Simplexity in dental trauma: a new way to manage difficult cases in the long term.
Dental trauma involves about 15-20% of young patients and it is probably one of the main causes that lead to a first visit in dental office. It requires precise protocols in order to maximize prognosis and minimize the risk of severe sequel. In order to follow a perfect workflow of intervention, extremely helpful are the guidelines reported on the website of the International Association of Dental Traumatology. Essential part in dental trauma treatments are the follow up, that should be taken into account for at least two years from the first observation. In 1996 Kaste LM et AA. published an article that reports the first national overall and age-specific population-based prevalence of dental trauma among gender, racial, and ethnic groups in USA. They noticed that 80% of traumatized incisors had enamel involvement until 10 yrs age, but above all at 41-50 yrs 60% of the sample had pulp involvement. This mean long term high cost. How is it possible to minimize this cost? As already mentioned, following the recipes proposed by the IADT.
Sometimes this injuries are so complex that the sequelae may be several and serious. In order to demonstrated such kind of situation, a complex case is reported from the first observation, in 2002 to the final restoration in 2016.