From shattered to restored: Overcoming challenges in management of fractured tooth

Aakash Gupta , Ramandeep Singh , Yeshwanth Perambudhuru
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Abstract

Dental trauma is a complicated field since it encompasses a large variety of injury forms, each of which calls for unique considerations. Traumatic dental injuries (TDIs), which account for 5 % of all injuries, are common in children and young adults. In the primary dentition, luxation injuries are the most common type of TDI, while crown fractures are more frequently recorded for permanent teeth. Most commonly affected permanent teeth are maxillary anteriors. Individuals with severe dental injuries frequently walk into the operatory without making an appointment. Complicated crown fracture should be treated as an emergency as each fraction of delay in management will affect the overall prognosis. Out of 8 billion people around the globe, it is evaluated that one-fourth of the world population faces at least single dental trauma related to a fracture of the crown of an anterior tooth before 18 years of age; the most frequent causes of these injuries are drop downs, fights, collision injuries in sports and auto accidents. This case report will throw some light in conservative management of complicated crown fracture with fractured fragment reattachment using intra radicular splint.

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从破碎到修复:克服牙齿断裂管理中的挑战
牙外伤是一个复杂的领域,因为它包括多种多样的损伤形式,每种形式都需要独特的考虑。牙外伤(TDI)占所有外伤的 5%,常见于儿童和青少年。在乳牙阶段,牙齿松动损伤是最常见的牙齿外伤类型,而牙冠骨折则更多地发生在恒牙阶段。最常受影响的恒牙是上颌前牙。牙科严重受伤的患者经常在没有预约的情况下走进手术室。复杂的牙冠折断应作为急诊处理,因为每延迟一小部分处理时间都会影响整体预后。据估计,在全球 80 亿人口中,有四分之一的人在 18 岁之前至少面临过一次与前牙牙冠骨折有关的牙科创伤;造成这些损伤的最常见原因是摔倒、打架、运动中的碰撞伤和车祸。本病例报告将为复杂牙冠骨折的保守治疗提供一些启示,并使用根管内夹板将骨折片重新接上。
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