The Role of Function in Post-Traumatic Healing

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Description: The consequences of a traumatic injury could range from tooth loss to developmental discrepancies of the alveolar bone. This is a major concern when treating patients of a growing age. These injuries make the tooth prone to inflammatory and replacement root resorption. Understanding how these biological responses develop and how to eliminate or mitigate them is crucial. Our main challenge is preserving the alveolar bone and minimizing the consequences of ankylosis. Function has been demonstrated as a significant factor to decrease risk of ankylosis. Flexile stabilizations or splints are suitable for this purpose, but recent studies are showing critical data. This presentation will discuss and illustrate the current protocols of the International Association for Dental Traumatology for luxated and avulsed teeth and how the results of new in vivo studies could transform these protocols in the near future.

At the conclusion, participants should be able to: 

- Describe the importance of the most suitable treatment of injuries that cause severe damage to the periodontal ligament. As well as the consequences of tooth ankylosis in patients of a growing age.

- Discuss the current guidelines of the International Association for Dental Traumatology (IADT) and their scientific basis.

- Demonstrate the importance of function and controlled forces when applied through active stabilizations in the treatment of avulsed teeth.

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Cesar De Gregorio, D.D.S., M.S.D., P.h.D.

Dr. De Gregorio received his dental degree from the European University of Madrid in 2006. In 2008, he completed the Endodontic Program at the European University of Madrid with Honors and received the AEDE Best Research of a Graduate Student Award. He received the Best Clinical Case Award in 2008 and the Best Oral Communication Award in 2010 by the AEDE. He served from 2009 to 2013, on faculty at the school while maintaining a private practice limited to endodontics. He is active in research and has published articles in peer-reviewed journals, being author of chapters in books about Endodontics. He became Assistant Professor of the Department of Endodontics at the University of Washington in 2013 where served as a clinical assistant professor of the department of endodontics and as an endodontist at the Center for Pediatric Dentistry. Dr. De Gregorio obtained his PhD in 2020. Actually, he serves as a Board director of the International Association for Dental Traumatology (IADT) and is member of the committee of Research and Case Awards as well as the committee of Education and prevention. He became Sub-Director of the Graduate program in Advanced Endodontics at Universidad Rey Juan Carlos (Madrid-Spain) in 2016 and performs treatments in his private practice, limited to endodontics and dental trauma.

Cesar De Gregorio, D.D.S, M.S.D.

I declare that I have 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. Consulant: Providers of workshops for Nusule corwns and Honoarium for time to deliver training.