Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Dental surgeon, Ontario, Canada.
Int Dent J. 2023 Jun;73(3):337-345. doi: 10.1016/j.identj.2023.01.005. Epub 2023 Feb 18.
The aim of this review was to discuss traumatic dental injuries in view of their treatment implications to provide an evidence-based resource for clinicians when planning treatment for traumatised immature maxillary incisors. Dental trauma to immature maxillary incisors can result in various complications, such as critical fractures, resorptions, or ankylosis, and might lead to tooth loss. Traumatised teeth may exhibit various unaesthetic discolourations as a result of different dental trauma sequelae or materials used for treatment. All of the above can influence patients' social experience, including self-esteem, confidence, eating and speaking abilities, as well as proper development and growth of the jaw bones. Treatment of traumatised immature incisors should focus not only on the acute phase but on the long-term consequences. Any time gained with the tooth in the jaw bone, free of infection, is an achievement, as it allows normal growth and development. All these aspects are discussed in this narrative review, and an evidence-based summary resource is suggested for clinicians to use when planning treatment for traumatised immature maxillary incisors.
本文旨在探讨外伤性牙损伤及其治疗意义,为临床医生治疗外伤性未成熟上颌切牙提供循证资源。未成熟上颌切牙的牙外伤可导致各种并发症,如临界骨折、吸收或骨粘连,并可能导致牙齿丧失。外伤性牙齿可能会因不同的牙外伤后遗症或治疗中使用的材料而呈现出各种不美观的变色。所有这些都会影响患者的社交体验,包括自尊心、自信心、进食和说话能力,以及颌骨的正常发育和生长。外伤性未成熟切牙的治疗不仅应着眼于急性期,还应着眼于长期后果。只要牙齿在颌骨中没有感染,就可以获得时间,这是一种成就,因为它允许正常的生长和发育。本文对所有这些方面进行了讨论,并为临床医生在治疗外伤性未成熟上颌切牙时提供了循证总结资源。