McTigue Dennis J
Division of Pediatric Dentistry, Ohio State University College of Dentistry, 305 W. 12th Avenue, Columbus, OH 43210, USA.
Dent Clin North Am. 2009 Oct;53(4):627-38, v. doi: 10.1016/j.cden.2009.07.002.
This article overviews the diagnosis and management of traumatic injuries to primary teeth. The child's age, ability to cooperate for treatment, and the potential for collateral damage to developing permanent teeth can complicate the management of these injuries. The etiology of these injuries is reviewed including the disturbing role of child abuse. Serious medical complications including head injury, cervical spine injury, and tetanus are discussed. Diagnostic methods and the rationale for treatment of luxation injuries, crown, and crown/root fractures are included. Treatment priorities should include adequate pain control, safe management of the child's behavior, and protection of the developing permanent teeth.
本文概述了乳牙创伤性损伤的诊断与处理。儿童的年龄、配合治疗的能力以及对正在发育的恒牙可能造成的附带损害，会使这些损伤的处理变得复杂。本文回顾了这些损伤的病因，包括虐待儿童所起的不良作用。讨论了包括头部损伤、颈椎损伤和破伤风在内的严重医学并发症。还介绍了脱位性损伤、牙冠和牙冠/牙根骨折的诊断方法及治疗依据。治疗重点应包括充分控制疼痛、安全管理儿童行为以及保护正在发育的恒牙。
