Conservative approaches are preferred whenever possible.
Crown dilaceration
- Surgical exposure + orthodontic realignment.
- Removal of dilacerated part of crown.
- Temporary crown until root formation complete.
- Semi or permanent restoration.
Vestibular root angulation
Combined surgical and orthodontic realignment.
Other malformation
Extraction is usually the treatment of choice.
Disturbance in eruption
Surgical exposure + orthodontic realignment.
Injuries to supporting bone
Most fractures of the alveolar socket in primary dentition do not require splinting due
to rapid bony healing in small children. Jaw fractures are treated in the conventional
manner, although stabilization after reduction may be difficult due to lack of
sufficient adjacent teeth.
12.7 INJURIES TO THE PERMANENT DENTITION
12.7.0 Introduction
Most traumatized teeth can be treated successfully. Prompt and appropriate treatment
improves prognosis. The aims and principles of treatment can be broadly categorized
into:
- Emergency:
(a) retain vitality of fractured or displaced tooth;
(b) treat exposed pulp tissue;
(c) reduction and immobilization of displaced teeth;
(d) antiseptic mouthwash, +/- antibiotics and tetanus prophylaxis.
- Intermediate:
(a) + pulp therapy;
(b) minimally invasive crown restoration.