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Dental Traumatology

In this chapter, epidemiology of dental trauma will be discussed in terms of its incidence and prevalence among primary and permanent dentition. Dental trauma causes and its distribution in accordance with age and sex will be highlighted. Classification of dental trauma based on soft and hard tissue injuries will be outlined, and subsequently, clinical examination and diagnosis will be featured. Treatment modalities and variations between permanent and primary dentition will be discussed along with the new treatment era namely regenerative approach and decoronation. Splints, techniques, and follow-up routines will also be discussed. Last but not least, prevention of dental trauma will be discussed. Traumatic dental injuries are a public dental health problem worldwide and can occur throughout life. Various interventions and treatment options are available, depending on the specific traumatic injury sustained, but the fact is, every trauma is a unique case, which requires unique diagnosis and treatment. The International Association of Dental Traumatology reports that one of every two children sustains a dental injury, most often between the ages of 8 and 12 years. The suggestion is in most cases of dental trauma; a rapid and appropriate intervention can lessen its impact from both oral and esthetic standpoint. To that end, the association has developed guidelines for the evaluation and management of traumatic dental injuries. Although the oral region comprises a small part as 1% of the total body area, 5% of all bodily injuries are oral traumatic injuries. Traumatic dental injuries tend to occur at childhood or an young age during which growth and development take place. In preschool children, with injuries to the head being the most common, oral injuries make up as much as 17% of all bodily injuries, in contrast to later in life when injuries to hands and feet are the most common.

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