Abstract
Traumatic dental injuries can often result in immediate complications in the form of tooth fracture and mobility, as well as later complications in the form of pulp necrosis and root resorption. Proper diagnosis and management of traumatic injuries is key for the long-term survivability of the tooth. It also provides the patients with the expected outcome and possible needs for intervention in the future. In this chapter, we go through the different types of traumatic injuries that can be encountered in the dental practice, the best management approaches, and how to utilize CBCT to better improve the diagnosis and treatment planning.
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References
Scarfe WC, Levin MD, Gane D, Farman AG. Use of cone beam computed tomography in endodontics. Int J Dent. 2009;2009:634567.
AAE and AAOMR Joint Position Statement. Use of cone beam computed tomography in endodontics 2015 update. J Endod. 2015;41:1393–6.
Berude JA, Hicks ML, Sauber JJ, Li SH. Resorption after physiological and rigid splinting of replanted permanent incisors in monkeys. J Endod. 1988;14:592–600.
Patel K, Mannocci F, Patel S. The assessment and management of external cervical resorption with periapical radiographs and cone-beam computed tomography: a clinical study. J Endod. 2016;42:1435–40.
Aggarwal V, Logani A, Shah N. Complicated crown fractures–management and treatment options. Int Endod J. 2009;42:740–53.
Donnelly A, Foschi F, McCabe P, Duncan HF. Pulpotomy for treatment of complicated crown fractures in permanent teeth: a systematic review. Int Endod J. 2022;55:290–311.
Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation, vol. 20. Dent Traumatol; 2004. p. 192–202.
Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol. 2004;20:203–11.
Cvek M, Mejare I, Andreasen JO. Conservative endodontic treatment of teeth fractured in the middle or apical part of the root. Dent Traumatol. 2004;20:261–9.
Cvek M, Andreasen JO, Borum MK. Healing of 208 intra-alveolar root fractures in patients aged 7-17 years. Dent Traumatol. 2001;17:53–62.
Holcomb JB, Gregory WB Jr. Calcific metamorphosis of the pulp: its incidence and treatment. Oral Surg Oral Med Oral Pathol. 1967;24:825–30.
Andreasen FM, Pedersen BV. Prognosis of luxated permanent teeth–the development of pulp necrosis. Endod Dent Traumatol. 1985;1:207–20.
Bastos JV, Goulart EM, de Souza Cortes MI. Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth. Dent Traumatol. 2014;30:188–92.
Ahn SY, Kim D, Park SH. Long-term prognosis of pulpal status of traumatized teeth exhibiting contradictory results between pulp sensibility test and ultrasound Doppler Flowmetry: a retrospective study. J Endod. 2018;44:395–404.
Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. Guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Pediatr Dent. 2017;39:401–11.
Tsilingaridis G, Malmgren B, Andreasen JO, Wigen TI, Maseng Aas AL, Malmgren O. Scandinavian multicenter study on the treatment of 168 patients with 230 intruded permanent teeth–a retrospective cohort study. Dent Traumatol. 2016;32:353–60.
Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 2. A clinical study of the effect of preinjury and injury factors, such as sex, age, stage of root development, tooth location, and extent of injury including number of intruded teeth on 140 intruded permanent teeth. Dent Traumatol. 2006;22:90–8.
Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth. Dent Traumatol. 2006;22:99–111.
Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 1. Diagnosis of healing complications. Endod Dent Traumatol. 1995;11:51–8.
Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 2. Factors related to pulpal healing. Endod Dent Traumatol. 1995;11:59–68.
Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol. 1995;11:76–89.
Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36:331–42.
Udoye CI, Jafarzadeh H, Abbott PV. Transport media for avulsed teeth: a review. Aust Endod J. 2012;38:129–36.
Souza BDM, Dutra KL, Kuntze MM, Bortoluzzi EA, Flores-Mir C, Reyes-Carmona J, et al. Incidence of root resorption after the replantation of avulsed teeth: a meta-analysis. J Endod. 2018;44:1216–27.
Iqbal MK, Bamaas N. Effect of enamel matrix derivative (EMDOGAIN) upon periodontal healing after replantation of permanent incisors in beagle dogs. Dent Traumatol. 2001;17:36–45.
Shulman LB, Gedalia I, Feingold RM. Fluoride concentration in root surfaces and alveolar bone of fluoride-immersed monkey incisors three weeks after replantation. J Dent Res. 1973;52:1314–6.
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Azim, A.A. (2023). Utilization of Cone Beam Computed Tomography in Diagnosis and Treatment of Traumatic Injuries. In: Fayad, M.I., Johnson, B.R. (eds) 3D Imaging in Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-031-32755-1_10
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