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Dental trauma presents in a number of different ways and the outcome of treatment of trauma is equally varied, and can be dependent on the mode of management at the acute presentation. Pulpal vitality, retention of the periodontal ligament, discolouration factors, apical maturity, mobility and recession are just some of the follow-up complications that can be influenced not only by the nature of the injury, but also the method of immediate management. This report of two cases of broken incisors highlights the use of adhesive techniques and a knowledge of hue, chroma and opacity to re-attach tooth fragments in an aesthetic zone trauma. The cases also highlight the variance of outcome based on the nature of the trauma and the injury sustained.
CPD/Clinical Relevance: To highlight the relevance of trauma management, the techniques available and the variation in outcome with treatment.
Article
Dental trauma presents in a number of different ways. With certain profiles having a higher risk, such as proclination of upper anterior teeth,1 and a myriad of injury types, industry standards have been developed to bring consistency in the management of such clinical scenarios. The outcome of dental trauma cases is equally varied, and can be dependent on the mode of management at the acute presentation. Pulpal vitality, retention of the periodontal ligament, discolouration factors, apical maturity, mobility and recession are just some of the follow-up complications that can be influenced not only by the nature of the injury, but also the method of immediate management.2 Such situations cater for around 33% of adult trauma injuries for which treatment is sought. It is also stated that the majority of such injuries occur before the age of 19.3 Dental trauma might have a severe influence on the social and psychological life of a patient, and so it is critical that restoration of such injuries is carried out using predictable methods.
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