The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 8 , ISSUE 6 ( September, 2007 ) > List of Articles

RESEARCH ARTICLE

Dental Trauma: Restorative Procedures Using Composite Resin and Mouthguards for Prevention

Carlos Jose Soares, Paulo César de Freitas Santos Filho, Paulo Sérgio Quagliatto, Paulo Cézar Simamoto

Citation Information : Soares CJ, de Freitas Santos Filho PC, Quagliatto PS, Simamoto PC. Dental Trauma: Restorative Procedures Using Composite Resin and Mouthguards for Prevention. J Contemp Dent Pract 2007; 8 (6):89-95.

DOI: 10.5005/jcdp-8-6-89

License: CC BY-NC 3.0

Published Online: 01-09-2007

Copyright Statement:  Copyright © 2007; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of this article is to describe a step-by-step protocol for emergency care of a patient with a dentoalveolar injury in the anterior region of the mouth as well as the fabrication of a mouthguard to prevent future trauma.

Background

Dental trauma is one of the most serious oral health problems in active children and adolescents. Care of traumatized patients requires immediate initial emergency treatment followed by integrated procedures to restore damaged oral structures along with a subsequent trauma prevention strategy. Dentoalveolar injuries in the anterior region of the mouth are often characterized by tooth avulsion and coronal fracture. They are managed using procedures such as dental splinting, endodontic therapy with its unique characteristics, and restorative techniques to re-establish function and esthetics as well as protective mouthguards.

Report

A 16-year-old male presented with avulsion of his maxillary central incisors as a result of a direct, unintentional impact with an opponent during a basketball game. The teeth had been stored in physiological serum immediately following the injury and the patient received immediate care. On clinical examination, the right central incisor was fractured at the incisal third of the crown but no bone fractures were found. The teeth were reimplanted and splinted. The fractured right central incisor was restored following endodontic treatment and a mouthguard was fabricated for the patient.

Summary

The dentist must be knowledgeable about the most efficient and suitable treatment for each traumatic scenario in order to provide appropriate care for dental injuries. Coordinated multi-disciplinary action is fundamental in the successful treatment of these injuries. The dental mouthguard is an effective device for protecting the teeth and supportive structures during physical activities and must be part of the protective equipment used by athletes. It is the responsibility of the dental professional to make parents, trainers, and athletic associations aware of the risks associated with physical activities without orofacial protection; this should encourage the proper use of all protective devices to prevent dentoalveolar injuries that compromise oral functions, esthetics, and increase the cost of healthcare.

Citation

Santos Filho PCF, Quagliatto PS, Simamoto PC Jr., Soares CJ. Dental Trauma: Restorative Procedures Using Composite Resin and Mouthguards for Prevention. J Contemp Dent Pract 2007 September; (8)6:089-095.


PDF Share
  1. Prevalence of crown fractures in 8-10 years old schoolchildren in Canoas, Brazil. Dent Traumatol 2004 20:251-254.
  2. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries – a review article. Dent Traumatol. 2002 Jun;18(3):116-28.
  3. Effects of temperature, storage time and medias on periodontal and pulpal healing after replantation of incisor in monkeys. Dent Traumatol. 2002 18:190-5.
  4. A prospective study of factors affecting survival of replanted permanent incisors in children. Int J Paediatr Dent. 2000 Sep;10(3):200-5.
  5. Factors affecting the onset of resorption in avulsed and replanted incisor teeth in children. Dent Traumatol 2001 17:205-9.
  6. Determination of periodontal ligament cell viability in the oral re-hydration fluid; Gatorade, and milks of varying fat content. J. Endod. 1997 23:687-690.
  7. Inflammatory and replacement resorption in reimplanted permanent incisor teeth: a study of the characteristics of 84 teeth. Endod Dent Traumatol. 1999 Dec;15(6):269-72.
  8. The biomechanical properties of the healing periodontium of replanted rat mandibular incisors. Dent Traumatol 2004 20:212-221.
  9. Delayed replantation of avulsed mature teeth with calcium hydroxide treatment. J Endod 2000 26:472-6.
  10. Prevention of sports-related traumatic dental injuries. Dent Clin North Am. 2000 Jan;44(1):35-51.
  11. The chemistry of adhesive agents. Oper Dent. 1992 Suppl 5:32-43.
  12. Esthetic rehabilitation of anterior teeth affected by enamel hypoplasia: a case report. J Esthet Restor Dent. 2002 14(6):340-8.
  13. Resin bond strength with different methods to remove excess water from the dentin. Am J Dent. 1997 Dec;10(6):298-301.
  14. Alternatives in polymerization contraction stress management. Crit Rev Oral Biol Med. 2004;Jun04;15(3):176-84.
  15. The first line of defense. NY State Dent J. 1995 Aug-Sep;61(7):48-50.
  16. Prevention of oral injuries. J Calif Dent Assoc. 1996 Mar;24(3):30-6.
  17. Techniques for mouthguard fabrication. Dent Clin North Amer. 1991 Oct; 35(4):667-683.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.