Tooth avolon results
When tooth loss occurs the attachment avolsad and pulp necrosis. Tooth ' is from '
Most of the viable root level essentially the praadantl ligament is a ligament of the cell due to sockets, praadantl leaves. In addition, the teeth of the socket due to hatimh against kmantal as well as the loss of their small lives, is local.
1
If the root level of the results of the praadantl ligament is attached to the left tooth doesn't dry out, Avolon are usually minimal (1, 2). Hidratad praadantl ligament cells attach on the replanton at least destructive to them without any reason more than inflammation will light.
Since a devastating wounds in their souls a lot within the local area there is swelling in addition damaged by stamlatad tissues will be similarly limited, meaning that there is a new alternative healing with kmantm the initial anti-inflammatory (Fig. 1) is most likely to occur after the sbusadid.
However, if it is dry before excessive bad cell replanton praadantl ligament
A severe inflammatory response daffose area on the main level will be angikht on. In contrast to the situation described above, after the initial inflammation response to correct this area where small, a larger area of the main level here means that should be fine by the new tissue is affected. Both the root level cannot cover the whole time kmantoblast slow and, in some areas, the cord attached to the auto-connects directly to the level that is likely. Kontorang, in the physiological bone through time will be replaced by the root bone. Alternative or alternatives to bony resorption (3, 4) has been declared. A process (Fig. 2).
2
Avolon necrosis occurs after injury is always a polpal. Nicrotik pulp nicrotik tissue bacterial pollution itself is no results, but for life. Revascolarason or andadantak is not raised, inevitably affect the pulp space arises effectively will become therapy. Root canal and the original results may be very serious inflammatory resorption is an external and the rapid reduction of the tooth (5) (Fig. 3) for the loss of guidance on an external level kmantal is a collection of bacteria.
In this way, after effects of teeth to appear straight to avolon occurred, experienced with intensity and the surface area of the root level and the level of outcomes, the axe is laid unto the root of the destruction that inflammation must not be right. Treatment should always be considered the balance of strategy blessed by such limitations in the context of tipping is customary Perry radikoler inflammation (kmantal) instead of the gauge (bony resorption alternative or inflammation) is healed.
The objectives of treatment
Avoid treatment or outcomes, two important results of avolsad tooth inflammation which, in other words, as a direct result of the infection and damage to the attachment is polpal which has directed at least. Avolon attachment loss as a direct result of injuries can be avoided. However, mainly due to the significant damage by the dry plus membrane praadantl for tooth is out of the mouth can occur at that time. The result of the treatment, so that the lowest possible complications with minimum loss (and outcomes, inflammation) is directed towards. When severe additional damage can be avoided, and is considered to be the main alternatives to bony, root to slow down the bone, the teeth in the mouth for a long time as possible by steps to maintain it.
In this way, all pulp, tooth open Supreme rescue efforts for the promotion of revascolarason pulp space infection. When revascolarason failed to open or close the Supreme Supreme is not possible in the tooth, teeth, root canal treatment or to stop all efforts to eliminate toxins from are made for.
Clinical management
Emergency treatment at the site of the crash
Riplant is a place in a suitable storage medium or if possible.
Early injuries to the damage to the voice attachment is the same, but There is usually minimal. However, all the teeth out of the mouth while the rest of the necrosis praadantl ligaments are at least trying to. Polpal siqaili are not a concern in the beginning, and later on, in the State of treatment are dealt with by. One of the most important elements to ensure an auspicious speed is the result after replanton riplantad tooth (6, 7). There is an important which caused the loss of normal physiologic metabolism and prevent dry, of morfalwaji praadantl ligament cells (2, 7). Within every effort first of all teeth riplant '
15-20 minutes (8). It is generally some of the emergency staff with knowledge on treating wound Protocol is needed. Clearly this person at the site of the crash with the dentist should talk.
How to deal with such circumstances, ideally information should already have been given to the person where such an incident occur which, as is likely on the field at the school or in an environment that is likely to be on the site. For example, educational presentations for school athletics or training of nurses in. However, this information can be given on the phone failing. The aim was to develop a clean tooth root surface to be which means the patient brought the immediate Office is riplant to the maximum extent possible. If the tooth cannot be adequately riplantad that there is a doubt, the patient for dental office, you can get it from replanton until the tooth should be stored in a suitable medium fast. Are in the order of priority of the proposed storage media. Milk, saliva, or a container or into the porch of the mouth in which the patient's spats, physiological saline or water (9). Water is at least the required storage medium for rapid cell lysis hipotonak environment and add anti-inflammatory replanton (10) the other.
Imagery
Hank's balanced salt solution, cell culture media, such as the special transport cans
Viaspena, high capacity for an extended time (abuss) or (11) as a result of the praadantl ligament is shown to maintain viability in the fiber. However, he located the crash site where he is likely to hurt sites generally are not going to be available is considered as viable. If we think that more than 60 percent of the injuries occur near home or avolon (12) school emergency kits available in these two places, these media outlets should be beneficial to. In addition, these emergency ambulances and other personnel involved in the mean conditions of the patient are injured where teeth and immediate in accessible locations would not be inappropriate to otherwise, a more serious, even life-threatening, may be martyred as a result of the situation.
Dental office management
Emergency visit
A more severe injury secondary to dental injury that is determined to be necessary. A severe injury is suspected, this test immediately trite is the appropriate expert is the first priority. The focus of the visit is the domain of emergency attachment This inflammation and mksmal create the number of cells, and the ability to repair damaged basic level that will cause praadantl ligament as it aims riplant arreursabal damaged cells, at least with the tooth surface.
Diagnosis and treatment plan.
If the tooth was riplantad on the website, a complete history of injury, blessed is to assess the possibility of no results. In addition, assess and if necessary adjust the position of the riplantad teeth. Rarely on teeth ' relaxation ' (see below) is a blessed results to increase the possibility for the preparation of the root can be removed.
If the patient's tooth is already out of the mouth, storage medium should not be evaluated and if must be kept in a more appropriate medium, tooth. Hank's balanced salt solution
At that time, the best medium for this purpose (Fig. 4) is considered. Milk or physiological saline also is suitable for storing purposes.
Is a clinical medical and accident history?
Test carried out.
Clinical examination and maintain a test say it must include the appropriate Sockets for replanton. This is accomplished by the touch of the palatal facial and verbal. Socket snacks (Fig. 5) is gently rinsed with clear rubble walls, and when the clot and the presence, absence, or directly to the fall of the wall sockets are checked. Socket's touch-Africa of course there is pressure on the surrounding teeth runs apakal areas and if there are used to say in addition to avolon becoming one. Pieces of bone as well as multiple tooth movement is reflective of marijuana becoming one. Socket and soft tissues, including surrounding areas, must be radevgrape.
Three vertical angolatance assess the presence of horizontal root are required for a fracture. In the adjacent teeth (6). In both the upper and lower the rest of the tooth Crown Division, such as for injuries must be examined and any softasse lasratance should be noted.
Preparation of the root
On the preparation of the root tooth (open, close Supreme vs) depends on the maturity and dry the teeth of time before these were kept in a storage medium. A dry time 60 minutes to the point where it is unlikely that the survival of cells praadantl root is considered to be the ligaments.
Additional dry time, 60 minutes oral
Close Supreme
The original water or snacks with the debris and rinsed in a fashion as possible, as is a soft riplantad. If the tooth is a closed, the Supreme rioascolsrastaon is not possible (13) but less than 60 minutes for a tooth (or kept in the appropriate riplantad medium) because of the opportunity for healing of dry praadantl exists. The most important thing is that at the time of an intense inflammation reaction is not likely to lisind replanton. Praadantl a dry time will be 15-20 minutes where healing is considered to be less than the maximum expected (1, 2, 8).
More than 20 minutes to dry the tooth, which is a continuous challenge to cure (praadantl cell survival is assured), but less than 60 minutes (praadantl survival unlikely). In these cases, some of the cells with the potential to create the root level of the logic, and some that will work as shows composed of inflammatory stamlaters. Interesting new strategy currently under investigation that can be highly valuable in these cases. (Bavira, use aimdogina
Malmo, Sweden) were frustrated in the past, been found to be valuable in those events (see below) and in the period 20-60 minutes dry medicine can prove extremely valuable. Studies are ongoing to evaluate its potential.
5 minutes, gently rinse off debris, to open doaikiclana for the Supreme riplant.
Revascolarason in the root of a tooth, as well as continuous open Supreme development is possible (Fig. 6). Select quick key et al. 2006 (13) in monkey teeth doaikiclana (1 mg in 20 ml. Physiological saline) with replanton in 5 minutes before, found significantly for soaking.
Revascolarason upgrade. As a result of this dog by ianpasit et al. 2006 (14) is confirmed. While this animal studies do not provide us with a forecast of a rate of revascolarason in two animal species, human beings will be the same in revascolarason located in the enhancement must expect to feel is appropriate. Teeth as close, with Supreme Supreme with open-tooth then gently rinsed and riplantad.
R oral dry time. 60 minutes
Close Supreme
Praadantl ligaments for 5 minutes to remove the acid works in two ways, and to put, or cover the root with aimdogina, riplant. Has been dry for more than 60 minutes or when connected, the praadantl ligament is not expected to survive the cells (1, 2). In these cases, it is possible to root resorption (bony process of trying to slow down an alternative) should be ready to be resistant. The tooth praadantl remove all the remaining acid and ligaments for 5 minutes, I must be sticky
They will initiate inflammation response on the replanton tissue. Tooth stannoos 2% for 5 minutes then sticky and riplantad for sugar (15, 16).
Is alideronati its effectiveness high fluoride and whether it justifies the added cost will need to meet to evaluate the effects of fluoride is used in the same way as slowing resorption (17) but was found for further study. More recent studies showing not only the root aimdogina (enamel matrix protein) found integration but possibly new praadantl ligaments to make for the establishment of additional oral iaantrnat dry times may very useful extension tooth (18, 19) (Fig. 7).
If the tooth is dry, and no more than 60 minutes has been considered for protection
Praadantl ligament, orthodontics is cannot be performed. I do not benefit from this additional step, with a closed teeth Supreme emergency exists on the visit. However, in an open with one's teeth after the treatment the Supreme andadantak replanton apifkashn include a long term, performed the procedure. In these situations, where a root canal treatment is the Supreme, full of observation satellite, it is easy to achieve the seal may be advantageous.
When andadantak asipticall treatment is performed, it is free of bacteria to get a root canal system must be performed with extreme caution.
Open the Supreme
Riplant? If Yes, close Supreme with teeth as treatment. Andadantak
Mouth treatment can be performed.
Since their teeth, many of the children in the younger patients usually develop the face is incomplete dentists so much poor prognosis and potential ankelos of tooth complications so severe that the advice that it would not consider teeth are riplantad. In fact, not their teeth for riplant International Association of medical trauma, current (20) is recommended. However, there is considerable debate as to whether it even though it will be necessary to be lost due to integration riplant would be beneficial for this root. On the root and the appropriate time to observe patients (21, 22), height and, more importantly, the width of the bone to become submerged, when development of the baby's face is complete at the right time will be a permanent restore allows for easy maintained. Studies to evaluate whether the current recommendations should be changed are ongoing.
Socket preparation
Socket should be left undisturbed before replanton (6). A recount, with the emphasis on
Socket of the tooth socket (23) to facilitate inside are barriers. It should be
If a blood clot is present, lightweight asparited. If the bone is an important factor preventing replanton, become or be painful because of the collapse, is a blunt instrument carefully in an attempt to reposition the wall sockets, should be inserted.
Splantang
This place is at least for a period, and the physiological movement of the teeth allows a healing splantang technology ankilasas (6, 23-25) results in a decreased events. 7-10 days for semi rigid (physiological) has been recommended listening (6, 25). Splint should be permitted, so that the movement of the teeth (teeth during the healing is not increased) no memory, no gangawa and/or should be on (Fig. 8) is in the area of oral hygiene to prevent health care. With a new titanium trauma splint an accepted many splant splinter needs recently, particularly effective and should be easy to use (26) is shown. Splint the tooth in place to follow up and further treatment and, after prioprtavi as a reference to verify positioning a radiograph should be taken. When the tooth is in the best possible condition, it is painful in its position and not harmful have been splantad lock to ensure cutting, it is necessary to adjust. One week in the tooth avolsad (6) praadantl to maintain the position of the support is sufficient to generate. Therefore, splint 7 – 10 days later, should be removed. Avolon to be distributed in conjunction with this case, they are the only exceptions, which happens when the tooth is a proposal to make splantad
4 – 8 weeks (6) period.
Soft tissue management
Lasratance soft tissue, what must be stiqrid of gangawa Sockets. Lasratance lips are fair
With these types of injuries have in common. Lasratance should be some contact with dentist lip and it may be prudent to consult with a plastic surgeon at this stage. If these lasratance are stiqrid, well before the injury, or as a result of his wounds and astetak effect soil left until minute teeth fragments to clean as should be taken care of.
Adjunktowi therapy
Sistemitic replanton and andadantak of the time before the treatment, antibiotics are effective in.
Nicrotik bacterial invasion of pulp and prevent inflammation after integration (27). The effectiveness of collaganasi motilati from astuclast and tatora (28) root resorption by reducing the advantage of becoming more extra. System administration of antibiotics for patients with not staining tatora doaikiclana 2À patient age and weight per day (28, 29) for 7 days, or in the proper dosage for penicillin V 500 mg and 1000 mg per day, and the beginning of the emergency visit on 7 4À splint is removed after 7-10 days (27) until the day when a constant is for. During the healing phase of the bacterial slcos of materials should be controlled. Appropriate oral hygiene patient stressed the need for chlorhedni in addition to ransas 7-10days also will be useful for.
(Still anpublash) a recent study by our group, great benefits, and the contents were removed in the emergency visit pulp lidermsaa root canal was seen when the men had been detained. This product has been shown to migrate through the dantanal tubules tatora consists of a collection. The use of the medicine that the medicine apparently were not more favourable than those of the owner of the tooth to allow for healing after replanton was able to close down the inflammation response. We use this medication immediately, not standard practice dastant are confident that in the future will become.
On an individual case-by-case basis the need for Analgesics should have guessed. Use of pain medication
A non-prescription anti-inflammatory drug, laasterodi, strong-compared to the unusual. The patient's initial consultation of a physician visit for a booster within 48 h should send about akara.
Second visit
The visit should take place after 7-10days emergency visit. Emergency visit, "the statement said.
Attachment is placed on the domain of healing and protection. The visit focused on the possibility of elimination or prevent irritants from the root canal space. These irritants if one exists for the development of the root resorption and bone inflammation response and stimulus they provide. In addition, in the course of this visit is to ransas chlorhedni sistemitic completed the antibiotic cannot be stopped and the splint is removed.
Andadantak treatment
60 minutes additional time oral
Close Supreme
Andadantak, at the beginning of treatment, seven to ten days. In other cases, where there are signs of delayed or in the treatment andadantak integration, ' lasting ' calcium hydroxide treatment prior to treatment with obraon.
This tooth, there is no revascolarason and andadantak treatment should be started
7-10days (6, 13) are on a second visit. Its maximum time therapy began, the pulp must be
Nicrotik without infection or, at least, just most of the infections (30-32). Therefore, andadantak therapy an effective antibacterial agent antrapapoantment (33), with relatively short period of time (7 – 10 days) stream (34) effective disinfection is enough to ensure that. If the full cooperation of the patient is confident about the dentist, calcium hydroxide with long-term therapy is the best treatment method (5, 32). The advantage of using a praadantl maintain the ligament space is confirmed until a temporary obratang in place allows the content to keep the dentist is. Long-term calcium hydroxide treatment was more than 2 weeks before the start of treatment andadantak wounds, always should be used or radevgrapeak of the evidence supporting the hypothesis that the integration is so (32).
Anstrmantad and arrigtad root canal is thoroughly and then a mixture of calcium hydroxide and powdery thick and filled with salty barren (washing solution is also an accepted vehicle). Calcium hydroxide 6 – 24 months after each within a range of 3 months has changed. Praadantl maintain a radaographakall membrane around the root cannot be performed when the stream is aobratad. Calcium hydroxide (33, 34) effective antibacterial agent, and the position of the theoretically promote integration, local environment (35) healing activity. It is also in the process of formation of the slow and difficult tissue cells which risorptowi dantan (35) to pH changes, to promote more shoda. Because it's damaged main level (36) are trying to repopulate a nicrotisang effect on the change of calcium hydroxide in, however, the cells (not more than 3 months) should be kept.
While calcium hydroxide in root resorption is considered the treatment of choice and inflammation, it is not the only medication recommended in these cases. Some efforts to remove not only, but also for risorbang cell stimulus directly to affected areas in the city., lidermsa, root resorption dantinoclast anti-inflammatory antibiotic paste (37, 38) praadantl by the spread of possible without damaging the ligament is effective in the treatment of. The roots of the teeth, demonstrated the ability to disperse through (39), is a State of this release is more calcium hydroxide paste and dissemination when used in combination with (40) kalkatonan, a hormone that inhibits bone resorption ostuclastak. also is an effective medication in the treatment of inflammatory root resorption (41).
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