“The art of doing nothing“ nach Milchzahntrauma

Zusammenfassung

In der Behandlung von Milchzahntraumata ist das erste Ziel nicht der Erhalt der betroffenen Milchzähne, sondern der Erhalt der korrespondierenden bleibenden Zähne und der Kooperation. Dieser Umstand führt zur Frage, ob traumatisierte Milchzähne überhaupt chirurgisch anbehandelt werden sollen. Gelingt es, mittels lokaler und ggf. auch systemischer antibakterieller Therapie die lokale Infektion zu unterbinden, so kommt es häufig ohne weitere Therapie zu Spontanheilungen. So können nicht nur Schäden an bleibenden Zähnen und der Psyche des kleinen Patienten vermieden, sondern auch mehr Milchzähne erhalten werden als nach bisherigen Indikationsstellungen.

Abstract

In the treatment of traumatized primary teeth, the first goal is not to conserve the primary teeth but to avoid damage to the permanent ones and to build up cooperation. This leads to the question if traumatized primary teeth should be treated surgically at all. If local infection is controlled by local and, if necessary, systemic antibacterial therapy, spontaneous healing without further therapy can be found frequently. This helps not only avoiding damage to the permanent teeth and to the psychological development of the child, but also to retain more traumatized primary teeth.

Schlüsselwörter

Milchzahntrauma - Nichtbehandlung - Selbstheilung

Key words

trauma to primary teeth - non-treatment - spontaneous healing

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