Bourguignon Cecilia, Cohenca Nestor, Lauridsen Eva, Flores Marie Therese, O'Connell Anne C, Day Peter F, Tsilingaridis Georgios, Abbott Paul V, Fouad Ashraf F, Hicks Lamar, Andreasen Jens Ove, Cehreli Zafer C, Harlamb Stephen, Kahler Bill, Oginni Adeleke, Semper Marc, Levin Liran
Specialist Private Practice, Paris, France.
Department of Pediatric Dentistry, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.
Dent Traumatol. 2020 Aug;36(4):314-330. doi: 10.1111/edt.12578. Epub 2020 Jul 17.
Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations of these teeth are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning, and follow up are important for achieving a favorable outcome. Guidelines should assist dentists and patients in decision making and in providing the best care possible, both effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed these Guidelines as a consensus statement after a comprehensive review of the dental literature and working group discussions. Experienced researchers and clinicians from various specialties and the general dentistry community were included in the working group. In cases where the published data did not appear conclusive, recommendations were based on the consensus opinions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. These Guidelines represent the best current evidence based on literature search and expert opinion. The primary goal of these Guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines cover the management of fractures and luxations of permanent teeth. The IADT does not, and cannot, guarantee favorable outcomes from adherence to the Guidelines. However, the IADT believes that their application can maximize the probability of favorable outcomes.
恒牙创伤性牙损伤（TDIs）在儿童和年轻人中频繁发生。这些牙齿的冠折和牙脱位是所有牙损伤中最常见的。正确的诊断、治疗计划和随访对于获得良好的治疗效果很重要。指南应协助牙医和患者进行决策，并有效且高效地提供尽可能最佳的护理。国际牙外伤协会（IADT）在对牙科文献进行全面综述并经工作组讨论后，制定了这些指南作为共识声明。来自各个专业领域和普通牙科界的经验丰富的研究人员和临床医生都被纳入了工作组。在已发表的数据不明确的情况下，建议基于工作组的共识意见。然后，这些建议由IADT董事会成员进行审查和批准。这些指南代表了基于文献检索和专家意见的当前最佳证据。这些指南的主要目标是描绘一种针对TDIs即时或紧急护理的方法。在这第一篇文章中，IADT指南涵盖了恒牙冠折和牙脱位的处理。IADT并不也无法保证遵循这些指南就能获得良好的治疗效果。然而，IADT认为应用这些指南可以最大限度地提高获得良好治疗效果的可能性。
