Permanent tooth avulsion in children and adults: Therapeutic options for longer survival

Autor: Stojanović Simona M., Tijanić Miloš R., Burić Kristina N., Burić Nina N., Spasić Milan S., Todorović Kosta M., Stojković Branislava B., Jovanović Marija G., Petrović Milica S., Mitić Dušan M.
Jazyk: English<br />Serbian
Rok vydání: 2021
Předmět:
Zdroj: Acta Stomatologica Naissi, Vol 37, Iss 83, Pp 2213-2223 (2021)
Druh dokumentu: article
ISSN: 0352-5252
1820-1202
DOI: 10.5937/asn2183213S
Popis: Introduction: Permanent tooth avulsions (traumatic extraction; total luxation) are one ofthe most severe permanent tooth injuries and can occur as single injuries or associated with other dental injuries or injuries to the face and jaws region. They are defined as the luxation of teeth from the alveoli with complete rupture of periodontal fibres, or with one part attached to the rootcementum and the other to the alveolar bone, thus compromising the dental pulp, root cementum,and alveolar bone. The high prevalence and numerous negative consequences on the stomatognathic systems they have suggest permanent tooth avulsions should be regarded as an important public health problem. The aim: is to point out the therapeutic possibilities of permanent tooth avulsion that can ensure their longer survival in the oral cavity. Conclusion: The treatment strategy for avulsed permanent teeth is always based on limiting root canal infection and periradicular inflammation, shifting the balance from unfavourable (replacement resorption) to favourable (periodontal) healing. The success of therapy and periodontal healing depend on the duration and conditions of extraoral tooth preservation, the degree of damage to the periodontal ligament, and the condition of the pulp.
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