By Jens O. Andreasen, Frances M. Andreasen
This can be a effortlessly available, absolutely illustrated advisor to the preliminary therapy of acute dental accidents. The clinician is guided throughout the preliminary exam of the traumatized sufferer to the layout of a rational, individualized remedy plan. This procedure is aimed toward minimizing the danger of long term problems and, thereby, assuaging the uncertainty of the way forward for the the traumatized dentition either for the sufferer, dentist and for different involved participants. the cloth is drawn from medical investigations, statistical research of 20,000 files of sufferers taken care of for acute dental accidents over 25 years, and effects from a hundred experimental reviews.
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Additional resources for Essentials of Traumatic Injuries to the Teeth: A Step-by-Step Treatment Guide (2nd Edition)
Sample text
Restoration The tooth has been restored using a composite resin and a dentin bonding agent. (Courtesy of Dr. M. Cvek, Eastman Dental Institute, Stockholm). 41 CROWN FRACTURE General prognosis The prognosis of crown fractures appears to depend primarily upon the presence of associated periodontal ligament injury and secondarily upon the extent of dentin exposed and the age of the pulp exposure (see Figs. 17). Fig. 14. Pulpal healing after uncomplicated crown fiactures in teeth with open apices according to type of luxation injury (after Andreasen & Andreasen 1989).
Compressing the amputation material The material is compressed slightly using a cotton pellet. Thereafter, the entry site is covered with hard-setting calcium hydroxide cement. Restoration The tooth has been restored using a composite resin and a dentin bonding agent. (Courtesy of Dr. M. Cvek, Eastman Dental Institute, Stockholm). 41 CROWN FRACTURE General prognosis The prognosis of crown fractures appears to depend primarily upon the presence of associated periodontal ligament injury and secondarily upon the extent of dentin exposed and the age of the pulp exposure (see Figs.
Dentinal coverage can include dentin bonded composites, glass ionomer cements or bonding of a crown fragment. Lately veneers have succesfully been used to restore crown fractured teeth. e. by the formation of a calcified bridge) under the following circumstances: CHAPTER 2 - No inflammation prior to trauma. Intact vascular supply after trauma. Two treatment options exist: - Pulp capping. - Partial pulpotomy. e. more than 24 h). - Large exposures (limit not established). - Reduced vascularity due to a concomitant luxation injury.