From Volume 45, Issue 2, February 2018 | Pages 130-134
Traumatic injuries to teeth are commonplace and can result in significant morbidity and aesthetic disfigurement. If the patient has not reached maturity at the time of the injury, efforts should be made to delay the provision of definitive indirect restorations until adulthood and the orofacial development is completed.
Five per cent of all injuries for which treatment is sought are related to dental trauma in children and young adults.1 In a 12-year literature review, undertaken in 2008, it was shown that 25% of all school children experience dental trauma and that 33% of adults have suffered damage to the permanent dentition, the majority of which occurred before reaching 19 years old.2 In the primary dentition, the most common injuries are luxation injuries, whereas crown fractures predominate in the permanent dentition.1
This paper describes the treatment and care offered, over a period of almost ten years, to a 16-year-old young man who suffered a traumatic dental injury to his upper left central incisor. A minimally invasive approach to dental treatment is just as appropriate when dealing with trauma cases as when dealing with ‘routine’ restorative dental care and the approach taken in this case was to minimize the amount of initial treatment needed and to preserve as much natural tissue as possible.
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