Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth.pdf
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Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth
Guidelines
Guidelines for the management of traumatic
dental injuries. II. Avulsion of permanent teeth
Trauma to the oral region occurs frequently and
comprise 5% of all injuries for which people seek
treatment (1, 2). In preschool children the figure is
as high as 18% of all injuries (1, 2). Among all
facial injuries, dental injuries are the most common
(2) of which avulsions occur in 1–16% of all dental
injuries (1, 3). Avulsion of permanent teeth is the
most serious of all dental injuries. The prognosis
depends on the measures taken at the place of
accident or the time immediately after the avul-
sion. Replantation is the treatment of choice, but
cannot always be carried out immediately.
Furthermore, replantation should not be per-
formed when primary teeth have been avulsed
because of the risk of injury to the underlying
permanent tooth germ (1).
An appropriate treatment plan after an injury is
important for a good prognosis. Guidelines are
useful for dentists and other healthcare profession-
als in delivering the best care possible in an
efficient manner. The International Association of
Dental Traumatology (IADT) has developed a
consensus statement after a review of the dental
literature and group discussions. The first set of
Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B,
Barnett F, Bourguignon C, DiAngelis A, Hicks L, Sigurdsson A,
TropeM,TsukiboshiM, vonArxT.Guidelines for themanagement
of traumatic dental injuries. II. Avulsion of Permanent Teeth.
Abstract – Avulsion of permanent teeth is the most serious of all
dental injuries. The prognosis depends on the measures taken at
the place of accident or the time immediately after the avulsion.
Replantation is the treatment of choice, but cannot always be
carried out immediately. An appropriate emergency management
and treatment plan is important for a good prognosis. Guidelines
are useful for delivering the best care possible in an efficient
manner. The International Association of Dental Trauma
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