Pulpal Aspects of TDI in Primary Incisors

2 (1 vote)

CE: 0.75

Description: Trauma to the teeth may have an immediate effect on the hard tissues (enamel and/or dentin) or the supporting tissues (the periodontal ligament). The pulp can be affected at the time of injury (luxation injuries, complicated crown fracture and root fracture) or it can appear as a late complication (pulp inflammation, internal resorption, pulp infection, pulp necrosis with and without 2 infection, arrest of dentin deposition, pulp canal obliteration, tube-like mineralization and calcific metamorphosis). The condition of the pulp may be expressed clinically by coronal discoloration (yellow, dark or pink) and changes in the surrounding soft tissues (swelling, sinus track). Any treatment provided should be aimed to avoid or minimize the risk of damage to permanent successor and if possible preserve the injured primary incisor. Immediate damage to the pulp (pulp exposure) requires an immediate treatment (partial or cervical pulpotomy) that is expected to keep the remaining pulp vital and react by buildup of a dentin bridge. Some late complications have no harmful effect and can be left for follow-up. In cases of infection of the pulp, the pulp must be removed. This can be done by extraction or root canal treatment. The presentation will discuss the various conditions of the pulp and the relevant treatment for each condition.

At the conclusion, participants should be able to: 

- Describe the various immediate and late types of pulp reaction to traumatic dental injury in primary incisors and discuss the various possibilities to handle these reactions.

- Describe the various theories explaining the mechanism of dark coronal discoloration of teeth following traumatic dental injuries.

- Describe the rational of avoiding root canal treatment in traumatized primary incisors that present dark coronal discoloration but no other clinical or radiographic symptoms.

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Evaluation
7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Verification Letter
0.75 CE credits  |  Certificate available
0.75 CE credits  |  Certificate available

Gideon Holan, DMD

Dr. Gideon Holan studied dentistry in the Faculty of Dental Medicine of the Hebrew University and Hadassah in Jerusalem, Israel, where he also completed his postgraduate training in Pediatric Dentistry in 1983. Holan spent a one-year sabbatical in the United States, in Columbus Ohio Children’s Hospital and the Ohio State University. Main field of interest Traumatic injuries to the primary dentition. Published numerous articles related to traumatic injuries to the primary dentition. Co-author of four chapters related to traumatic injuries to the primary dentition including Andreasen's Textbook and Color Atlas of Traumatic Injuries to the Teeth. Invited lecture in dozens of congresses and seminars.

Gideon Holan, DMD

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.