Contemporary imaging for the diagnosis and treatment of traumatic dental injuries: A review
Open accessAbstract
Traumatic dental injuries ( TDI ) have an array of presentations. Diagnostic challenges are common and clinicians' ability to correctly identify specific injuries dictates the optimal course of treatment(s). The aim of this review was to outline and assess all dental imaging techniques and their applications to traumatic dental injuries. A particular interest is given to the advancement of 3D imaging techniques and their role in diagnosis and treatment planning. The benefits of achieving a more accurate diagnosis are paramount to perfecting clinical judgments and outcomes.
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Cone beam computerized tomography provides enhanced visualization of traumatic dental injuries, particularly root fractures, crown/root fractures and lateral luxations, and can help determine fracture location, extent and direction.
“Cone beam computerized tomography (CBCT) provides enhanced visualization of TDIs, particularly root fractures, crown/root fractures and lateral luxations. CBCT helps to determine the location, extent and direction of a fracture. In these specific injuries, 3D imaging can be useful and should be considered, if available. 10-12”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [10]
Cone beam computerized tomography (CBCT) provides enhanced visualization of traumatic dental injuries, particularly root fractures, crown/root fractures and lateral luxations.
“Cone beam computerized tomography (CBCT) provides enhanced visualization of TDIs, particularly root fractures, crown/root fractures and lateral luxations.”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [10]
CBCT helps to determine the location, extent and direction of a fracture.
“CBCT helps to determine the location, extent and direction of a fracture.”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [10]
The occlusal radiograph provides a different vertical view of the injured teeth and the surrounding tissues, which is particularly helpful in the detection of lateral luxations, root fractures and alveolar bone fractures.
“The occlusal radiograph provides a different vertical view of the injured teeth and the surrounding tissues, which is particularly helpful in the detection of lateral luxations, root fractures and alveolar bone fractures. 2,9,10”
From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [10]
Section 3 discusses periapical radiographs taken at different angles, and sections 9–10 discuss imaging for root fractures and luxations. None of the passages found when searching for occlusal radiographs says that an occlusal view is particularly helpful for detecting the three listed injuries; the copy instead discusses periapical radiographs and 3D imaging. (LLM, conf=0.74)
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Bourguignon, C., Cohenca, N., Lauridsen, E., Flores, M. T., O'Connell, A. C., Day, P. F., Tsilingaridis, G., Abbott, P. V., Fouad, A. F., Hicks, L., et al. (2020) · Dental Traumatology · doi:10.1111/edt.12578 · Cited by 803 · see citing works
“2,8,9 The clinician should evaluate each case and determine which radiographs are required for the specific case involved.”
Self-citation
- Authors
- Cohenca, N., & Silberman, A.
- Affiliations
- University of Washington (US)
- Private Practice Limited to Endodontics Murrieta CA USA
- Corresponding author
- Cohenca, Nestor
- ORCID
- Cohenca, Nestor
- Venue
- Dental Traumatology
- Publisher
- Wiley
- Published
- 2017-05-05
- Volume
- 33
- Issue
- 5
- Pages
- 321-328
- ISSN
- 1600-4469 (ISSN-L)
- 1600-9657
- OpenAlex
- W2598431169
- Cited by
- 75
- References
- 55
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 12 · 2020: 9 · 2019: 10 · 2018: 3 · 2017: 1
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Dental Traumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Dental Trauma and Treatments
- Health Sciences › Dentistry › Oral Surgery › Dental Radiography and Imaging
- Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
- Keywords
- dental trauma, dental imaging, 3D imaging, diagnosis, treatment planning, tooth avulsion, root fracture, temporomandibular joint injury
- MeSH terms
- Diagnosis, Differential, Diagnostic Imaging, Humans, Tooth Injuries, Imaging, Three-Dimensional
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