Betydningen av riktig akuttbehandling ved traumer i det permanente tannsettet
- Side: 111-128
- Publisert på Idunn: 2015-02-16
- Publisert: 2015-02-16
The importance of immediate treatment of traumatic injuries in permanent dentition – some examples to learn from
Traumatic injuries to permanent teeth are common. Correct emergency treatment may be decisive for the prognosis of the injured teeth. Adequate clinical and radiographic examinations are necessary to make correct diagnosis, which is the basis for choice of immediate treatment and the next follow-up. In this article, a systematic examination of the dental trauma patient in general and the emergency treatments of three types of injury, complicated crown fracture (enamel-dentin-pulp fracture), root fracture, and avulsion, are described. In case of complicated crown fracture, partial pulpotomy should be the first choice of treatment. Root fracture has good prognosis, and root canal treatment should only be performed in the coronal segment when there are signs of pulp necrosis. Handling of the avulsed tooth at the site of the accident and immediately after the avulsion is of utmost importance for the long-term prognosis. All dentists should be able to provide immediate treatment to a dental trauma patient. The follow-up to dental injuries requires both knowledge and skills.