درمان دندان سانترال دائمی ماگزیلاری اینترود شده: گزارش مورد

خلاصه:سابقه: اینتروژن جابجایی اپیکالی دندان در استخوان آلوئول است که به دنبال حوادثی مانند دوچرخه ، تصادفات ورزشی ، سقوط و نزاع به وجود می آید. در این آسیب دندان به داخل ساکت رانده شده و لیگامان پریودنتال را فشرده می کند. اینتروژن به عنوان یکی از شدیدترین صدمات با تاثیرات مخرب بر دنتیشن دائمی می باشد. صدمات اینتروژن اغلب با صدمات شدید به دندان ، پریودنتیم و بافت پالپ همراه است. شیوع نادر این آسیب در دنتیشن دائمی سبب شده مطالعات محدودی در این زمینه موجود باشد. به دلیل عوارض شدید همراه با اینتروژن ، درمان از اهمیت بسیار برخوردار است.معرفی مورد: گزارش موردی از بیمار با دندان سانترال ماگزیلاری دائمی اینترود شده که طبق گاید لاین های موجود درمان شد. همچنین مروری بر تمامی مقالات موجود در ارتباط با آسیب اینتروژن و روش های درمانی پیشنهاد داده شده ارائه شده است.نتیجه گیری: مراقبت سریع و درمان کانال ریشه در آسیب های اینتروژن میتواند نقش بسزایی در تصحیح پوزیشن دندان و متعاقبا بهبود عملکرد و ظاهر داشته باشد لذا علم و مهارت کلینیسین نقش اصلی را در مدیریت این آسیب ها ایفا میکند

Management of Traumatically Intruded Permanent Maxillary Central Incisor: A Case Report

BACKGROUNackgroundD AIM: Intrusive luxation is apical displacement of tooth into the alveolar bone due to bicycle accidents, sports accidents, falls, and fights. Intruded tooth is driven into the socket, compressing the periodontal ligament. Intrusion is considered as one of the most severe luxation injuries to affect permanent dentition. Intrusion injuries are often associated with severe damage to the tooth, periodontium, and pulpal tissue. The rare occurrence of this injury in the permanent dentition has resulted in limited studies to support suggested treatment regimens. Clinical treatment for intrusion is especially important because of the severe complications accompanying trauma.Case Report: This article reports traumatically intrusion of permanent maxillary central incisor which was followed by definite guidelines existed in management of traumatically Intruded permanent teeth. Also article is an overview of all available articles which are relevant with intrusion and provides all treatment modalities which are considered beneficial up today.The purpose of this study was to investigate the effect of an educational intervention course of smoking and oral health on knowledge and attitude of dental students about the complications of smoking and the role of the dentist in smoking cessation.Material Methods: A quasiexperimental study was conducted on 62 dental students from Isfahan University of Medical Sciences as control group, and 63 dental students from Isfahan Azad University as experimental group. Volunteer students filled out a selfadministered questionnaire about their knowledge and attitude regarding dentist rsquo;s role in smoking cessation. During the ongoing semester, educational intervention was conducted. Then, the students filled out the questionnaires again. Paired sample ttest، Independent sample ttest ، Chi square، and Fisher exact test served for statistical analysis.Before the intervention, no significant difference existed between two groups regarding their knowledge score (P=0.46). Following the intervention however, knowledge score in intervention group was significantly higher than control group (P<0.001). Students #39; attitude was not significantly different between two groups before the intervention (P=0.93). Following the intervention, attitude score was significantly higher in intervention group than control group (P<0.001). Following the intervention, the mean scores of attitude increased significantly in both groups (P<0.001). However, the increased score of knowledge and attitude in intervention group was significantly higher than control group (P<0.001).Conclusion: Instant care and root canal treatment for intruded tooth can play a major role in correcting the tooth position and subsequently improving function and appearance. Therefore, clinician #39;s knowledge and skills has a crucial role in managing intrusive luxation.