This document outlines follow-up schedules for different types of dental injuries to permanent and primary teeth. It provides guidelines for clinical and radiographic examinations over time based on the injury, from a few weeks post-injury to yearly checks for several years. Adhering to these schedules allows monitoring of healing and early detection of potential complications. Injuries are grouped by category such as hard tooth structures, supporting structures, and supporting bone fractures. Recommended follow-ups vary from no follow-up needed to weekly, monthly, 6-month, and yearly checks, depending on the specific injury and predicted healing timeline.

1. PFa

2. Outline
1. Abbreviations
2. Definitions
3. Introduction
4. Follow-up schedule for dental injuries – Permanent
teeth
5. Follow-up schedule for dental injuries – Primary
teeth
6. References
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3. Abbreviations
 RCT = Root canal treatment
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4. Definitions
 Follow-up - a further examination or
observation of a patient in order to monitor the
success of earlier treatment.
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5. Definitions continued…
 Schedule - a list of planned activities or things to
be done showing the times or dates when they
are intended to happen or be done
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6. Definitions continued..
 Dental injuries - Dental trauma refers
to trauma (injury) to the teeth
and/or periodontium (gums, periodontal
ligament, alveolar bone), and nearby soft
tissues such as the lips, tongue, etc. The study of
dental trauma is called dental traumatology.
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7. Introduction
 Following up on patients who have undergone dental
injuries is important as it may show healing progress
or worsening of the situation – which can therefore
be dealt with by the dentist earlier rather than
waiting until it is too late.
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8. Introduction continued…
 There are different time schedules for follow-up of
each dental injury that depend upon the predicted
time it takes for healing to take place, and for
possible complications to take occur.
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9. Introduction continued…
 Adhering to these follow-up schedules can help to
prevent any possible complications that could
occur after a dental injury.
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10. Follow-up schedule for
dental injuries of
Permanent teeth
Hard tooth structure
Supporting structures
Supporting bone
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11. Enamel infraction
 No follow-up needed unless associated with a
luxation injury or other fracture types involving
the same tooth
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12. Enamel fracture
 Follow-up for clinical and radiographic control at
6-8 weeks and 1 year.
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13. Enamel-dentine fracture
 Follow up for clinical and radiographic control 6-8
weeks and 1 year
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14. Enamel-dentine fracture with pulp
involvement
 Follow-up for clinical and radiographic control at
6-8 weeks and 1 year.
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15. Crown root fracture with or
without pulp exposure
 No follow up
 Follow up for prosthesis
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16. Root fracture
 Follow-up for splint removal, clinical and
radiographic control after 4 weeks in apical third
and mid root fracture.
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17. Root fracture continued…
 However if the root fracture is near cervical area
the splint should be kept on for up to 4 months.
 Clinical and radiographic control after 6 to 8 weeks
 Clinical and radiographic control after 6 months, 1
year and yearly for five years.
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18. Root fracture continued…
 Follow up may include endodontic treatment of
the coronal fragment of pulp necrosis develops.
 The decision for endodontic treatment may be
taken after 3 months if the tooth does not still
respond to electrometric or thermal pulp testing
and if radiograph shows a radiolucency next to the
fracture line.
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19. Supporting structures
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20. Concussion
 Follow up clinical and radiographic control at 4
weeks, 6 to 8 weeks and 1 year.
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21. Subluxation
 Follow up for splint removal and radiographic
control after 2 weeks.
 The clinical and radiographic control at 2 weeks, 4
weeks, 6 to 8 weeks and 1 year.
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22. Extrusion
 Follow up for clinical and radiographic control and
splint removal after two weeks.
 Clinical and radiographic control at 4 weeks, 6 to 8
weeks, 6 months, 1 year and yearly for five months.
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23. Lateral Luxation
 Follow up clinical and radiographic control after 2
weeks.
 Clinical and radiographic control and splint
removal after 4 weeks.
 Clinical and radiographic control after 6 to 8
weeks, 6 months, 1 year and yearly for five years.
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24. Intrusion
 Clinical and radiographic control after 2 weeks
 Splint removal and radiographic control after 4
weeks, 6 to 8 weeks , 6 months, 1 year and yearly
for five years.
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25. Avulsion - closed root apices
 RCT after 7-10 days after replantation.
 Splint removal and clinical and radiographic
control after 2 weeks.
 Clinical and radiographic control after 4 weeks, 3
months, 6 months, 1 year, the yearly thereafter.
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26. Avulsion – root apices not closed
 Avoid RCT unless there is clinical or radiographic
evidence of pulp necrosis.
 Splint removal, clinical and radiographic control after
2 weeks.
 Splint removal, clinical and radiographic control after
4 weeks, 3 months, 6 months, 1 year and yearly there
after years.
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27. Supporting bone
structures
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28. Alveolar fracture and Jaw fracture
 Splint removal and clinical and radiographic control
after 4 weeks.
 Clinical and radiographic control after 6 to 8 weeks, 4
months , 6 months, 1 year, and yearly for five years.
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29. Follow-up for Primary
teeth
 Hard tooth structures
 Supporting structures
 Supporting bone
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30. Hard tooth structures
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31. Enamel infraction and Enamel
fracture
 No follow-up needed unless associated with a luxation
injury or other fracture types involving the same tooth.
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32. Enamel-dentine fracture
 Clinical control at 3 to 4 weeks.
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33. Enamel-Dentine-Pulp fracture
(complicated)
 Follow up, clinical control after 1 week.
 Clinical and radiographic control after 6 to 8 weeks,
and 1 year
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34. Crown-Root Fracture with or
without pulp involvement
 In case of fragment removal only:
 Clinical control after 1 week,
 Clinical and radiographic control after 3-4
weeks.
 Clinical control after 1 year.
 In case of tooth extraction:
 Clinical and radiographic control at 1 year and
every year until eruption of permanent
successor.
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35. Root fracture
 Clinical control after 1 week.
 Clinical and radiographic control after 6-8 weeks and 1
year.
 In case of tooth extraction: clinical and radiographic
control at 1 year and every year until eruption of the
permanent successor.
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36. Alveolar fracture
 Clinical control after 1 week
 Clinical and radiographic control and splint removal
after 3-4 weeks
 Clinical and radiographic control after 6-8 weeks and 1
year and then yearly until exfoliation
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37. References
 https://www.google.co.uk/search?site=&source=hp&q
=follow-up&oq=follow-
up&gs_l=hp.3..0l10.1671.3933.0.4209.9.8.0.1.1.0.456.829
.3-1j1.2.0....0...1c.1.64.hp..6.3.833.XhU0bGMKvFk
 http://dictionary.cambridge.org/dictionary/english/sc
hedule
 https://en.wikipedia.org/wiki/Dental_trauma
 http://www.dentaltraumaguide.org
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38. Thank you for listening
– questions,
comments, concerns?

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