Transient root resorption after dental trauma: the clinician's dilemma

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.]
Frances Meriam Andreasen

Abstract

The diagnostic shortcomings encountered in the clinical evaluation of pulpal and periodontal healing subsequent to trauma comprise a major problem in dental traumatology. An acute dental trauma may imply impact to the hard dental tissues and damage to the pulp and periodontium (including surrounding alveolar bone). In the case of luxation injuries, the trauma often results in rupture of the neurovascular supply at the level of the apical foramen, whereas in a root fracture, the same occurs at the level of the fracture. Conventional diagnostic criteria for pulpal status (coronal discoloration, loss of pulpal sensibility, tenderness to percussion, and radiographic change [i.e., resorption]) reflect, only indirectly, certain parameters of healing. These parameters are based empirically on clinical findings after dental caries and dental restorative techniques, where the pulp has an intact neurovascular supply apically. In these situations, long-standing bacterial or chemical attack can lead to irreversible change. In contrast, following traumatic impact, a presumably intact pulp is deprived of its neurovascular supply instantaneously. In the absence of infection, events following acute dental trauma aim at either tissue repair or ...Continue Reading

References

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Citations

Nov 6, 2004·Journal of Zoo and Wildlife Medicine : Official Publication of the American Association of Zoo Veterinarians·Dean KonjevićKresimir Severin
Dec 5, 2009·Dental Clinics of North America·David E Jaramillo, Leif K Bakland
Mar 21, 2008·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Yucel YilmazNihal Belduz
Nov 26, 2009·Journal of Applied Oral Science : Revista FOB·Kely Firmino BrunoFabiana Cristina Pimenta
Feb 23, 2018·International Dental Journal·Salwa A AlsadhanMashael F Abuabat
Nov 10, 2007·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Maria José de Carvalho Rocha, Mariane Cardoso
Jun 6, 2007·Australian Dental Journal·A J Moule, C A Moule
Oct 30, 2014·The Open Dentistry Journal·Eckehard KostkaSaskia Preissner
May 21, 2008·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Mariane Cardoso, Maria José de Carvalho Rocha
Jul 29, 2011·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Franklin Garcia-Godoy, Peter E Murray
Sep 14, 2012·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Nuno Vibe HermannJens Ove Andreasen
Sep 14, 2012·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Jens Ove Andreasen, Søren Steno Ahrensburg
Oct 17, 2012·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Xin LiuLi-an Wu
Jul 5, 2011·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Miguel RoigFernando Duran-Sindreu
Sep 30, 2008·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Andreas KünzelJürgen Becker

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