CONSIDERATIONS REGARDING THE THERAPEUTIC MANAGEMENT OF THE TRAUMATIC DENTAL INJURIES

Abstract

The aim of the study was to evaluate the traumatic dental injuries (TDI) therapeutic management in a sample of patients. Materials and methods. The study was carried on a sample of 73 patients with various types of TDI that were followed for a period up to three years. The number of teeth with trauma comprised in our study was 115. An operating algorithm in accordance with the trauma type was developed. The follow-up was 6 months to 36 months after the conservative, surgical or restorative applied treatment, depending on the severity of the TDI. Results. The following types of therapeutic procedures were done: impregnation/sealing with bonding resin, bonding of the fractured fragment, composite resin restoration, direct pulp capping, pulpotomy, endodontic therapy, splinting, replantation, prosthetic restoration, and extraction. Conclusions. In the management of teeth with traumatic dental injuries, a correct diagnosis and a correct treatment and follow up have a great influence on the prognosis of the traumatized tooth. Treatment of traumatized teeth requires an interdisciplinary therapeutic approach that must be done with promptness, in optimal conditions and with a good cooperation from the part of the patient.

Keywords

• dental trauma
• therapeutic management
• crown fractures