs in alv.socket,reposition with suitable
instrument and replant tooth with digital pressure and
continue the previous treatment for replantation
Tooth with
open apex
• Clean tooth with saline and remove the coagulum.
• Cover the root surface with minocycline hydrochloride
microsphere before replanting
• Continue same procedure as replanting
45. 3. EXTRA ORAL DRY TIME LONGER THAN 60 MIN
• Remove attached necrotic soft tissue with gauze
• .RCT done prior to replantation
• .Remove coagulum with saline stream
• Examine the alveolar socket and reposition with
suitable instrument
• Immerse tooth in 2% sodium fluoride for 20min
• Replant tooth slowly with digital pressure .suture
gingival laceration
• Verify the position clinically and radiographically
• Stabilize the tooth for 4 weeks using flexible splint
• Administer systemic antibiotics
Tooth with a
closed apex
(delayed
replantation- poor
long term
prognosis.
The PDL will be
necrotic and not
expected to heal)
•Treatment is similar like
the one with closed apex
Tooth with open
apex
46. FOLLOW- UP PROCEDURES
ROOT CANALTREATMENT:
Teeth with closed apex: RCT to be done 7-10days after
replantation
Teeth with open apex : replanted immediately , chances of
vascularization is possible. RCT should be avoided
unless there is clinical and radiographic evidence of
pulpal necrosis
RCT should be done prior to replantation in a tooth that has
been dry for >60min