Dr Khuong Nguyen

Dental trauma is a common problem in those involved in sports or other sorts of mishaps. It can cause a variety of damage to the teeth and jaws. Traumatic traumas can result in a variety of dental problems, such as craze lines in the enamel, root fractures, tooth discolouration, and pulp necrosis. All of these conditions may necessitate medical attention.

Traumatic injuries are bodily injuries induced by various blunt and piercing processes (such as falls, road traffic accidents, assaults, burns). They can cause severe systemic shock, necessitating emergency medical intervention. Some injuries may be treated at home with a competent first-aid kit, but others necessitate an ER visit and sutures. A triage classification system determines the severity of an injury and prioritizes patients based on their needs.

The longer it takes to heal, the more traumatic your injury. It's also more likely that you'll experience problems like pulp necrosis, a serious dental ailment that can be difficult to treat. This is why it's critical to seek a professional dental diagnostic as soon as possible following a concussion.

After a trauma, the hard tissues of the tooth root (dentin and cementum) and soft tissues (dental pulp) can sustain a variety of injuries. Some of these injuries are complex and necessitate rapid medical attention. These injuries are known as root fractures, and they can occur at any level of the tooth's root, including the apical third, middle third, and subcrestally in the coronal third. The location of the fracture has an impact on how it is handled.

Tooth discoloration can occur for a variety of causes. Extrinsic stains are caused by meals and beverages that include strong hues that stain teeth, such as coffee, tea, wine, and dark sodas. Intrinsic stains are caused by medical diseases such as celiac disease or rickets, as well as ailments that impair children's enamel growth (under the age of 8). Internal tooth discolouration can also be caused by tooth trauma, particularly in youth.

A cracked tooth that has not been displaced in any direction should be stabilized with a composite material for one week. Pulp tests should be conducted when the splint is removed, as well as three months later. If the pulp test is nonresponsive, root canal therapy may be required.

Internal tooth discolouration can also be caused by medications your mother used during the second half of her pregnancy. Antibiotics like tetracycline can be absorbed by the body and cause a brown-black discoloration on teeth. When the blood vessels and dentinal tubules in a damaged tooth break down, tooth discolouration can result. The tooth may die or require care depending on the severity of the lesion. This is why it is critical to obtain dental care as soon as possible following a concussion.

Traumatic dental injuries (TDIs) can result in pulpal necrosis if the tooth is not protected immediately after the trauma. Bacterial contamination of the exposed pulpal tissue and/or an inflammatory response induce this. Pulp necrosis can be prevented by using a revascularization surgery such as root canal obliteration (PCO) or pulpectomy.

A pulpal-involved tooth's prognosis is determined by the occurrence of additional concomitant injuries, the time passed between exposure and treatment, bacterial infection, and the stage of root development. The treatment goal is to maintain pulp vitality while also restoring aesthetics and function.

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