Abstract：
OBJECTIVE: Many treatment options accepted for unsalvageable traumatized teeth in adults would seem contraindicated in children and adolescents. Instead, growing patients need interim restorative measures, thus extensively preserving their local bone and soft tissue structures and, ideally, preparing the involved site for later definitive restoration while they transform to skeletal maturity. This narrative topic review addresses the interim management in case of very deep intra-extra-alveolar fractures, extensive infection-related root resorption, tooth ankylosis, and anterior tooth loss in growing patients, and seeks to empower the clinician to select the appropriate treatment approach.
METHODS: The literature up to 2021 was reviewed based on several scoping searches on PubMed and the Cochrane Library using relevant terms. Due to the complexity of the topic (with various poor prognosis scenarios and the differing therapeutic options), a systematic review was deemed inappropriate.
CONCLUSIONS: Suitable interim treatment options include extrusion of teeth showing deep intra-extra-alveolar fractures, and decoronation of ankylosed teeth as well as resin-bonded fixed dental prostheses, natural tooth pontics, and primary tooth autotransplantations after tooth loss. The interim management options described in this article represent compromises chosen in the absence of better alternatives after a careful risk-benefit analysis. However, if adequately performed, the presented treatment options have the potential to achieve the temporary restoration of function and esthetics in growing patients. Close clinical and (if appropriate) radiologic monitoring of these patients is considered mandatory to ensure early detection of possible complications that might jeopardize or could render impossible subsequent therapeutic measures. (Quintessence Int 2022;53:722-731; doi: 10.3290/j.qi.b3236409; Modified from a previously published article (in German) Quintessenz 2022;73(2):162-169).
METHODS: The literature up to 2021 was reviewed based on several scoping searches on PubMed and the Cochrane Library using relevant terms. Due to the complexity of the topic (with various poor prognosis scenarios and the differing therapeutic options), a systematic review was deemed inappropriate.
CONCLUSIONS: Suitable interim treatment options include extrusion of teeth showing deep intra-extra-alveolar fractures, and decoronation of ankylosed teeth as well as resin-bonded fixed dental prostheses, natural tooth pontics, and primary tooth autotransplantations after tooth loss. The interim management options described in this article represent compromises chosen in the absence of better alternatives after a careful risk-benefit analysis. However, if adequately performed, the presented treatment options have the potential to achieve the temporary restoration of function and esthetics in growing patients. Close clinical and (if appropriate) radiologic monitoring of these patients is considered mandatory to ensure early detection of possible complications that might jeopardize or could render impossible subsequent therapeutic measures. (Quintessence Int 2022;53:722-731; doi: 10.3290/j.qi.b3236409; Modified from a previously published article (in German) Quintessenz 2022;73(2):162-169).
摘要：
目的：对于成人无法挽救的创伤牙齿，许多治疗选择在儿童和青少年中似乎是禁忌的。相反，成长中的病人需要临时修复措施，因此，广泛保留了它们的局部骨骼和软组织结构，理想情况下,准备所涉及的部位，以便以后最终恢复，同时它们转变为骨骼成熟度。本叙述性主题综述针对非常深的肺泡内骨折的临时处理，广泛的感染相关的根吸收，牙齿强直,和成长中的病人的前牙脱落，并试图授权临床医生选择适当的治疗方法。
方法：根据使用相关术语对PubMed和CochraneLibrary进行的几次范围搜索，对截至2021年的文献进行了综述。由于主题的复杂性（各种不良预后情况和不同的治疗选择），系统审查被认为是不恰当的.
结论：合适的临时治疗方案包括挤压牙齿，显示深牙槽外骨折，和强直性牙齿的装饰以及树脂粘合的fix牙科假体，天然牙齿桥体，和牙齿脱落后的原发性牙齿自体移植。本文中描述的临时管理方案代表了经过仔细的风险收益分析后，在没有更好的替代方案的情况下选择的折衷方案。然而,如果执行得当，提出的治疗方案有可能在成长中的患者中实现功能和美学的暂时恢复。对这些患者进行密切的临床和（如果适当的话）放射学监测被认为是强制性的，以确保早期发现可能危害或可能导致不可能的后续治疗措施的并发症。（国粹国际2022；53：722-731；doi：10.3290/j。齐。b3236409;修改自先前发表的文章(德语)Quintessenz2022;73(2):162-169)。
方法：根据使用相关术语对PubMed和CochraneLibrary进行的几次范围搜索，对截至2021年的文献进行了综述。由于主题的复杂性（各种不良预后情况和不同的治疗选择），系统审查被认为是不恰当的.
结论：合适的临时治疗方案包括挤压牙齿，显示深牙槽外骨折，和强直性牙齿的装饰以及树脂粘合的fix牙科假体，天然牙齿桥体，和牙齿脱落后的原发性牙齿自体移植。本文中描述的临时管理方案代表了经过仔细的风险收益分析后，在没有更好的替代方案的情况下选择的折衷方案。然而,如果执行得当，提出的治疗方案有可能在成长中的患者中实现功能和美学的暂时恢复。对这些患者进行密切的临床和（如果适当的话）放射学监测被认为是强制性的，以确保早期发现可能危害或可能导致不可能的后续治疗措施的并发症。（国粹国际2022；53：722-731；doi：10.3290/j。齐。b3236409;修改自先前发表的文章(德语)Quintessenz2022;73(2):162-169)。
