The immediate treatment aims for injuries to either permanent or primary dentition are to:
? Make the patient comfortable
? Retain vitality of traumatised teeth
? Promote periodontal healing.
These initial aims are addressed by treating any exposed dentine or pulp, repositioning and stabilising mobile teeth and cleaning and suturing lacerations.
Small enamel fractures can be ground to smooth any sharp edges. Where there is exposed dentine this should be covered at the first appointment to prevent sensitivity and bacterial contamination of the dentinal tubules. This can be done with glass ionomer or composite resin. An aesthetic composite restoration can be provided at the first appointment if there is time, but this can wait to a later appointment as long as the dentine is sealed. If the patient has the tooth fragment it can be reattached using flowable composite resin.
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