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Traumatic Injuries in the Young Permanent Dentition

Traumatic Injuries in the Young Permanent Dentition. Maha AL-Sarheed. Introduction. Managing of trauma in children should cover the following: Etiology and Epidemiology Classification of traumatic injury Medical and dental history Clinical and radiographic examinations

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Traumatic Injuries in the Young Permanent Dentition

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  1. Traumatic Injuries in the Young Permanent Dentition Maha AL-Sarheed

  2. Introduction • Managing of trauma in children should cover the following: • Etiology and Epidemiology • Classification of traumatic injury • Medical and dental history • Clinical and radiographic examinations • Common reactions of teeth to trauma

  3. Etiology and Epidemiology of Trauma in the Young Permanent Dentition 1. Etiology • Falls during playing • Contact sport • Automobile accidents • Children with seizure disorders 2. Epidemiology • Crown fracture are more common • Maxillary incisor most common injured

  4. Classification of injuries to Young Permanent Teeth • Injuries to Hard Tissue Crown Fracture Root Fracture • Injuries to Periodontal Tissue

  5. MANAGEMENT1. History • Medical-dental history general information Seizure disorder, central nervous system status of tetanus prophylaxis • History of dental injury How, when and where Symptoms such as pain, bleeding and other injuries in the body

  6. 2.Clinical Examination • Extra-oral examination • Intra-oral examination- vitality test • Radiographic examination

  7. 3.Treatment of Traumatic Injuries to the Permanent Dentition Crown Fractures Root Fractures Luxation Injuries

  8. Criteria For Success • Completion of root development in immature teeth • Absence of clinical sign or symptoms • Absence of any radiographic sign of pathologic process

  9. Pathologic Sequelae of Traumatized Teeth • Reversible pulpitis • Irreversible pulpitis • Pulpal hemorrhage • Pulp canal obliteration • Pulpal necrosis • Inflammatory resorption • Replacement resorption

  10. Managing Sequelae to Dental Trauma

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