Tuesday 15 November 2011

MANAGEMENT OF SOME TEETH TRAUMA

By Augustine Mbehoma Rukoma
1.      Intrusive luxation with ankylosis-
·         orthodontic uplifting may be done
2.      Treatment of tooth fracture at or below cervical level
·         Retain coronal part using luting cement and post
·         Extrude the tooth orthodontically in order to bring the apical fragment to the level where it can be used to hold a permanent coronal restoration
·         Surgical correction of gingival margin
·         Final restoration
3.      If the fragment is in the apical half
·         Remove apical fragment surgically and retrograde filling
·         Splinting of the tooth may be done for about 1 year to attain unification of fragment followed by RCT

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