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年轻恒牙复杂创伤性牙损伤的跨学科管理方法

Interdisciplinary Approach to Managing Complex Traumatic Dental Injuries in the Young Permanent Dentition.

作者信息

Gorp Gertrude Van, EzEldeen Mostafa

机构信息

Department of Oral Health Sciences, KU Leuven and Pediatric Dentistry and Special Dental Care, University Hospitals Leuven, Leuven, Belgium.

Department of Imaging and Pathology, OMFS-IMPATH Research Group, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.

出版信息

Dent Traumatol. 2025 Feb;41 Suppl 1:27-37. doi: 10.1111/edt.13023. Epub 2024 Nov 26.

Abstract

Traumatic dental injuries (TDIs) are a frequent challenge in pediatric dentistry, requiring a coordinated interdisciplinary approach for successful management. These injuries can affect various dental tissues and pose significant diagnostic and therapeutic challenges, particularly in young patients with developing dentition. This review aims to explore the complexities of managing TDIs in young permanent dentition, focusing on the role of orthodontics, endodontics, and other specialties in providing comprehensive care. We highlight the importance of interdisciplinary collaboration in achieving optimal functional and aesthetic outcomes, emphasizing the need for updated diagnostic tools and treatment protocols tailored to the growing child. Specific recommendations are provided for clinicians on integrating orthodontic and endodontic management in trauma cases, focusing on minimizing complications and ensuring long-term prognosis.

摘要

创伤性牙损伤(TDIs)是儿童牙科中常见的挑战,需要采取协调一致的多学科方法才能成功处理。这些损伤会影响各种牙体组织,并带来重大的诊断和治疗挑战,尤其是在牙列正在发育的年轻患者中。本综述旨在探讨年轻恒牙列中创伤性牙损伤处理的复杂性,重点关注正畸、牙髓病学和其他专科在提供全面治疗中的作用。我们强调多学科协作对于实现最佳功能和美学效果的重要性,强调需要有针对成长中儿童的更新诊断工具和治疗方案。为临床医生提供了关于在创伤病例中整合正畸和牙髓治疗管理的具体建议,重点是尽量减少并发症并确保长期预后。

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