Dental trauma is any injury to the mouth, teeth, and jaw area caused by an external force, such as an impact or fall. While not a common injury, dental trauma can have long-lasting effects if not properly managed. Dental trauma is classified in two primary types depending on the nature of the tooth injury. The first type is traumatic dental fracture, which occurs when the enamel of the tooth is impacted and cracks. It may be accompanied by pain, swelling, and bleeding. The second type is dental luxation, which is a displacement of the tooth from its normal position in the gum. In some cases, the tooth may even be forced out of the gum. Both types require prompt treatment to prevent further damage and preserve the tooth. When a tooth is injured, radiographs and intraoral examination are performed to determine the extent of the injury. In some cases, the dentist may perform a pulpal diagnosis to check for damage to the pulp of the tooth. Treatment may include endodontic therapy, where root canal treatment is used to preserve and repair the tooth. Dental crowns or bridges may also be used to strengthen and protect the injury site. If the damage is severe, it may require tooth extraction. In some cases, surgery may be necessary to treat fractures of the upper or lower jawbone. This involves stitching the fractured parts back together and using metal plates and screws to ensure they are properly aligned. Orthodontic treatment may also be used to move other teeth to fill in the gap caused by the missing tooth. Along with the repair of the injured tooth, the dentist will also provide preventive measures to reduce the risk of possible complications. Follow-up visits are essential to monitor the healing process and check for any evidence of infection. For blocked or displaced teeth, the dentist may recommend bitewing radiographs to monitor the progress of realignment. Treatments for dental trauma take time and require regular and careful monitoring. However, prompt treatment helps ensure the full recovery of the tooth and jaw and reduces the chance of infection or further damage. Therefore, it is important to seek medical attention at the first sign of dental trauma.
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David Geoffrey Gillam, Queen Mary University of London, United Kingdom
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Yasser Khaled, Marquette University, United States
Title : Temporomandibular dysfunction - The great imposter
Patrick Grossmann, British Society for the Study of Craniomandibular Disorders, United Kingdom
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Aziza Yakhyaeva, Adelphi University, United States