Paediatric Dentistry, Department of preventive dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Dent Traumatol. 2010 Dec;26(6):509-11. doi: 10.1111/j.1600-9657.2010.00925.x. Epub 2010 Sep 30.
Traumatic dental injuries (TDIs) represent one of the main oral health problems in children, with variable prevalence rates. The issue of unmet treatment needs and inadequate emergency management of TDIs have surfaced up lately in dental literature, indicating that some TDIs present late for treatment, which may complicate management of these injuries. Soft tissue injuries usually accompany other dental injuries therefore thorough clinical and radiographic inspection of soft tissue wounds can not be over emphasized, even in late presentation cases. Tooth fragments may be embedded in soft tissues, even in late presentation cases, and may go unnoticed in the presence of urgent situations. This case report presents a child with a fractured tooth fragment embedded in the lower lip for 18 months, which went unnoticed until the child presented later for treatment of the fractured incisor, highlighting the importance of soft tissue exploration even in late presentation trauma cases.
创伤性牙外伤（TDI）是儿童口腔健康的主要问题之一，其患病率存在差异。最近在牙科文献中出现了未满足的治疗需求和 TDI 处理不当的问题，表明一些 TDI 就诊时间较晚，这可能使这些损伤的处理复杂化。软组织损伤通常伴随其他牙齿损伤，因此，即使在晚期就诊病例中，也不能过分强调对软组织伤口的彻底临床和放射学检查。即使在紧急情况下，牙碎片也可能嵌入软组织中，而且可能会被忽略。本病例报告介绍了一个儿童，其牙折碎片嵌入下唇长达 18 个月，直到儿童后来因折断的切牙就诊时才被发现，这突出了即使在晚期创伤病例中，也需要进行软组织探查的重要性。
