By J.O. Andreasen, F.M. Andreasen(auth.)
It is a with ease obtainable, absolutely illustrated advisor to the preliminary therapy of acute dental accidents. The clinician is guided in the course of the preliminary exam of the traumatized sufferer to the layout of a rational, individualized therapy plan. This process is geared toward minimizing the chance of long term issues and, thereby, assuaging the uncertainty of the way forward for the the traumatized dentition either for the sufferer, dentist and for different involved members. the cloth is drawn from medical investigations, statistical research of 20,000 documents of sufferers handled for acute dental accidents over 25 years, and effects from a hundred experimental reports.
Chapter 1 exam of the Traumatized sufferer, Wound therapeutic and remedy rules (pages 9–20):
Chapter 2 Crown Fracture (pages 21–45):
Chapter three Crown?Root Fracture (pages 47–61):
Chapter four Root Fracture (pages 63–75):
Chapter five Concussion and Subluxation (pages 77–84):
Chapter 6 Extrusion and Lateral Luxation (pages 85–101):
Chapter 7 Intrusion (pages 103–112):
Chapter eight Avulsion damage (pages 113–132):
Chapter nine Fractures of the Alveolar strategy (pages 139–140):
Chapter 10 accidents to the first Dentition (pages 141–154):
Chapter eleven smooth Tissue accidents (pages 155–172):
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Additional resources for Essentials of Traumatic Injuries to the Teeth: A Step-by-Step Treatment Guide, Second Edition
Courtesy of Dr. M. Cvek, Eastman Dental Institute, Stockholm). 38 CHAPTER 2 Fig. 12. Treatment of a complicated crown fracture by pulpotomy and subsequent bonding of the crown fragment This 9-year-old boy has suffered a dental trauma 1 day previously. Note the good vascularity of the exposed pulp. e. Calasepf) and a glass ionomer cement as a cover. Testing the fit of the fragment The fragment is tried in to ensure that the cover over the pulpotomy does not prevent correct repositioning of the fragment.
Polymerization of the palatal aspect of the f i a c w e Removal of surplus composite With a straight scalpel blade or composite finishing h i v e surplus composite is removed from the fracture site. The interproxima1 bonding area are finished with finishing strips. 33 CROWN FRACTURE Reinforcing the fracture site. A round diamond bur is used to create a “double chamfer” margin l mm coronally and apically to the fracture line. To achieve optimal esthetics, the chamfer follows an undulating path along the fracture line.
This is easily achieved by splinting the mobile fragment to adjacent teeth using acid etch and temporary crown and bridge resin or glass ionomer cement. Once this is done, the patient can be dismissed, to return at a later date for definitive therapy. At the initial visit, pulpal therapy is usually not indicated, as pulpal vascularity apical to the fracture line is usually intact and capable of combating infection. 50 CHAPTER 3 Removal of the coronal fragment with subsequent restoration above gingival level Treatment principle.