Injuries to the Teeth and the Alveolar Process

Abstract

Trauma related injuries to the teeth and surrounding oral tissues are common and represent a significant proportion of injuries to the facial skull. Most often, the maxillary frontal region is affected, which is of crucial importance for facial aesthetics. Restoring function and aesthetics after dental trauma is often associated with limitations and leads to high costs. Initial and early treatment largely defines the outcome and is of utmost importance. These injuries are very variable and complex. Despite a high prevalence, the individual injury types are not frequent so that a routine cannot be established in diagnostics and therapy. In case of luxation injuries of the teeth, dentin tubules are regularly opened on the periodontal side. These new connections between pulp and periodontium are non-physiological, they do not occur in other dental diseases and are therefore not very well-known. However, it is essential to consider them in the early stages of treatment, as they lead to fulminantly progressing infection-related root resorptions (IRR) with very early tooth loss and bone loss around the affected teeth.

Y. Pohl was deceased.