Management of Dental Emergencies in Children and Adolescents

A unique, multidisciplinary manual for the treatment of pediatric dental emergencies for general practitioners and non-pediatric specialists

Management of Dental Emergencies in Children and Adolescents presents the diagnostic skills, treatment options, and management strategies necessary to provide effective and appropriate dental care for children and adolescents.

This authoritative manual helps dental practitioners manage potentially stressful situations with children and adolescents while improving their competence in a wide range of urgent pediatric situations. An emphasis on managing the therapeutic demands of both younger patients and their parents enables readers to have greater confidence in handling demanding emergency situations in daily practice. An expert team of contributors explain how to manage tooth substance loss, endodontic problems in deciduous teeth, the long‐term consequences of early tooth loss, the dental issues related to oral health, and more.

Guiding practitioners through the unique challenges of pediatric dental emergencies, this book:

• Explains the differences in treating and managing dental emergencies in children compared to adults
• Covers all types of pediatric dental emergencies including open pulp in permanent and deciduous teeth, missing teeth, and non-infective dental conditions 
• Offers clinical vignettes and photographs to highlight clinical relevance
• Includes chapters by experts in multiple disciplines such as endodontics, restorative dentistry, pediatric dentistry, prosthodontics, and orthodontics

The first textbook to focus exclusively on young patients in need of acute dental care, Management of Dental Emergencies in Children and Adolescents is a much-needed resource for general and specialist dentists as well as trainee and specialist pediatric dentists.

About the Editors

PD Dr. med. dent. Klaus W. Neuhaus, MMA MAS is working in both his private dental office in Herzogenbuchsee, Switzerland, and as Senior Lecturer at the Clinic of Periodontology, Endodontology and Cariology, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland. He is also a pianist.

Prof. em. Dr. med. dent. Adrian Lussi, dipl. Chem.Ing. ETHZ is Docent at the Department of Preventive, Restorative, and Pediatric Dentistry at the School of Dental Medicine, University of Bern, Bern, Switzerland.

Contributors ix

Preface xiii

Invited Preface xv

Acknowledgements xvii

About the Companion Website xix

Unit 1 General Considerations for Emergency Management in Children and Adolescents 1

1.1 Developmental and Histological Aspects of Deciduous and Young Permanent Teeth 3
Markus Schaffner and Adrian Lussi

1.2 Pulp Biology of Deciduous and Permanent Teeth 13
Wolfgang H. Arnold, Ella A. Naumova and Vlasios Goulioumis

1.3 Management of Odontogenic Infections: Indications for Antibiotics 23
Rafael Lazarin and Vivianne Chappuis

1.4 Management of Pain and Fear: Behavioural Management, Anaesthesia and Sedation 35
Klaus W. Neuhaus and Nathalie Scheidegger Stojan

1.5 Management of Radiographic Needs 43
Karl Dula

Unit 2 Management of Tooth Substance Loss 63

2.1 Deep Carious Lesions and the Dental Pulp 65
Falk Schwendicke and Nicola P. Innes

2.2 Management of Crown Fractures and Crown‐Root Fractures 79
Gabriel Krastl and Julia Amato

2.3 Management of Root Fractures 91
Dan‐Krister Rechenberg

Unit 3 Management of Open Pulp in Permanent Teeth 103

3.1 Pulpotomy after Trauma 105
Hrvoje Jurić

3.2 Pulpectomy with Open Apex 119
Isabelle Portenier, Klaus W. Neuhaus and Maria Lessani

3.3 Regenerative Endodontic Procedures 131
Richard Steffen

Unit 4 Management of Open Pulp in Deciduous Teeth 137

4.1 Pulpotomy 139
Eirini Stratigaki and Joana Monteiro

4.2 Pulpectomy of Deciduous Teeth 149
Klaus W. Neuhaus and Jan Kühnisch

4.3 Tooth Extraction 159
Hubertus van Waes

Unit 5 Management of Missing Teeth 163

5.1 Reconstructive Considerations: Temporary and Long‐Term Treatment Options 165
Nicola U. Zitzmann and Nadja Rohr

5.2 Management of Avulsed Teeth 177
Andrea Zürcher and Andreas Filippi

5.3 Autotransplantation: Ankylosis and External Root Resorption after Trauma 189
Manfred Leunisse, Dick S. Barendregt, Marcel L. E. Linssen and Edwin Eggink

5.4 Orthodontic Aspects of Missing Teeth at Various Ages 199
Carlalberta Verna and Birte Melsen

Unit 6 Management of Oral Health Conditions 217

6.1 Viral Causes Affecting the Oral Mucosa 219
Michael M. Bornstein, Cynthia K. Y. Yiu and Valerie G. A. Suter

6.2 Non‐infective Swellings: Cysts, Tumours and Ranulas 233
Valerie G. A. Suter and Michael M. Bornstein

6.3 Oral Problems in Patients Undergoing Haematology or Oncology Treatment 245
Adrian M. Ramseier, Jakob Passweg and Tuomas Waltimo

Unit 7 Management of Non-infective Dental Conditions 255

7.1 Molar–Incisor Hypomineralisation 257
Jan Kühnisch and Roswitha Heinrich‐Weltzien

7.2 Dentine Hypersensitivity 269
Thiago Saads Carvalho and Samira Helena João‐Souza

7.3 Cracked Tooth Syndrome 275
Renata Chałas and Stefan Hänni

Index 283

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