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Role of Endodontics in Dental Trauma

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Modern Sports Dentistry

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

Dental trauma results in damage to many hard and soft tissue structures, including the bone, root, crown, and pulp. Endodontics plays an important role in providing timely and correct treatment following trauma to ensure high success rates for these patients. Diagnosis of dental trauma is essential and complex, and the clinician should utilize multiple approaches, including a detailed dental history, radiographic examination, and clinical examination to confirm an accurate diagnosis and determine the etiological factors affecting the prognosis (refer to ► Chap. 3). Several options are available for the treatment of dental traumas, allowing the patient to maintain the esthetics and function of an intact dentition. Treatment of luxation injuries should focus on maintaining pulpal vitality while providing the periodontal attachment an environment in which all structures can heal. Crown fractures are treated differently based on the involvement of the pulp and should utilize the most recent bioceramic materials to provide the highest success rates with excellent esthetic results. Avulsion injuries require rapid and proper treatment that can make the difference between keeping a tooth functional and asymptomatic versus condemning the patient to lose the tooth with a poor long-term esthetic result. Regenerative techniques allow the clinician to either maintain or recreate the vitality of the pulp in immature teeth and are a rapidly advancing field in dental trauma. Pathologic resorption can occur following dental trauma, and appropriate treatment is essential to arrest the process.

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  1. Endodontics, Reno, NV, USA

    Scott Sutter

  2. Endodontics Program, University of Minnesota, Minneapolis, MN, USA

    Kristine Knoll

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  1. Division of Oral Surgery, University of Minnesota, Minneapolis, MN, USA

    Mark Roettger

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Sutter, S., Knoll, K. (2018). Role of Endodontics in Dental Trauma. In: Roettger, M. (eds) Modern Sports Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-44416-1_4

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