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Taking the trauma out of trauma: an easy to follow guide for the management of trauma to the permanent dentition

From Volume 40, Issue 8, October 2013 | Pages 643-658

Authors

Ian White

BChD MFDS, GDP

Oakdene Dental Practice, 9 Long Lane, Holbury, Hants SO45 2LF, UK

Articles by Ian White

Gareth Spiers

BChD MJDF

GDP at Woods Dental Practice, 98 Huddersfield Road, Mirfield, West Yorkshire, WF18 4AF, UK

Articles by Gareth Spiers

Abstract

Treatment of dental trauma can be an infrequent, unpredictable and stressful experience for a dental practitioner. Correct diagnosis and management of such cases is of primary importance in the prognosis of the affected dentition. We have therefore constructed a number of easy to follow algorithms in management, both short and long term, for the range of traumatic injuries that can affect the permanent dentition.

Clinical Relevance: Immediate as well as longer term management of dental trauma cases can be difficult, therefore a clear treatment plan is of great importance in successful results.

Article

Treatment of dental trauma can be an infrequent, unpredictable and stressful experience for the general dental practitioner. The presenting patient is often distressed, in pain and can arrive at any point during the day, making management of such cases particularly challenging.

Correct diagnosis and treatment of dental trauma injuries is of primary importance in the prognosis of the affected dentition.1 The purpose of this article is to condense neatly the short- and longer-term treatment options and needs for varying types of trauma to the permanent dentition. It does this by creating easy to follow algorithms that can be used as an aid when constructing a treatment plan, thus appropriate management can be taken, improving the prognosis of the affected teeth. However, each case should be assessed individually. Treatment plans should be constructed taking into account the patient's wishes after discussing the pros and cons of the different treatment options.

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