Injuries to primary and permanent teeth
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Magdalena Kępisty, DDS, Pediatric Dentist
🎯 Training goal
- The aim of the training is to improve the competence of dentists in the diagnosis, first aid, and treatment of injuries to primary and permanent teeth, in accordance with current IADT guidelines.
- Participants will gain knowledge and practical skills regarding patient qualification, treatment planning, performing basic post-traumatic procedures, and managing the most common injuries to primary and permanent teeth.
👩⚕️ Who is the training for?
- The training is for dentists interested in expanding their knowledge and improving their practical skills in the diagnosis, first aid, and treatment of injuries to primary and permanent teeth in accordance with current IADT guidelines.
- The training is aimed at both dentists beginning to work with trauma patients and practitioners wanting to update their knowledge and improve their clinical management techniques.
🧠 What skills will you gain after the training?
- You will begin to recognize types of injuries to primary and permanent teeth and qualify patients for appropriate management according to current guidelines.
- You will plan management for fractures and luxations of primary and permanent teeth.
- You will perform practical procedures related to the treatment of dental injuries on models according to applicable standards.
- You will perform splinting and tooth replantation procedures according to current guidelines.
- You will recognize possible complications after dental injuries and plan further management and patient follow-up.
📚 Day 1 - Theoretical part
Examination of a trauma patient:
- essential information for proper diagnosis, examination protocol - trauma chart, imaging diagnostics - what is possible and what is necessary?
- additional tests - key to communication with the patient, parent, and other doctors
Contemporary classification of dental injuries according to Andreasen, discussion of injuries from the groups:
- fractures and luxations
Proper diagnosis - the key to success:
- diagnostic tree, "Trauma Triage" in complex and multi-tooth injuries
First aid for primary and permanent tooth injuries according to the latest IADT guidelines:
- what do we treat immediately, and what do we postpone?
- management of uncomplicated and complicated crown fractures, root fractures, and crown-root fractures
🦷 Practical part
Reconstruction of a fractured primary incisor crown using the "strip crown" technique
Management of complicated fractures of permanent incisors:
- partial pulpotomy using bio-ceramic cements
Crown reconstruction by reattaching the fractured tooth fragment (reattachment)
"Tips & Tricks" from daily practice
🗓️ Day 2 - Theoretical part
First aid for deciduous and permanent tooth injuries according to the latest IADT guidelines cont.:
- management of luxations - concussion, subluxation, extrusion, lateral luxation, intrusion, and avulsion (complete displacement)
Tooth splinting:
- splinting materials - overview of available methods,
- immobilisation time for specific injuries,
- control and removal of immobilisation
Recommendations for patients after trauma - as a crucial point for treatment success:
- dietary and hygienic,
- follow-up visits.
Communication with parents:
- prognosis,
- possible complications,
- consequences of deciduous tooth injuries on permanent successors.
🦷 Practical part
Replantation of an avulsed permanent tooth step by step - exercises on a model
Splinting teeth using a TTS splint (Titanium Trauma Splint)
Repositioning of a permanent tooth after lateral luxation
Splinting using a splint, wire, and composite
Removing immobilization from teeth without damaging the enamel
Training completion