The traumas dentalit is They can affect any age, but especially in childhood ages or the practice of sports are the ones that have the most traumatic dental emergencies.
The blows in the area of the oral cavity usually cause problems in the soft tissues and sometimes also affect the teeth.
It is important to differentiate trauma in primary teeth, the most common age being between 2 and 3 years, and in primary teeth, where between 9 and 12 years there is an increase in traumatic dental emergencies. Whatever the dentition, it is important to act as quickly as possible to avoid possible subsequent complications and to carry out a clinical and radiological examination.
What to do when faced with dental trauma?
In primary dentition, most injuries affect the upper central incisors. Trauma to a temporary tooth can cause alterations in the development of permanent teeth, so the management of these injuries is essential for a good subsequent development of permanent teeth.
If after a trauma in the child, the tooth turns dark, the attitude to take is expectation, that is, to control clinically and radiologically the evolution of the tooth. If the tooth is displaced, if possible, the treatment will be the replacement of the tooth, but rather its extraction and the placement of a space maintainer so as not to lose space for the definitive tooth. If the tooth or temporary incisor is fractured, the most appropriate therapeutic option is to restore it to maintain the vitality, function and aesthetics of that tooth. Finally, if there is a complete avulsion of the primary tooth, it should never be reimplanted so as not to damage the permanent one.
Trauma in permanent teeth is usually caused by contact sports, road accidents or falls. The most affected teeth are usually the upper central incisors.
In the event of a permanent dentition trauma, if there is a tooth fracture, the goal of treatment is to maintain pulp vitality and restore the tooth to restore functionality and aesthetics. If there is a dislocation, the treatment is always characterized by: repositioning the dislocated tooth, especially if there has been an extrusion, its immobilization, through Braceing, and a subsequent clinical and radiological control every certain time.
The final success of the treatment for an avulsion in a permanent tooth is determined by the time the tooth spends outside the socket. The prognosis is usually good if it is reimplanted immediately, if it is not possible it is important to transport and maintain the tooth with milk or saliva to maintain the vitality of the periodontal fibers.
