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牙外伤并发症的管理

Management of Complications in Dental Traumatology.

作者信息

de Gregorio Cesar, Tewari Nitesh

机构信息

Department of Endodontics, King Juan Carlos University, Madrid, Spain.

Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Dent Traumatol. 2025 Feb;41 Suppl 1:64-71. doi: 10.1111/edt.13018. Epub 2024 Nov 22.

Abstract

Management of traumatic dental injuries is often challenging due to the complexity in diagnosis, concomitant injuries, and the interdisciplinary treatment planning. As a result, the clinicians are often confused and not confident over important treatment decisions. The guidelines of International Association of Dental Traumatology have improved the standard of dental trauma care globally and provide a roadmap for predictable prognosis. However, there are unique situations that require additional investigations such as the Cone Beam Computed Tomography and customized treatment and follow up protocol. An essential requisite for prevention of adverse late complications of dental injuries is clear understanding of their etiopathogenesis and the changes that occur after an injury. Additionally, it is prudent to understand the basic physiology behind the healing that is expected after a treatment protocol. This review presents the science behind the development of late complications of dental injuries and their management protocols in a simplified and clinical manner. An attempt has been made to highlight the clinical paradigms and decisions that reduce the chances of failures in traumatized teeth.

摘要

由于诊断的复杂性、伴发损伤以及跨学科治疗计划,创伤性牙损伤的管理往往具有挑战性。因此,临床医生在做出重要治疗决策时常常感到困惑且缺乏信心。国际牙外伤协会的指南提高了全球牙外伤治疗的标准,并为可预测的预后提供了路线图。然而,存在一些特殊情况需要额外的检查,如锥形束计算机断层扫描以及定制的治疗和随访方案。预防牙损伤不良晚期并发症的一个基本要求是清楚了解其病因发病机制以及损伤后发生的变化。此外,了解治疗方案后预期愈合背后的基本生理机制是明智的。本综述以简化的临床方式介绍了牙损伤晚期并发症发生发展的科学原理及其管理方案。已尝试突出那些可减少创伤牙治疗失败几率的临床范例和决策。

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