Specialty Registrar in Restorative Dentistry, Royal National ENT and Eastman Dental Hospitals, UK.
Consultant in Restorative Dentistry, Cambridge University Hospitals, UK.
Br Dent J. 2024 Jul;237(2):95-105. doi: 10.1038/s41415-024-7641-z. Epub 2024 Jul 26.
Dental trauma is one of the most common injuries encountered in the younger population. This can have a long-term impact on the patient's overall quality of life as they may have to deal with the sequelae of these injuries for years to come. Young boys experience dental trauma more frequently than young girls and one of the most common outcomes of these injuries are fractured teeth. This first paper in a two-part review series aims to provide an overview of dental trauma followed by a discussion on management of fractured teeth, associated pulpal complications and resorption. These can be uncomplicated fractures involving enamel and/or dentine, or complicated fractures involving enamel, dentine and pulp. They can involve the crown, the crown and root together, or present solely as root fractures. Pulpal complications can lead to pulp necrosis or pulp canal obliteration. Resorption can be internal or external, inflammatory, or replacement type. The management of each of these injuries begins with a thorough assessment followed by initiating emergency treatment to stabilise the presenting condition. This is followed by a long-term treatment plan which aims to address the patients' aesthetic and functional requirements and provide the patient with the most suitable treatment outcome in the hope to improve their sense of wellbeing and overall quality of life.
牙科外伤是儿童群体中最常见的损伤之一。这可能会对患者的整体生活质量产生长期影响，因为他们可能需要在未来几年内应对这些损伤的后果。男童比女童更容易发生牙科外伤，这些损伤的最常见后果之一是牙齿折断。这是两部分综述系列中的第一篇论文，旨在概述牙科外伤，随后讨论牙齿折断的管理、相关牙髓并发症和吸收。这些可以是涉及釉质和/或牙本质的简单骨折，也可以是涉及釉质、牙本质和牙髓的复杂骨折。它们可以涉及牙冠、牙冠和牙根一起，或者仅表现为牙根骨折。牙髓并发症可导致牙髓坏死或牙髓管闭塞。吸收可以是内吸收、外吸收、炎症性或替代性。这些损伤的每种处理方法都始于彻底评估，然后开始紧急治疗以稳定现有情况。随后制定长期治疗计划，旨在满足患者的美学和功能需求，并为患者提供最合适的治疗效果，希望能改善他们的幸福感和整体生活质量。
