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Trauma is the most common cause of loss of permanent incisors in childhood. Dental trauma often leads to complications such as pulpal necrosis, and it is nearly impossible to predict the long-term prognosis of the injured tooth; the injury often results in long-term restorative problems. [51] [52] [53]
Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.
Dental avulsion is a type of dental trauma, and the prevalence of dental trauma is estimated at 17.5% and varies with geographical area. [36] Although dental trauma is relatively low, dental avulsion is the fourth most prevalent type of dental trauma. [37] Dental avulsion is more prevalent in males than females.
In order to treat mobility, teeth can be joined or splinted together in order to distribute biting forces between several teeth rather than the individual mobile tooth. A splint differs from a mouthguard as a mouth guard covers both gums and teeth to prevent injury and absorb shock from falls or blows. [32]
In addition to tooth crown build-up, ankylosed teeth repositioning is another conservative method. In surgical luxation, after the bridge of ankylosis is broken mechanically, the tooth is positioned slightly away from its original site and allowed to erupt with a temporary insertion of a splint or an orthodontic appliance. [5]
Donor tooth is carefully extracted then placed into the prepared socket and sutured in place. [10] The literature suggests splinting teeth post-operatively but there is limited evidence to support type of splinting material and duration for transplanted teeth. [11]
Dental trauma is a major global health issue and it affects 17.5% of children and adolescents. [9] It is most commonly seen in school children. Dental subluxation is one of the most common traumatic injuries in primary dentition. Maxillary central incisors are the most commonly affected teeth.
The mechanism of this tooth movement is that the splint effectively holds some teeth out of contact and puts all the force of the bite onto the teeth which the splint covers. This can cause the covered teeth to be intruded, and those that are not covered to over-erupted. I.e. a partial coverage splint can act as a Dahl appliance. Examples of ...