TRAUMA EITHER AFFECTS PULP OR PERIODONTIUM BUT NOT BOTH- A HYPOTHESIS


Chandulal D. Dhalkari, Pawan B. Sawalakhe

ABSTRACT
Background: Traumatic dental injuries are still a great challenge as they usually injure teeth and their supporting tissues in a precocious phase and frequently with an unfavourable prognosis that can lead to tooth loss. But there was still a dilemma whether trauma affects pulp or periodontium. Thus the present retrospective study was conducted with aim to investigate that trauma can either affects pulp or periodontium but not both- a hypothesis.
Materials and methods: The total 202 individuals (508 teeth) were included with the history of any dental trauma. The individuals were examined for vitality of teeth. fracture, discolouration, exfoliation, extrusion, etc,. The probing pocket depth (PPD), gingival recession (GR) and clinical attachment level (CAL) and mobility of teeth were recorded.
Result:  The mean probing pocket depth (PPD), gingival recession (GR) and mobility was found to be more in non-vital teeth as compared to vital teeth. Also the clinical attachment level is less in non-vital teeth when compared with vital teeth.
Conclusion: The result of the present study concluded that when the trauma affects pulp then the periodontium is spared and vice versa. The present study showed that teeth most commonly affected by trauma are the maxillary central incisors.

Key words: dental trauma, effects of trauma, pulp, periodontium.