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Original Research

Open Access

A biological conservative approach to complex traumatic dento-alveolar lesions

  • Enrico Spinas1,*,

1 c.so Vittorio Emanuele, 340, 09123 Cagliari, Italy.

DOI: 10.17796/jcpd.28.1.j43v728110388548 Vol.28,Issue 1,January 2004 pp.1-10

Published: 01 January 2004

*Corresponding Author(s): Enrico Spinas E-mail: enricospinas@tiscali.it

Abstract

Of all the kinds of traumatic dental injury, luxation injuries associated with crown-root fractures deserve special attention due to the particular need for complex multidisciplinary treatment. Clinical experience has demonstrated the need for repositioning of luxated teeth and treatment of crown-root fractures by orthodontic or surgical extrusion and completed with periodontal plastic surgery (gingivoplasty). In many cases the outcome is good conservation and excellent esthetic results. This approach cannot however, always be recommended, for example because of the age of the patient. For this reason, a different protocol is proposed that involves, in addition to orthodontic repositioning of the luxated teeth, (as is required to return teeth to the physiological position), the extrusion, restoration and subsequent re-intrusion to the natural position (without the need for further surgery) of those teeth involved with associated crown-root fractures. Two cases illustrate the use of this proposed technique. J Clin Pediatr Dent 28(1): 1-10, 2003

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Enrico Spinas. A biological conservative approach to complex traumatic dento-alveolar lesions. Journal of Clinical Pediatric Dentistry. 2004. 28(1);1-10.

References

1. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1: 235-9, 1972.

2. Flores MT, Andreasen JO, Bakland LK. IADT’s Guidelines for the evaluation and management of traumatic dental injuries, Dental Traumatology 1-5, 2001.

3. Caliskan MK, Turkun M, Gomel M. Surgical extrusion of crownroot fractured teeth: a clinical review. Int Endod J 32: 146-51, 1999.

4. Kahnberg KE. Surgical extrusion of root-fractured teetha follow up study of two surgical methods. Endod Dent Traumatol 4: 85-9, 1988.

5. Malmgren O, Malmgren B, Frakholm A. Rapid orthodontic extrusion of crown root and cervical root fractured teeth. Endod Dent Traumatol 2: 49-54, 1991.

6. Brown GL, Welburv RR. Root extrusion, a practical solution in complicated crown-root incisor fractures. Br Dent J 189: 477-8, 2000.

7. Delivanis PD, Delivanis HP. Esthetic solutions in orthodontic extrusion of compromised teeth. J Endod 5: 221-6, 1984.

8. Bakhmudov BR.The restoration of the anterior teeth with crown-root fractures. Stomatologiia (Mosk) 78: 34-6, 1999.

9. Tsukiboshi M. Il trattamento dei traumi dentali. Milano, Scien Tec Dent Ed Intern, 2000.

10. Pontoriero R et al. estrusione rapida con resezione delle fibre: trattamento ortodontico-parodontale combinato, Rivista Internazionale di Parodontologia e Odontoiatria ricostruttiva 5: 31-43, 1987.

11. Dietschi D. Free hand composite resin restorations: a key to anterior aestetics. Prac periodontics Aestet Dent 7: 15-27, 1995.

12. Farik B, Munksgaard EC. Fracture strength of intact and fragment-bonded teeth at various velocities of the applied force. Eur J Oral Sci 107: 70-3, 1999.

13. Andreasen JO, Andreasen FM, editors. Textbook and color atlas of traumatic Injuries to the teeth. 3rd ed. Copenhagen, Munksgaard, 1994.

14. Von Arx T, Filippi A, Lussi A. Comparison of a new dental trauma splint device (TTS) with three commonly used splinting techniques. Dent Traumatol 17: 266-274, 2001.

15. Melsen B,Agerbaek N, Eriksen J,Terp S. New attachment trough periodontal treatment and orthodontic intrusion. Am J Orthod Dentofacial Orthop 94: 104-106, 1988.

16. Robertson A, Andreasen FM, Andreasen JO, Noren JG. Long term prognosis of crown-fractured permanent incisors.The effect of stage of root development and associated luxation injuriy. Int J Paediatric Dent 10: 191-9, 2000.

17. Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol 118: 103, 2002.

18. Andreasen JO, Andreasen FM, Skeie A, Hjortig-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries-a review article. Dent Traumatol 118: 116-128, 2002.

19. Goldstein RE, Garber DA. Complete Dental Bleaching. Chicago: Quintessence, 1995.

20. Spinas E, Altana M. A new classification for crown fractures of teeth. J Clin Ped Dent 26: 225-232, 2002.

21. Ingberg JS, Rose LF, Coslet JG. The biologic width: A concept in periodontics and restorative dentistry.Alpha Omega 70: 62-65, 1977.

22. Robertson A, Robertson S, Noren JG.A retrospective evaluation of traumatized permanent teeth. Int J Paediatr Dent 7: 217-26, 1997.

23. Zachrisson BU. Jacobson I. Response to orthodontic movement of anterior teeth with root fractures. Trans Eur Orthod Soc 207-14, 1974.

24. Melsen B. Periodontal response to orthodontic treatment. J Parodontol 18: 207-13, 1989.

25. Tronstad L. Root resorption- etiology terminology and clinical manifestation. Endod Dent Traumatol 4: 241-252, 1988.

26. Andreasen JO, Andreasen FM. Luxation Injuries. In: Andreasen JO, Andreasen FM. editors. TextBook and color atlas of traumatic Injuries to the teeth. 3rd ed. Copenhagen: Munksgaard, p. 315-78, 1994.

27. Kurol J. Owman-Moll P. Lundgren D. Time-related root resorption after application of a controlled continuous orthodontic force. Am J Orthod Dentofacial Orthop 10: 303-10, 1996.

28. Owman-Moll P. Kurol J. Lundgren D. Continuous versus interrupted continuous orthodontic force related to early tooth movement and root resorption. Angle Orthod 65: 395-401; discussion 401-2, 1995.

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