Een gezonde basis

Dr. Nestor Tzimpoulas

Perio-Ortho considerations after Dental Trauma: Can we minimize complications?

Traumatic dental injuries (TDI) present significant challenges in Dentistry. Prompt emergency management of traumatized teeth, periodontal tissues and bone is crucial for their long-term survival and for prevention of potential post-traumatic healing complications. Improper tooth repositioning, inadequate splinting, mishandling of soft-tissue injuries, and delayed complications like external root resorptions can jeopardize periodontal health, leading to attachment loss, gingival recessions, marginal bone loss and ankylosis. Additionally, they may cause periodontal esthetic issues and malocclusions, necessitating interdisciplinary treatment planning and collaboration between periodontists and orthodontists to address functional and esthetic concerns. What is the impact of TDI on periodontal tissues and healing mechanisms? Can we prevent post-traumatic periodontal complications? This presentation is focused on the critical role of dental professionals in minimizing complications and achieving predictable long-term treatment outcomes after various TDI. 


Dr. Nestor Tzimpoulas received his DDS degree in 2009 from the University of Athens, School of Dentistry in Greece. He worked as clinical instructor in the department of Endodontics at Athens School of Dentistry for three years until 2013. He received his 3-year post-graduate diploma in Endodontics in 2016 from ACTA, University of Amsterdam, The Netherlands. Since 2016 he works in private practices limited to Endodontics with special interest to traumatic dental injuries in The Hague, The Netherlands as well as in Athens, Greece where he owns his private clinic specialized in Endodontics and Dental Traumatology. In 2021 Dr. Tzimpoulas received the Fellowship award from the International Association of Dental Traumatology (IADT) after he successfully passed the written examination. He has translated to the Greek language both the official IADT guidelines for the management of traumatic dental injuries as well as the ToothSOS mobile application. He has been author and co-author of several peer review international publications and has lectured nationally and internationally on vital pulp therapies, dental trauma, endodontic management of traumatized immature teeth and endodontics.