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Treatment of Traumatic Dental Injuries: Shift in Strategy

Published online by Cambridge University Press:  10 March 2009

Frances M. Andreasen
Affiliation:
University Hospital, Copenhagen
Jens O. Andreasen
Affiliation:
University Hospital, Copenhagen

Absract

A more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogensis of external root resorption, increased knowledge about wound healing processes in the pulp and periodintium, as well as by advances in restorative dentistry (reattachment of crown fragments with a dentin bonding system, the use of adhesive bridges, and advances in autotransplantation and implantation). However, a rethinking by the public, clinicians, and third-party payers is necessary for these procedures to gain wider acceptance. The present article describes the state of the art of treating dental trauma in the hope that these advances cam become an accepted part of the dental trauma armamentarium and not merely scientific curiosities.

Type
Special Section: Assessing the Technology of Dentistry, Part II
Copyright
Copyright © Cambridge University Press 1990

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References

Andreasen, F. M.O. Clast & the Bros. Blast [a children's book on dental trauma]. Fribourg: Mediglobe Publisher, 1988.Google Scholar
Andreasen, F. M. Preliminary clinical and histological results of bonding dentin-enamel crown fragments with the GLUMAR technique. Meeting of the Nordic Society of Pedodontists, Bergen, Norway, 06 1988.Google Scholar
Andreasen, F. M. & Andreasen, J. O.Resorption and mineralization processes following root fracture of permanent incisors. Endodontic Dental Traumatology, 1988, 4, 202–14.CrossRefGoogle ScholarPubMed
Andreasen, F. M., Andreasen, J. O. & Bayer, T. Prognosis of root fractured permanent incisors – Prediction of healing modalities. Endodontic Dental Traumatology, 1989, in press.CrossRefGoogle Scholar
Andreasen, F. M., Rindum, J. L., Munksgaard, E. C. & Andreasen, J. O.Bonding of enamel-dentin crown fractures with GLUMAR and resin. Endodontic Dental Traumatology, 1986, 2, 277–80.CrossRefGoogle Scholar
Andreasen, F. M. & Vestergaard, Pedersen B.Prognosis of luxated permanent teeth — the development of pulp necrosis. Endodontic Dental Traumatology, 1985, 1, 207–20.CrossRefGoogle ScholarPubMed
Andreasen, F. M.Transient apical breakdown and its relation to color and sensibility changes. Endodontic Dental Traumatology, 1986, 2, 919.CrossRefGoogle ScholarPubMed
Andreasen, F. M.Histological and bacteriological study of pulps extirpated after luxation injuries. Endodontic Dental Traumatology, 1988, 4, 170–81.CrossRefGoogle ScholarPubMed
Andreasen, F. M.. Pulpal healing after luxation injuries and root fracture in the permanent dentition. Endodontic Dental Traumatology, 1989, in press.CrossRefGoogle Scholar
Andreasen, F. M., Yu, Z., Thomsen, B. L. & Andersen, P. K.The occurrence of pulp canal obliteration after luxation injuries in the permanent dentition. Endodontic Dental Traumatology, 1987, 3, 103–15.Google Scholar
Andreasen, F. M., Daugaard-Jensen, J. & Mauksgaard, E. C. Reinforcement of bonded crown fractures with porcelain laminate veneers. Endodontic Dental Traumatology, 1990, in press.CrossRefGoogle Scholar
Andreasen, J. O. & Hjørting-Hansen, E.Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontologia Scandinavica, 1966, 24, 287306.CrossRefGoogle ScholarPubMed
Andreasen, J. O.The effect of pulp extirpation or root canal treatment on periodontal healing after replantation of permanent incisors in monkeys. Journal of Endodontics, 1981, 7, 245–52.Google Scholar
Andreasen, J. O.Relationship between surface and inflammatory resorption and changes in the pulp after replantation of permanent incisors in monkeys. Journal of Endodontics, 1981, 7, 194301.CrossRefGoogle ScholarPubMed
Andreasen, J. O.Effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation of mature permanent incisors in monkeys. International Journal of Oral Surgery, 1981, 39, 113.Google Scholar
Andreasen, J. O.Traumatic injuries of the teeth, 2nd ed.Copenhagen: Munksgaard International Publishers, 1981.Google Scholar
Andreasen, J. O.Atlas of replantation and transplantation of teeth. Fribourg: Mediglobe, 1990, in press.Google Scholar
Andreasen, J. O. & Andreasen, F. M.Tandtraumets biologi. Tandlaegebladet, 1989, 93,385–92.Google Scholar
Andreasen, J. O. & Andreasen, F. M.Dental trauma: Quo vadis? Tandlaegebladet, 1989, 381–84.Google ScholarPubMed
Andreasen, J. O. & Andreasen, F. M.Essentials of traumatic injuries to the teeth. Copenhagen: Munksgaard International Publishers, 1990.Google Scholar
Andreasen, J. O. & Hjørting-Hansen, E.Intraalveolar root fractures: Radiographic and histologic study of 50 cases. Journal of Oral Surgery, 1967, 25, 414–26.Google ScholarPubMed
Andreasen, J. O., Nygaard, J., Borum, M. K. & Andreasen, F. M. Replantation of 400 traumatically avulsed permanent incisors. I. Diagnosis of healing complications. Endodontic Dental Traumatology, submitted.Google Scholar
Andreasen, J. O., Nygaard, J., Borum, M. K. & Andreasen, F. M. Replantation of 400 traumatically avulsed permanent incisors. II. Factors related to pulpal healing and root growth. Endodontic Dental Traumatology, submitted.Google Scholar
Andreasen, J. O., Nygaard, J., Borum, M. K. & Andreasen, F. M. Replantation of 400 traumatically avulsed permanent incisors. III. Factors related to periodontal healing and root resorption. Endontic Dental Traumatology, submitted.Google Scholar
Andreasen, J. O., Paulsen, H.-U., Fjellvang, H. & Barfod, K.Autotransplantation of premolarer til behandling af tandtab i overkaebefronten. Tandlaegebladet, 1989, 93, 435–50.Google Scholar
Andreasen, J. O., Paulsen, H.-U., Yu, Z. et al. A long-term study of 370 autotransplanted premolars. I. Surgical procedure and standardized techniques for monitoring healing. European Journal of Orthodontics, 1990, 12, 313.Google Scholar
Andreasen, J. O., Paulsen, H.-U., Yu, Z. et al. , A long-term study of 370 autotransplanted premolars. II. Tooth survival and pulp healing subsequent to transplantation. European Journal of Orthodontics, 1990, 12, 1424.CrossRefGoogle ScholarPubMed
Andreasen, J. O., Paulsen, H.-U., Yu, Z. & Bayer, T.A long-term study of 370 autotransplanted premolars. III. Periodontal healing subsequent to transplantation. European Journal of Orthodontics, 1990, 12, 2537.CrossRefGoogle ScholarPubMed
Andreasen, J. O.,Paulsen, H.-U., Yu, Z. & Bayer, T.A long-term study of 370 autotransplanted premolars. IV. Root development subsequent to transplantation. European Journal of Orthodontics, 1990, 12, 3850.CrossRefGoogle ScholarPubMed
Bessermann-Nielsen, M. Personal communication (1980). In Andreasen, J. O. (ed.), Traumatic injuries of the teeth, 2nd ed.Copenhagen: Munksgaard International Publishers, 1981.Google Scholar
Brännström, M.Observations on exposed dentine and the corresponding pulp tissue. A preliminary study with replica and routine histology. Odontologisk Revy, 1962, 13, 235–45.Google Scholar
Cvek, M. Endodontic treatment of traumatized teeth. In Andreasen, J. O., (ed.), Traumatic injuries of the teeth, 2nd ed.Copenhagen: Munksgaard International Publishers, 1981.Google Scholar
Cvek, M.Treatment of non-vital permanent incisors with calcium hydroxide. IV. Periodontal healing and closure of the root canal in the coronal fragment of teeth with intraalveolar fracture and vital apical fragment. Odontologisk Revy, 1974, 25, 239–45.Google ScholarPubMed
Cruegers, N. H. J. Clinical performance of adhesive bridges. Thesis, University of Nijmegen, The Netherlands, 1987.Google Scholar
Ellis, R. G. & Davey, K. M.The classification and treatment of injuries to the teeth of children, 5th ed.Chicago, IL: Year Book Medical Publishers, 1970.Google Scholar
Engelhardtsen, S. & Jacobsen, I. Påliming av tannfragmenter ved kronefraktur. Meeting of the Nordic Society of Pedodontists, Bergen, Norway, 06 1988.Google Scholar
Eschler, J., Schilli, W. & Witt, E.Die Verletzungen der Frontzrahne bei Jugendlichen, 3rd ed.Heidelberg: Huthig Verlag, 1972.Google Scholar
Hargreaves, J. A. & Craig, J. W.The management of traumatised anterior teeth of children. London: E. & S. Livingstone, 1970.Google Scholar
Heithersay, G. S.Combined endodontic-orthodontic treatment of transverse root fractures in the region of the alveolar crest. Oral Surgery, 1973, 36, 404–15.CrossRefGoogle ScholarPubMed
Helle, A., Sirkkanen, R. & Evalahti, M.Repair of fractured incisal edges with UV-light polymerized and self-polymerizing fissure sealants and composite resins. Two year report of 93 cases. Proceedings of the Finnish Dental Society, 1975, 71, 8790.Google ScholarPubMed
Jacobsen, L. & Kerekes, K.Long-term prognosis of traumatized permanent anterior teeth showing calcifying processes in the pulp cavity. Scandinavian Journal of Dental Research, 1977, 85, 588–98.Google ScholarPubMed
Kahnberg, K.-E.Intraalveolar transplantation of teeth with crown-root fractures. Journal of Oral and Maxillofacial Surgery, 1985, 43, 3842.CrossRefGoogle ScholarPubMed
Kahnberg, K.-E.Surgical extrusion of root fractured teeth – follow-up study of two surgical methods. Endodontics and Dental Traumatology, 1988, 4, 8589.Google Scholar
Kahnberg, K.-E., Warfvinge, J. & Birgersson, B.Intraalveolar transplantation. (I) The use of autologous bone transplants in the periapical region. International Journal of Oral Surgery, 1982, 11, 372–79.CrossRefGoogle ScholarPubMed
Kantorowicz, G. F.Bridges. An analysis of failures. Dental Practitioner and Dental Research, 1968, 18, 176–78.Google Scholar
Karlsson, S. & Hedegård, B.Efterundersökning av patienter med större brokonstruktioner. II. Klinisk undersökning på påtienter behandlade under 1974–1975 av privattandlakare. Tandläkartid, 1984, 76, 1425–34.Google Scholar
Kerschbaum, T. & Voss, R.Die praktische Bewährung von Krone and Inlay. Deutsche zahnärztliche Zeitschrjft, 1981, 36, 243–49.Google Scholar
Koch, G. & Paulander, J.Klinisk uppföljning av compositrestaureringar utförda med emaljetsningsmetodik. Swedish Dental Journal, 1976, 69, 191–96.Google Scholar
Kristerson, L. & Andreasen, J. O.Influence of root development on periodontal and pulpal healing after replantation of incisors in monkeys. International Journal of Oral Surgery, 1984, 13, 313–23.CrossRefGoogle ScholarPubMed
Löe, H. & Waerhaug, J.Experimental replantation of teeth in dogs and monkeys. Archives of Oral Biology, 1961, 3, 176184.CrossRefGoogle ScholarPubMed
Mader, C.Restoration of a fractured anterior tooth. Journal of the American Dental Association, 1978, 96, 113–15.CrossRefGoogle ScholarPubMed
Maryniuk, G. A.In search of treatment longevity – A 30-year prospective. Journal of the American Dental Association, 1984, 109, 739–44.CrossRefGoogle Scholar
Munksgaard, E. C. 1988: unpublished results.Google Scholar
Olgart, L., Brännström, M. & Johnson, G.Invasion of bacteria into dentinal tubules. Experiments in vivo and in vitro. Acta Odontologia Scandinavia, 1974, 32, 6170.CrossRefGoogle ScholarPubMed
Paulsen, H.-U. & Andreasen, J. O. Autotransplantation of premolars in orthodontics. American Journal of Orthodontics, 1990, submitted.Google Scholar
Qvist, V., Ström, C. & Thylstrup, A.Two-year assessment of anterior resin restorations inserted with two acid-etch restorative procedures. Scandinavian Journal of Dental Research, 1985, 93, 343–50.Google ScholarPubMed
Rindum, J. L., Munksgaard, E. C., Asmussen, E. et al. Pålimning af tandfragmenter efter fraktur. En foreløbig redegørelse. Tandlægebladet, 1986, 90, 397403.Google Scholar
Roberts, D. H.The failure of retainers in bridge prostheses. An analysis of 2,000 retainers. British Dental Journal, 1970a, 128, 117–24.CrossRefGoogle ScholarPubMed
Roberts, D. H.The relationship between age and the failure rate of bridge prostheses. British Dental Journal, 1970b, 128, 175–77.CrossRefGoogle ScholarPubMed
Simonsen, R. J.Restoration of a fractured central incisor using original tooth fragment. Journal of the American Dental Association, 1982, 105, 648–50.CrossRefGoogle ScholarPubMed
Smales, R. J.Incisal angle adhesive restorations: A two-year clinical survey of three materials. Australian Dental Journal, 1977, 22, 267–71.CrossRefGoogle ScholarPubMed
Tegsjö, U., Valerius-Olsson, H. & Olgart, K.Intra-alveolar transplantation of teeth with cervical root fractures. Swedish Dental Journal, 1978, 2, 7382.Google ScholarPubMed