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Trauma to the primary dentition.

Kevin L Haney

    Journal - Oklahoma Dental Association
    |November 21, 2007
    PubMed
    Summary
    This summary is machine-generated.

    Managing primary teeth trauma prioritizes permanent tooth development. Extraction is recommended if permanent teeth risk is high, even if parents desire esthetic preservation. Over-treatment can harm developing permanent teeth.

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    Area of Science:

    • Pediatric Dentistry
    • Dental Trauma Management

    Background:

    • Trauma to primary teeth can impact permanent tooth development.
    • Parental esthetic concerns may influence treatment decisions for injured primary teeth.

    Purpose of the Study:

    • To outline the guiding principles for managing primary dentition trauma.
    • To emphasize the potential sequelae to permanent teeth from primary tooth injuries.

    Main Methods:

    • Review of clinical management principles for primary dentition trauma.
    • Discussion of esthetic considerations and appliance fabrication.
    • Analysis of risks associated with preserving injured primary teeth.

    Main Results:

    • The primary management principle is to prevent damage to the permanent dentition.

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  • Extraction of the primary tooth is indicated when the risk to the permanent tooth is significant.
  • Maintaining severely injured primary teeth for esthetics can jeopardize permanent tooth development.

    • Conclusions:

    • The long-term health of the permanent dentition is paramount in managing primary tooth trauma.
    • Parents must understand that preserving an injured primary tooth may cause irreversible damage to the permanent successor.
    • In cases of avulsion, the principle of 'when in doubt, leave it out' remains a reliable guideline.