What is Dental Trauma?

​With different results depending on the degree of completion of tooth development and whether the tooth is primary or permanent; It can be seen as cracks, fractures, breaking and opening of the nerve tissue, and fractures in the root. 

 Superficial intraoral-perioral soft tissues crush, abrasion, cut, rupture pressure sores 

Impact as a result of injury to the dental support tissues and the consequences of shaking, tearing, elongation, impaction, position change, and complete dislocation of the tooth 

According to the severity of the trauma:

Bone and dental support tissue traumas

Inhibition of chewing forces, soft diet

Immobilization with splint

Mini plates, bone fixation interventions

Fixing the jaws together

In dental traumas

Depending on the extent of the fracture, composite fillings, nerve coverings, root canal treatments, immobilization of broken parts, additional orthodontic, surgical or gingival operations for the restoration of the tooth.

In soft tissue traumas

Cleaning the wound area, stitching, in severe cases, grafting (tissue transplantation) 

​

Dental trauma requires clinical and x-ray follow-up as it creates long-term consequences depending on factors such as the severity of the impact, the body's response to trauma-treatments, and compliance with the treatment, in addition to its immediate effects. Additional intervention needs beyond the initial interventions may be identified over time. There is no uniform control interval in dental traumas, where many different case types occur due to multiple and different tissue responses and healing speeds.  

Jawbone-skull bone damages: These are cracks and fractures seen in the upper and lower jaw bones on which the teeth are arranged. They require more advanced diagnosis and surgical treatment conditions than outpatient clinic conditions. 

Thin bone damage surrounding the tooth: These are fractures in the thin bone extensions on the jaw bones to which the teeth are attached. Depending on the severity, simpler splint (immobilization) applications may be sufficient. 

Remember first aid rules - act calmly. 

Ensure your own safety and the safety of the child first to prevent additional accidents from continuing. 

Depending on the severity of the accident, before moving the child, check whether he/she is conscious and reacts to audio-tactile stimuli. If your knowledge or the severity of the incident is high, call for help and consult a dentist as soon as possible.

If there is a permanent tooth that has become dislodged, the best first aid is to replace it if the child is conscious, if it is clean, without holding the root, bite a clean tissue and consult a doctor. In cases where this cannot be done, the tooth and tooth parts should be kept in milk or saliva, or at least in water, and go to the dentist as soon as possible.

Dental traumas mostly occur at school, at home, in the garden and on the street, are not life-threatening and only involve teeth and supporting tissues. However, they can also be seen as a part of severe craniofacial trauma. In these cases, their consideration as part of the care plan for damage to vital organs and major bone traumas can provide great benefits in the long term (preventing tooth loss, preventing chewing ability, speech difficulties, and deterioration of aesthetic perception).   

Dental traumas, which frequently occur in children, can be diagnosed and treated in outpatient clinic conditions without requiring major interventions, with early application and follow-up. However, in children's applications after dental trauma, the effect of the trauma is often present and the fact that most of them first encounter a dentist immediately after the trauma can create adaptation difficulties. For this reason, the calm and supportive parent-caregiver reduces the child's anxiety in this stressful situation and facilitates the implementation of diagnosis and possible treatment procedures.  

Loss of vitality of the tooth: development of infection, arrest of root development

root melts

bone destruction