Dental Trauma and Dental Trauma Induced resorptions
In this session the participants will learn how to address and manage dental trauma and dental trauma induced resorptions, according to the latest IADT protocols. The speaker have a rich dental trauma portfolio and can bring the participants interesting tips and tricks how to provide best possible treatment to the patient regarding his age. The presentation contains scientific part accompanied with tremendous amount of mid term and long term followed up clinical cases.
Dental trauma at first affects the periodontal ligament and at second it affects the pulp of the tooth.
Although partial elongation of periodontal ligament, usually observed in lateral and extrusive luxation, have a very good prognosis in terms of periodontal ligament healing, pulpal status needs to be carefully followed, especially in closed apex. Contrary, complete elongation due to avulsive luxation can be very harmful and it’s prognosis is directly associated with the extraoral dry time of the avulsed tooth and the stage of root development.
When periodontal ligament becomes compressed, in case of intrusion, the periodontal ligament cells are destroyed by the mechanical pressure, followed by pulp necrosis.
Clinical examination, documentation and following up in dental trauma cases is very important in making proper diagnosis, prognosis and providing predictable treatment.
The ultimate PDL regeneration and reparation capabilities, documented as healed or healing without signs of replacement or inflammatory resorption is strongly interdependent with the pulpal status.