Lasers in the Treatment of Traumatically Fractured Frontal Teeth
Prof. Carlo Fornaini, MD, DDS, MScDental traumatology is a multidisciplinary branch of dentistry that requires a number of specific skills. In cases of emergency, decisions have to be made within a limited time frame and with effects that can only be evaluated at a later date.
The techniques of tooth fragment re-attachment should be adapted for cases of simple coronal fracture (enamel and superficial dentin) as well as complicated coronal fracture (deep dentin with pulp exposure).
In cases of simple fracture, a fragment may be reattached immediately, while in complicated coronal fractures, the main concern should be the protection of the pulp and not necessarily the fragment, which should be maintained hydrated and refrigerated in a container marked with the patient's full name and the date of the trauma. The solution in the container should be changed at regular intervals and the seal checked, since in some cases fragments may be stored for several months before being reattached.
