Prognosis
No prognosis estimate is available as no primary teeth were replanted following avulsion.
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Diagnosis
Description Displacement of the tooth into the alveolar bone. This injury is accompanied by comminution or fracture of the alveolar socket. The tooth can be impinging upon the permanent tooth germ. Visual signs The tooth is displaced axially into the alveolar bone and frequently penetrating the labial bone plate where it can be palpated. The
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Treatment
Video treatment guidelines are currently being updated. Please see the text below for latest guidelines (2020). Click here to go back to treatment choice. Localization of fracture line Periapical, occlusal and 2 eccentric exposures. An occlusal exposure is optimal for locating root fractures in the apical and middle third. Bisecting angle exposure or 90o angulation
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References
Fouad AF, Abbott PV, Tsilingaridis G, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-342. Andreasen JO, Bakland LK , Flores MT, Andreasen FM, Andersson L. Avulsion. Traumatic Dental Injuries. A Manual. Oxford: Wiley Blackwell Publishing Company. 2011, 48-53. Andreasen JO ,Tsilingaridis.
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Treatment
For guidelines on which film to follow, see treatment information below. Open apex Closed apex Avulsion – first aid for avulsed teeth Dentists should always be prepared to give appropriate advice to the public about first aid for avulsed teeth. An avulsed permanent tooth is one of the few real emergency situations in dentistry.
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Etiology
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Evidence based dental trauma treatment
The Dental Trauma Guide A source of evidence based treatment guidelines for dental trauma INTRODUCTION Dental traumatology, the evidence problem Dental trauma cases often result in a treatment sequence that involves both general dentists and many specialists. Optimal treatment relies upon the expertise of a broad spectrum of dental specialists such as oral and maxillofacial surgeons, pediatric dentists, endodontists, orthodontists, prosthodontists and periodontists. The primary urgent care is frequently provided by the oral and maxillofacial surgeon or the pediatric dentist in a hospital emergency department setting. Subsequently the patient may be referred to a general dentist or an endodontist for
History
History of the Dental Trauma Guide In 1962 an important decision was made at the Trauma Center, Department of Oral and Maxillofacial Surgery at the University Hospital of Copenhagen: A periodic follow-up record would be made of all patients treated for traumatic dental and maxillofacial injuries. At that time the department had the sole responsibility for treatment of traumatic dental injuries in the eastern part of Denmark with a population of close to two million inhabitants. The treatment principles followed at the time were based on the 1960 textbook “The Classification and Treatment of Traumatic Dental Injuries”, by R.G. Ellis
Permanent Teeth
Traumatic dental injuries to permanent teeth Access the International Association of Dental Traumatology (IADT) guidelines for treatment of traumatic dental injuries HERE. Or use the Dental Trauma Guide to become fully updated on treatment and prognosis while your patient is waiting in the chair. Correct treatment and follow-up may be crucial for the survival of
Primary Teeth
Traumatic dental injuries to primary teeth Access the International Association of Dental Traumatology (IADT) guidelines for treatment of traumatic dental injuries HERE. Or use the Dental Trauma Guide to become fully updated on treatment and prognosis while your patient is waiting in the chair. Management of traumatic dental injuries in children is distressing for both