Pulpal healing following acute dental trauma: clinical and radiographic review.
Successful treatment of tooth luxations, crown fractures, and root fractures is often compromised by the emergency nature of the injury. Precise radiographic and clinical evaluation is required to facilitate healing and treatment selection. While traditional treatment protocols indicate that dental injuries implying pulpal ischemia require immediate endodontic therapy to avoid healing complications, the clinical investigations discussed herein suggest that a variety of etiologies for pulp survival/pulp necrosis exist. This article discusses the long-term prognosis of pulp necrosis following traumatic dental injuries, and clinical and radiographic criteria for its diagnosis.
Andreasen
F M
FM
Department of Oral and Maxillofacial Surgery, University Hospital (Rigshospitalet), Copenhagen, Denmark. Francesbluetooth@mail.dk
D002985:Clinical Protocols; D003782:Dental Pulp / Q000098:blood supply / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003790:Dental Pulp Necrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D003804:Dentin / Q000293:injuries / Q000503:physiopathology; D006801:Humans; D007511:Ischemia / Q000628:therapy; D010519:Periodontium / Q000293:injuries / Q000503:physiopathology; D011379:Prognosis; D011859:Radiography; D012390:Root Canal Therapy; D014022:Tissue Survival; D014084:Tooth Avulsion / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D019228:Tooth Crown / Q000000981:diagnostic imaging / Q000293:injuries; D014082:Tooth Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000293:injuries; D014945:Wound Healing