Experimental and clinical studies in tooth replantation.
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This article discusses the diagnosis and treatment of pulp involved teeth. There are still some patients and some older physicians who associate certain systemic diseases with dead teeth. For this reason, the subject of focal infection is considered first. As many patients with facial pain or dental infection present first to their physician, it is important for the medical practitioner to understand the cause and its treatment. Finally, brief reference is made to the treatment of teeth injured as a result of trauma with special emphasis on first aid where permanent teeth have become dislodged.
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Injuries to anterior teeth of children seem to be increasing. After conducting a thorough examination it is useful to classify the injury as a guide to treatment. Injury can be classified as crown fracture, crown-root fracture, root fracture, subluxation or loosening of the tooth, luxation or dislocation and, finally, exarticulation. The appropriate form of treatment for each class of injury is discussed and an indication of the expected success rate is given. Absence of a positive response to vitality tests is not by itself sufficient to warrant a diagnosis of pulp necrosis. It must be supported by other evidence such as a grey discoloration of the tooth or radiographic evidence of periapical involvement.