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Cited by 60Dental Trauma and TreatmentsFacial Trauma and Fracture ManagementEndodontics and Root Canal Treatments

The DOI matches its Crossref record, with a small difference in title or year.

Contradictions in the treatment of traumatic dental injuries and ways to proceed in dental trauma research*

Andreasen, Jens Ove, Lauridsen, Eva, Andreasen, Frances Meriam·2010·Dental Traumatology
DOI 10.1111/j.1600-9657.2009.00818.x
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Abstract

Almost all treatment procedures used for dental traumas are still today not evidence-based, a fact, which makes it difficult to analyse the long-term outcome of healing and its relationship to treatment. Crown fractures with extensive dentin exposure represent a dominant injury in the permanent dentition. Accepted treatment philosophy is dentin coverage (dental liner and/or dentin bonded restoration) to prevent bacteria penetration into the pulp. Today there is, apart from deep proximal fractures, no evidence that this treatment is necessary to protect the pulp. In case of luxation injuries, the accepted treatment principles appear to be anatomically correct repositioning, stabilization with a splint and sometimes antibiotic coverage. In clinical studies, these principles could not be proven to optimize either periodontal or pulpal healing, the explanation possibly being that both reposition and application of splints in certain cases add extra damage to the pulp and periodontal ligament. In case of root fractures with dislocation, fast and optimal repositioning and rigid long-term splinting (i.e. 3 months) have been considered the principle of treatment. However, a recent clinical study has shown that short-term splinting with a semi-rigid splint appears to optimize fracture healing. In tooth avulsion with subsequent replantation, cleansing of the root surface for contamination and systemic antibiotics has been considered essential for pulp and periodontal healing. These tre…

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  • Current literature provides protocols, methods and documentation for clinical assessment of traumatic dental injuries, trauma first aid, patient examination, treatment planning factors, and communicating treatment options and prognosis.

    “Available current literature provides protocols, methods and documentation for the clinical assessment of Traumatic Dental Injuries (TDI), trauma first aid, patient examination, factors that affect treatment planning decisions and the importance of communicating treatment options and prognosis to traumatized patients. 1-3”

    From International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. (2020) · cites this paper as [3]

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Research works printed but not linked: 42

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Metadata

Authors
Andreasen, J. O., Lauridsen, E., & Andreasen, F. M.
Affiliations
  • Copenhagen University Hospital (DK)
  • University of Copenhagen (DK)
Corresponding author
Andreasen, Jens Ove
ORCID
Venue
Dental Traumatology
Publisher
Wiley
Published
2010-01-07
Volume
26
Issue
1
Pages
16-22
ISSN
  • 1600-4469 (ISSN-L)
  • 1600-9657
DOI
10.1111/j.1600-9657.2009.00818.x
OpenAlex
W2102955849
Cited by
60
References
0
Citations by year
2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 6
FWCI
4.53
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Dental Traumatology (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics
  • Health Sciences › Dentistry › General Dentistry › Dental Trauma and Treatments
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
  • Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
Keywords
dental trauma, crown fracture, dental liners, pulp healing, periodontal healing, tooth luxation, tooth repositioning, splinting, root fracture, tooth avulsion, tooth replantation, antibiotics, evidence-based treatment, randomized controlled trials, animal models
MeSH terms
Cognitive Dissonance, Dental Leakage, Dental Pulp Exposure, Humans, Periodontal Splints, Tooth Fractures, Tooth Avulsion, Tooth Replantation, Evidence-Based Dentistry

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