Strategies to Reduce the Consequences of Impact Trauma to the Teeth
CE: 0.75
Description: Trauma can have serious consequences on the prognosis of teeth. The pulp, periradicular and soft tissues can respond to impact trauma in various favourable and unfavourable ways. The unfavourable responses are dependent on the stage of root development, concurrent injuries to the same tooth, the degree of displacement of the tooth and the immediate management of the injury. The most serious consequences are external replacement and inflammatory resorption. Understanding the tissue responses and the factors affecting them is essential for appropriate management. A thorough history and examination will reveal the relevant factors for each case and will allow dentists to make informed decisions about the emergency management required to reduce any consequences of the injury. Some injuries require immediate and comprehensive treatment whilst others require simpler management and/or just observation of the healing responses. This lecture will outline the immediate management of dental injuries to reduce the long-term consequences of the trauma with a particular emphasis on prevention of external inflammatory resorption.
At the conclusion, participants should be able to:
- Describe the favourable and unfavourable responses of the pulp, peri-radicular and soft tissues to impact trauma.
- List the factors that affect the various responses of the tissues to impact trauma.
- List the injuries that are at “high risk” of developing unfavourable responses following impact trauma to the teeth.
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Paul V. Abbott, B.D.Sc., M.D.S., FRACDS(Endo)
Paul Abbott is an Emeritus Professor of Dentistry at The University of Western Australia. He is a Specialist Endodontist. Prior to taking a full-time University position in 2002, he spent 17 years in private specialist endodontic practice and he also held part-time academic positions at The University of Western Australia and the University of Melbourne. He was Dean and Head of the School of Dentistry at The University of Western Australia and Director of the Oral Health Centre of Western Australia from 2003- 2009. He has presented over 1000 lectures and courses in 49 countries. He has published 230 articles in refereed journals, 25 textbook chapters and 47 Newsletter articles. From 2015-2022, he was the Editor-in-Chief of the international journal Dental Traumatology. Prof. Abbott’s main research and clinical interests revolve around dental
traumatology, tooth resorption, the diagnosis and management of pulp, root canal and peri-radicular conditions, with particular emphasis on pain control and disinfection of the root canal system. Prof. Abbott has received numerous awards for excellence in teaching and service to the dental profession, particularly in education and research. In 2015, the Governor-General of Australia appointed Prof. Abbott as an Officer of the Order of Australia (AO) - one of the highest honours in Australia – “For distinguished service to clinical dentistry, and to higher education, as an academic, researcher and author, to endodontics as a practitioner, and to professional organisations.”
Paul Vincent. Abbott, B,D.Sc., M.D.S, FRACDS(Endo)
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