Timing of implant placement after traumatic dental injury

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Dental implants are reliable to replace teeth lost due to traumatic dental injury (TDI). However, dental implants behave like ankylosed teeth and should not be placed in growing individuals due to the risk of infraposition. This risk may be reduced by ensuring arrested skeletal growth and ideal incisal support. Timing of implant placement may be immediate, early, conventional or late and is determined by the extent of the trauma, remaining growth, conditions of the hard and soft tissues. Timing should allow an observation period to properly evaluate the prognosis of concomitantly traumatized neighboring teeth. Orthodontic alignment is often necessary after TDI in young individuals to provide symmetric dental conditions around the facial midline, to allow implant placement in the correct 3D position for the later prosthetic reconstruction, and to ensure sufficient mesio-distal space that leaves a minimum of 1.5mm of healthy alveolar bone between the future implant and neighboring teeth. Space and stable occlusion should be maintained by bonded retainers and a splint used during the night. A partial prosthesis is usually recommended as a temporary replacement. If a fixed provisional prosthesis is required, it is crucial that it does not interfere with remaining growth and incisal support, and allows proper oral hygiene. This article is protected by copyright. All rights reserved.

OriginalsprogEngelsk
TidsskriftDental Traumatology
Vol/bind35
Udgave nummer6
Sider (fra-til)376-379
ISSN1600-4469
DOI
StatusUdgivet - 2019

Bibliografisk note

This article is protected by copyright. All rights reserved.

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