How to guide patients and conduct


Objective: To disseminate among professionals and patients the most efficient conducts to preserve teeth after the various types of dental trauma without fractures. Discussion: There are five situations of dental trauma for which we should memorize the procedures to conduct clinical cases that can be presented to any professional, including orthodontists: 1) The tooth is mobile without leaving the bone; 2) The tooth is partially out of the alveolus, almost out of the bone; 3) The tooth has left the alveolus, but is still in the mouth; 4) The tooth left the mouth and fell on the floor; and 5) The tooth was only painful: the insidious concussion. Conclusion: If there is periodontal repair, the tooth will return to normal. If there is no periodontal repair, the bone will lean against and resorb the tooth, which will continue to function normally for quite some time. Alveolodental ankylosis and tooth resorption by replacement represent a continuous, but slow and asymptomatic process. In the control of the case, contamination of the region via gingiva and/or fracture, and loss of the crown must be avoided. The contemporary treatment for these cases is decoronation followed by implant placement.

Keywords: Dental trauma. Concussion. Reimplantation. Alveolodental ankylosis. Replacement resorption.

How to cite: Consolaro A, Oliveira IA. How to guide patients and conduct. Clin Orthod. 2021 Aug-Sept;20(4):157-64.

Tuesday, September 21, 2021 20:09