survival of reimplanted primary avulsed tooth.pptx

Facial trauma in children is considered a serious problem and can result in fractured, displaced and avulsed teeth which can have a negative effect on child’s appearance, psychology and function.
The greatest incidence of trauma to the primary teeth occurs at 2 to 3 years of age.
Primary dentition plays a decisive role in functional and psychological aspects of a child's development

1. SURVIVAL OF REIMPLANTED AVULSED PRIMARY TOOTH

2. CONTENTS- Introduction Factors to be considered for reimplantation Studies conducted Arguments favouring reimplantation Arguments supporting reimplantation Conclusion References

3. INTRODUCTION- Facial trauma in children is considered a serious problem and can result in fractured, displaced and avulsed teeth which can have a negative effect on child’s appearance, psychology and function. The greatest incidence of trauma to the primary teeth occurs at 2 to 3 years of age. Primary dentition plays a decisive role in functional and psychological aspects of a child's development

4. Avulsion of tooth is a grave traumatic injury characterized by the complete displacement of a tooth from its socket, disruption of the blood supply to the pulp and exposure of the cells of the periodontal ligament to the external environment. Studies have shown that avulsions account for 7–13% of all injuries to the primary teeth, with the maxillary incisors the most commonly affected due to their slight vestibular apical inclination and forces directed towards the palatal surface

5. “Some researches have established that dental trauma to primary dentition can cause serious damage to the succedaneous dentition in cases of avulsion.” However, concern of parents for missing teeth of their child has urged pediatric dentists to perform reimplantation.

6. A recent guideline for the treatment of traumatic dental injuries in the primary dentition does not recommend the replantation of primary teeth; however, paediatric dentists are often asked to perform this procedure by parents concerned with the absence of the child’s primary tooth. A number of factors favour replantation, such as the maintenance of occlusal balance, speech development, physiological aspects of chewing and psychological effects on the child

7. Factors considered for successful replantation of avulsed tooth.

8. WHAT TO CONSIDER IDEAL CONDITIONS Stage of root development No sign of root resorption Time elapsed between trauma and dental care Maximum 30 minutes Storage media Milk, saliva or blood Degree of contamination Tooth as clean as possible Execution of reimplantation Gradual, rhythmic movements Splint Semi-rigid for 14 days Follow-up period Until eruption of permanent successor

9. When to avoid reimplantation? P ermanent successor - not developed S ystemic diseases B ehavioral disorders Multiple avulsions F racture Tooth close to natural shedding Root resorption Severely decayed teeth