TY - JOUR

T1 - Timing of implant placement after traumatic dental injury

AU - Jensen, Simon Storgård

N1 - This article is protected by copyright. All rights reserved.

PY - 2019

Y1 - 2019

N2 - Dental implants are reliable to replace teeth lost due to traumatic dental injury (TDI). However, dental implants behave like ankylosed teeth and should not be placed in growing individuals due to the risk of infraposition. This risk may be reduced by ensuring arrested skeletal growth and ideal incisal support. Timing of implant placement may be immediate, early, conventional or late and is determined by the extent of the trauma, remaining growth, conditions of the hard and soft tissues. Timing should allow an observation period to properly evaluate the prognosis of concomitantly traumatized neighboring teeth. Orthodontic alignment is often necessary after TDI in young individuals to provide symmetric dental conditions around the facial midline, to allow implant placement in the correct 3D position for the later prosthetic reconstruction, and to ensure sufficient mesio-distal space that leaves a minimum of 1.5mm of healthy alveolar bone between the future implant and neighboring teeth. Space and stable occlusion should be maintained by bonded retainers and a splint used during the night. A partial prosthesis is usually recommended as a temporary replacement. If a fixed provisional prosthesis is required, it is crucial that it does not interfere with remaining growth and incisal support, and allows proper oral hygiene. This article is protected by copyright. All rights reserved.

AB - Dental implants are reliable to replace teeth lost due to traumatic dental injury (TDI). However, dental implants behave like ankylosed teeth and should not be placed in growing individuals due to the risk of infraposition. This risk may be reduced by ensuring arrested skeletal growth and ideal incisal support. Timing of implant placement may be immediate, early, conventional or late and is determined by the extent of the trauma, remaining growth, conditions of the hard and soft tissues. Timing should allow an observation period to properly evaluate the prognosis of concomitantly traumatized neighboring teeth. Orthodontic alignment is often necessary after TDI in young individuals to provide symmetric dental conditions around the facial midline, to allow implant placement in the correct 3D position for the later prosthetic reconstruction, and to ensure sufficient mesio-distal space that leaves a minimum of 1.5mm of healthy alveolar bone between the future implant and neighboring teeth. Space and stable occlusion should be maintained by bonded retainers and a splint used during the night. A partial prosthesis is usually recommended as a temporary replacement. If a fixed provisional prosthesis is required, it is crucial that it does not interfere with remaining growth and incisal support, and allows proper oral hygiene. This article is protected by copyright. All rights reserved.

U2 - 10.1111/edt.12484

DO - 10.1111/edt.12484

M3 - Journal article

C2 - 31121083

VL - 35

SP - 376

EP - 379

JO - Dental Traumatology

JF - Dental Traumatology

SN - 1600-4469

IS - 6

ER -