Traumatismele dintilor la copii, precum si infectiile dento-parodontale se considera urgente in terapia pedodontica. Atitudinea terapeutica este realizata in urma unui diagnostic corect, asociat cu o radiografie si cu o anamneza exacta, gradul de afectare a tesuturilor invecinate precum si posibilitatea recuperarii dintelui in cauza.
Cauzele traumatismelor sunt multiple:
- Majoritatea traumatismelor au loc la varsta de 1,5 ani si 2,5 ani, perioada primei copilarii, cand copiii invata sa mearga si cad spre anterior lezand astfel dintii din fata, incisivii centrali superiori fiind cei mai afectati.
- Accidente de masina, accidente sportive, accidente la scoala.
- Tulburari neurologice sau dizabilitati
- Molestarea/Acte de violenta.
Traumatismele dintilor se clasifica in 6 clase de gravitate:
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- Clasa II – fracturile coronare fara afectarea pulpara
- Clasa III – fracturile coronare cu atingere pulpara
- Clasa IV – fracturile radiculare orizontale
- Clasa V – fracturi corono-radiculare (coroana si radacina dintelui)
- Clasa VI – luxatii, contuzii, subluxatii, extruzii, intruzii.
Traumatismele dintilor temporari apar de la varsta de 1,5 ani pana la 5 ani si sunt cauzate, in majoritatea situatiilor, de activitatile sociale ale copiilor: jocurile de la gradinita, din parcurile de copii, cazaturile cu bicicleta, etc. Dupa o trauma de acest gen, parintele trebuie sa contacteze medicul dentist pentru a merge la o consultatie de specialitate. Medicul dentist va pune diagnosticul in functie de anamneza, examinarea clinica si paraclinica.
Ce complicatii pot aparea?
- Necroza pulpara – unde tratamentul de canal este obligatoriu pentru pastrarea dintelui pe arcada
- Anchiloza dintelui – dintele se fixeaza in alveola si ingreuneaza sau chiar stopeaza aparitia dintelui permanent pe arcada -> necesitatea unei radiografii unidentare
- Afectarea germenului permanent – mai ales in intruzii sau luxatii totale poate fi afectat germenul dintelui permanent.
Consultul stomatologic este foarte important in urma unui traumatism al dintilor!
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