牙外伤 （NXPowerLite）课件.pptVIP

Traumatic Dental Injuries ZHU Qi Wuhan University School of Stomatology Classification for Injuries to the Oral Structure ——WHO Examination Ⅱ Examination Ⅲ ENAMEL FRACTURE or CROWN INFRACTION CROWN FRACTURE without PULP INVOLVEMENT or CROWN FRACTURE with PULP INVOLVEMENT or CROWN ROOT FRACTURE ROOT FRACTURE LUXATION INJURY LUXATION INJURY AVULSION Selected Clinical Procedures Reference Andreasen JO Traumatic dental injury. Copenhagen: Munksgard 1999 Andreasen JO Textbook and color atlas of traumatic injury to the teeth. 3rd edition. Copenshagen: Munksgaard, 1994 John Ingle Endodontics 5th edition 2002 Stephen Cohen Pathways of the pulp. 8th edition 2002 William T. Johnson Color atlas of Endodontics 1st edition 2002 A: Root fracture resulting in healing with calcified tissue. B: Note the fracture line is barely discernible. Often the pulp space will be calcified. That has not yet taken place in this case. A: Root fracture in which healing resulted in connective tissue between the segments. B: Note the segments appear separated by narrow radiolucent lines and the rounding effect of the fractured edges. A: Healing by interproximal bone. B: Root fracture resulting in total separation of fragments. C: Midroot fracture stabilized for 3 months. D: Note that after removing the splint, the incisal edges are even, yet a space is apparent between the segments. E: Eight months later bone is now apparent between segments. F: The interproximal space has enlargeed further 2 years after accident. The tooth is firm and functional. Note calcification of pulp space. A: Root fracture resulting in interproximal inflammatory tissue. B: Large periradicular lesion adjacent to fracture line. Primary intrusive luxation 6 weeks later 6 month recall Primary intrusive luxation 16-month recall 16-month recall Definition: Complete displacement of the tooth out of the socket. Incidence: 1% ~16% of all dental injuries. Treatment Treatment success for avulsed teeth is direct