Multiple traumatic injury to maxillary incisors in an adolescent female: treatment outcome with two years follow-up.

Multiple traumatic injury to maxillary incisors in an adolescent female: treatment outcome with two years follow-up.
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青春期女性上颌切牙多处创伤性损伤:两年随访的治疗结果。

DOI:
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发表时间:
2013
期刊:
Annali di stomatologia
影响因子:
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通讯作者:
G. Farronato
G. Farronato
中科院分区:
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文献类型:
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作者:
R. Biagi;F. Cardarelli;E. Storti;A. Majorana;G. Farronato

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每个病人牙齿损伤的数量、类型和严重程度根据病人的年龄和事故原因而不同。由行人、自行车和汽车相关损伤引起的创伤组通常以多发性牙齿损伤、支撑骨损伤和软组织损伤为主。本报告描述一个16.2岁的女性谁遭受创伤性损伤后,她的永久上颌切牙车祸。伤后75分钟急诊时观察到12颗牙震荡、11颗牙挤压脱位、21颗牙撕脱和22颗牙半脱位伴冠折。将牙齿21干燥储存15分钟,然后在牛奶中储存60分钟。根据IADT指南进行治疗计划,牙医和患者都很满意。1年随访后,诊断出第21颗牙齿的替换牙根吸收;在2年对照访视时,认为是重度。教育计划对于优化事故现场和牙科诊所的治疗结果至关重要。
Number, type and severity of dental injuries per patient differ according to the patient's age and the cause of accident. The trauma group resulting from pedestrian-, bicycle-, and car-related injuries is usually dominated by multiple dental injuries, injuries to the supporting bone and soft-tissue injuries. This report describes a case of a 16.2-year-old female who suffered traumatic injuries to her permanent maxillary incisors after a car accident. Concussion of tooth 12, extrusive luxation of tooth 11, avulsion of tooth 21 and subluxation with complicated crown fracture of tooth 22 were observed at the emergency visit 75 minutes after the trauma. Tooth 21 was dry stored for 15 minutes, then in milk for 60 minutes. The treatment plan according to IADT guidelines was performed with the satisfaction of the dentists and the patient. After 1 year follow- up a replacement root resorption of tooth 21 was diagnosed; it was then considered severe at the time of the 2 year control visit. Educational programs are essential to optimize the treatment outcome both at the accident site and also at the dental office.