Author/Editor		Kosem, R
Title		Razvojne okvare stalnih zob po poškodbah mlečnega zobovja
Translated title		Developmental defects of permanent teeth after traumatic injuries in the primary dentition
Type		članek
Source		Zobozdrav Vestn
Vol. and No.		Letnik 60, št. 1-2
Publication year		2005
Volume		str. 20-38
Language		slo
Abstract		Traumatic injuries commonly occur in the primary dentition, especially in the maxillary central incisor region. Because of the close proximity of primary tooth roots to permanent tooth germs, injury to a primary tooth may cause developmental defects in the permanent successor tooth, ranging from mild alteration in enamel mineralization to severe malformation of the crown and/or root. The type of primary tooth injury, the child's age and the stage of development of the permanent dentition at the time of injury are important variables influencing the type of developmental defect in the permanent tooth. The treatment of traumatic injuries in the primary dentition should be directed toward pain relief and reduction of potential damage to the developing permanent tooth. The type and extent of primary tooth injury and the risk of a developmental defect in the permanent tooth must be assessed by clinical and radiographic examination at the time of injury and on follow-up visits. The treatment of developmental defects in the permanent dentition induced by primary tooth injury depends on the type and severity of the defect; an interdisciplinary approach is often required.
Summary		Poškodbe mlečnega zobovja so pogoste, posebno pri prvih zgornjih mlečnih sekalcih. Zaradi medsebojne bližine korenin mlečnih zob in zametkov stalnih nadomestnih zob je lahko zaradi poškodbe mlečnega zobovja moten razvoj stalnih zob. Razvojne okvare stalnih nadomestnih zob so različne; od majhnih motenj mineralizacije sklenine do obsežnih sprememb oblike zobne krone in/ali korenine. Vrsta poškodbe mlečnega zobovja in starost otroka ter razvojna stopnja stalnega zobovja v času poškodbe so pomembni dejavniki, ki vplivajo na vrsto razvojne okvare stalnega zoba. Zdravljenje poškodb mlečnega zobovja mora biti usmerjeno v odpravo morebitnih bolečin in v zmanjšanje tveganja za okvare razvijajočih se stalnih zob. Vrsto in obseg poškodbe mlečnega zobovja ter tveganje za razvojno okvaro stalnih zob je potrebno ugotoviti s kliničnim in rentgenskim pregledom tako ob poškodbi kot tudi pri kontrolnih pregledih. Zdravljenje razvojnih okvar stalnih zob po poškodbah mlečnega zobovja je odvisno od vrste in teže okvar; pogosto je potrebno interdisciplinarno sodelovanje.
Descriptors		DENTITION, PRIMARY TOOTH, DECIDUOUS DENTITION, PERMANENT TOOTH ABNORMALITIES TOOTH AVULSION RISK FACTORS