(P161-189)儿童牙外伤讲稿.docVIP

Speech script “Dental trauma in childhood and adolescence” Lecture:Jin-hua-wang vice professor Time : 2013-11-14 This chapter include two sections Section Ⅰ: general introduction SectionⅡ: diagnosis and treatment of ?young permanent dentition dental trauma section Ⅲ: injuries to the primary dentition Section Ⅳ: dental injuries prevention preface a trauma with accompanying fracture of a permanent incisor is a tragic experience for the young patient,the oral and emotional health of the young patient is involved ,and the child,s appearance must be restored to normal as soon as possible to relieve, the consciousness of being different from other children.so we should pay attention to their psychologic well-being.prognosis of traumatic injuries has improved significantly in the last 20 years,this has been largely due to a greater understanding and knowledge of pulpal procedures.so we should create confidence to treat the dental trauma in childhood and adolescence. Contents To grasp: clinical classification,diagnositic evidence,therapeutic principle and method of Dental trauma in childhood and adolescence. To be familiar: Predilection age and type of Dental trauma in childhood and adolescence.Tracing and restoration evaluation of traumatic teeth. To know: Incidence of anterior teeth trauma. Section Ⅰ : general introduction 1.1 definition. 1.2 epidemiology. 1.3 classification. 1.4 history and examination. 1.1 definition childhood and adolescence teeth suffer sharp trauma, especially cause dental , pulp, periodontium trauma due to beating and collisions. 1.2 epidemiology Table 1 dental trauma prevalence in childhood and adolescence. age Prevalence Boys girls Five years group 31-40% 16-30% Twelve years group 12-33% 4-19% From this table we can see ,boys are affected almost twice as often as grils in both the primary and the permanent dentitions. Table 2 dental trauma incidence in childhood and adolescence dental trauma incidence Primary dentition Permanent dentition pr