DENTAL CONCUSSION: a suggested protocol for control and clinical practice

Admin Dental Press

Edition V15N01 | Year 2016 | Editorial Controversies in Orthodontics | Pages 110 to 125

Alberto Consolaro

Dental concussion is not induced by orthodontic treatment or occlusal trauma. It is one type of dental trauma, a primary factor predicting more severe tooth resorption in teeth isolated during orthodontic treatment. Dental concussion does not lead to changes in tooth anatomy or function immediately, except for occasional painful sensitivity which ceases within a few hours, with or without the use of analgesic drugs. Dental concussion exerts an intense and sudden force over the tooth and alveolar structure, but it is capable of fracturing the tooth or alveolar process bone. Force concentrates within a small area, thus causing local lesion. The overall population should be aware of the importance of seeking professional care when faced with a minor trauma or hitting a tooth accidentally. Whenever faced with a dental concussion report, the practitioner must adopt a protocol for early control and diagnosis of the seven potential consequences that might arise from concussion. A checklist comprising 13 points to check and control the effects of concussion is presented in the present study. Keywords: Dental trauma. Dental concussion. Tooth resorption. Aseptic pulp necrosis. Pulp calcific metamorphosis.

Consolaro A. Concussão dentária: sugestão de protocolo para controle e conduta na prática clínica. Rev Clín Ortod Dental Press. 2016 Fev-Mar;15(1):110-25.

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