Trauma to the teeth
Injuries of the teeth and gums can occur in all age groups, but predominantly in children and adolescents. More than 50 percent of adolescents suffer before their 17th birthday of a dental trauma. Boys are affected three times as often as girls. Between the second and the third year and also between the seventh and eleventh year many accidents happen especially where teeth are injured. The causes are, depending on the age group, commonly found in schools, at leisure and in family life. Specific risk is involved in so-called contact sports such as football, basketball, handball, wrestling, boxing, karate. In addition, there are sports such as inline skating with an increased fall risk. Experience has shown that many dental accidents happen when riding a bicycle, playing ball and in swimming pool.
A crucial factor for the success is time. Injured teeth should be treated promptly.
Due to the exposed position of the teeth, the upper front teeth in the primary dentition, as well as in the permanent dentition are affected most frequently in dental injuries. In most cases, it is possible to save the damaged teeth. This depends on the specific dental history, the type of injury, the periodontal situation and the status of root growth. Milk teeth are not replanted since this would include the risk of damaging the permanent tooth germ.
Lesions appear either in the crown area of the tooth or additionally affect the tooth root. Likewise, the tooth can be moved out from his tooth socket by the acting forces. Injured teeth should be kept as soon as possible in a "dental safe box" and dental care should begin soon after the accident, so that the probability of success of tooth preservation is high.
Teeth which suffered a trauma could show as late claims the death of the tooth nerve, so that weeks, months or years after the trauma, dental root canal treatment is required.
Protecting themselves against dental trauma is difficult.
At-risk sports a targeted protection can be achieved against dental injuries by an individually adapted mouthguard.
Further information can be gained under www.dentaltraumaguide.org
A crucial factor for the success is time. Injured teeth should be treated promptly.
Due to the exposed position of the teeth, the upper front teeth in the primary dentition, as well as in the permanent dentition are affected most frequently in dental injuries. In most cases, it is possible to save the damaged teeth. This depends on the specific dental history, the type of injury, the periodontal situation and the status of root growth. Milk teeth are not replanted since this would include the risk of damaging the permanent tooth germ.
Lesions appear either in the crown area of the tooth or additionally affect the tooth root. Likewise, the tooth can be moved out from his tooth socket by the acting forces. Injured teeth should be kept as soon as possible in a "dental safe box" and dental care should begin soon after the accident, so that the probability of success of tooth preservation is high.
Teeth which suffered a trauma could show as late claims the death of the tooth nerve, so that weeks, months or years after the trauma, dental root canal treatment is required.
Protecting themselves against dental trauma is difficult.
At-risk sports a targeted protection can be achieved against dental injuries by an individually adapted mouthguard.
Further information can be gained under www.dentaltraumaguide.org
Orthopaedic surgery of the facial skeleton, craniofacial surgery malformations
Congenital or acquired in the course of the growth of the jaw deformities that occur due to a mismatch between jaw size and dental arch size or jaw position in relation to the skull base, will be counted to the pattern of malocclusion.
Very often, the reverse occurs anterior overbite (overjet) as a sign of an enlarged relative to the upper jaw, lower jaw. Here protrude the lower teeth of the upper jaw. Such a malocclusion can be treated surgically by corrective positioning. In most cases, a formation of the dental arches is made by orthodontic treatment measures prior to surgery. This improves the interaction bite between the upper and lower jaw in the "new" tooth position after "dislocation" of the jaw.
Likewise, an underdevelopment of the maxilla is possible to reverse this overbite is, here, the entire upper jaw is displaced and fixed to the front.
Pronounced cases of jaw deformities must be combined orthodontic and surgical treatment in both jaws.
Basis of the surgical procedure in addition to the clinical findings, the radiographic planning by measuring the bony facial skeleton. In orthodontic / maxillofacial surgical consultation, the appropriate treatment regimen is patient-specific customization discussed and defined.
Very often, the reverse occurs anterior overbite (overjet) as a sign of an enlarged relative to the upper jaw, lower jaw. Here protrude the lower teeth of the upper jaw. Such a malocclusion can be treated surgically by corrective positioning. In most cases, a formation of the dental arches is made by orthodontic treatment measures prior to surgery. This improves the interaction bite between the upper and lower jaw in the "new" tooth position after "dislocation" of the jaw.
Likewise, an underdevelopment of the maxilla is possible to reverse this overbite is, here, the entire upper jaw is displaced and fixed to the front.
Pronounced cases of jaw deformities must be combined orthodontic and surgical treatment in both jaws.
Basis of the surgical procedure in addition to the clinical findings, the radiographic planning by measuring the bony facial skeleton. In orthodontic / maxillofacial surgical consultation, the appropriate treatment regimen is patient-specific customization discussed and defined.