Endodontic and restorative considerations of traumatically injured teeth

Abstract

Traumatic injuries cause different kinds of damage to dental and periodontal tissues. The treatment approach varies according to the type and degree of injury. Periodontal injuries in which loosening or loss of attachment is present require immediate fixation of the tooth. In this kind of injury, root canal treatment is indicated when the signs of pulp necrosis such as spontaneous pain, pain to percussion, periradicular pathosis, inflammatory root resorptions and discoloration are present. In cases of coronal fractures, the treatment strategy differs according to the status of pulp tissue. If the fracture line is limited in enamel or dentin, restoration of the missing tissues can be achieved with composite resin. However, involvement of pulp may require direct pulp capping, pulpotomy or pulpectomy. The treatment process for three subluxated and four crown fractured teeth requiring a follow up over 8 months is presented in this case report.