The endodontic management of traumatized permanent anterior teeth: a review

Abstract

Despite the many journal articles and reviews that have been published regarding the treatment of trauma to teeth, the endodontic management of these injuries is often still not fully understood. The purpose of this review is to establish clear and up-todate guidelines for practitioners who are faced with treating dental injuries on a day-to-day basis, based on an assessment of current available scientific information relating to the endodontic management of these injuries. Treatment is discussed under the headings: infractions, uncomplicated crown fractures, complicated crown fractures, crown-root fractures, root fractures, luxation injuries, avulsion, root resorption, pulp canal obliteration and open-apex teeth. Emphasis is placed on the treatment of traumatized immature teeth where maintenance of pulp blood supply is important to encourage continued development of the root system. Only the treatment of traumatized permanent anterior teeth is reviewed. Information contained in this article is based on a review of the literature on dental trauma which involved a MEDLINE search using the key words "dental trauma" and the individual topics listed above. The guidelines produced by the International Association of Dental Traumatology, the American Academy of Pediatric Dentistry and the American Association of Endodontists were also reviewed and the recommendations contained in this paper are in concert with the major recommendations of these bodies.

Effect of Unintentional Periapical Extrusion of Metapex in Immature Teeth- A Case Report

“…Continued root development, apical doming, in-growth of bone and aberrant root formation have all been reported. Repair appears to be more related to the creation of an environment conducive to repair rather than type of medicament used [1].…”

“…Continued root development, apical doming, in-growth of bone and aberrant root formation have all been reported. Repair appears to be more related to the creation of an environment conducive to repair rather than type of medicament used [1].Apexification is the treatment of choice after confirmation of pulpal necrosis in immature permanent teeth. Although a variety of materials have been proposed for induction of apical barrier formation, which include calcium hydroxide paste, calcium hydroxide powder mixed with different vehicles, tricalcium phosphate, collagen calcium phosphate, osteogenic protein-1, bone growth factor, oxidized cellulose, Mineral trioxide aggregate etc [2].…”

Consideraciones clínicas del tratamiento de ortodoncia en dientes con trauma dentoalveolar.

“…En la mayoría de los casos los traumas dentales afectan más de un diente, y por tanto una revisión integral de la zona afectada brinda un diagnóstico más acertado [18]. La odontología contemporánea debe abordar no sólo la prevención de enfermedades y de caries, sino también la prevención de traumatismos orales con el uso de protectores bucales y cascos, en el caso de los deportes de contacto.…”

Simple replantation protocol to avoid ankylosis in teeth intended for orthodontic treatment

“…The canal should be debrided, dressed with a corticosteroid/ antibiotic or Ca(OH) 2 paste for one to three months, after which time the canal can be obturated. 17 Intra oral endodontic is provided intra-orally only after splinting. 1,[10][11][12][13][14] Endodontic therapy involving obturation with guttapercha or the placement of Ca(OH) 2 dressings at the time of replantation delays periodontal healing and accelerates ankylosis (RR) in mature teeth.…”