This state of the art lecture will give an overview of recent research and clinic in dentoalveolar traumatology aimed at Oral & Maxillofacial Surgeons, who often are the only specialists available in the hospital for this type of injuries outside office hours. Recent evidence from scientific literature and currently recommended treatment according to the new guidelines for emergency treatment of dentoalveolar injuries from International Association of Dental Traumatology ( www.iadt-dentaltrauma.org ) will be presented. Emphasis will be put on what a surgeon must know to correctly treat various dento-alveolar injuries in the emergency situation. Strategies for emergency treatment of fractures and luxations will be presented especially injuries where the success rate is compromised by delay in treatment. The lecture will also present which of the dental injuries that can wait until the next day without affecting the prognosis. Tooth avulsion is one of the most serious traumatic injuries to permanent teeth. The prognosis is decided by the management immediately at the place of accident. An avulsed tooth can be replanted and successfully heal if properly managed immediately after the injury. The Oral & Maxillofacial surgeon today will find himself in various situations e.g. giving advice by telephone to the place of accident, meeting a patient with a self-replanted tooth or a tooth placed in various storage media. Finally, there are also situations where the tooth has been subjected to severe damage due to extensive drying. Recent research has given opportunities to optimize healing and increase the success rate and reduce/avoid later complications by the use of physical and chemical methods. Treatment recommendations are today based on the condition of the avulsed tooth. Avulsed and luxated teeth must be splinted after the accident and the lecture will give an overview of modern principles of splinting. Preformed bars used in maxillofacial surgery for maxillofacial fractures are less suitable for splinting traumatic dental injuries. Instead today’s splints are often based on acid etch bonded splints and an individual splint for the dental injuries are often preferred. The lecture will present how to splint dental injuries in the emergency situation in a simple way. Strategies for managing losses of permanent teeth in the young growing patient will be presented. Moreover, an interactive web tool for diagnosis and treatment of dentoalveolar injuries will be presented. This tool ( www.dentaltraumaguide.org ) is suitable for the Oral & Maxillofacial surgeon on call and can be accessed from the web also by iphones and other mobile telephones.
State of the art in dento-alveolar trauma
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