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Cvijic A, Åstrøm A, Kvernenes M, Tsilingaridis G, Bletsa A. Traumatic dental injuries: Knowledge assessment of dentists in the Norwegian Public Dental Service of Vestland. Dent Traumatol 2024; 40:398-409. [PMID: 38459663 DOI: 10.1111/edt.12945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 02/06/2024] [Accepted: 02/08/2024] [Indexed: 03/10/2024]
Abstract
BACKGROUND/AIM Most children and adolescents in Norway attend the Public Dental Service (PDS) where they are treated free-of-charge until the age of 19 years. Thus, general dentists employed in the PDS are the primary care providers for traumatic dental injuries (TDI) in young patients. This cross-sectional study assessed the knowledge of PDS general dentists on the acute management and follow-up of TDI and its socio-demographic and attitudinal covariates. MATERIALS AND METHODS All general dentists employed in the Vestland County PDS, Western Norway, (N = 170) received an online questionnaire. Socio-demographic and professional profiles of respondents as well as attitudinal indicators were queried. Clinical case scenarios on emergency treatment and further follow-ups of TDI were used to calculate a dental trauma knowledge score (DTKS; range: 0-21). Mann-Whitney U tests and Kruskal-Wallis tests determined differences between the demographic subgroups. Logistic regressions determined the potential of single factors in explaining the variability in dental trauma knowledge. RESULTS The response rate was 46%. Most participants (60.5%) had not participated in a TDI course after graduation but would like such a course (84.2%). Mean DTKS was 13.82 (±2.6). Knowledge scores differed significantly between age groups (p = .014) and years since graduation (p = .0018). Younger dentists and recently graduated dentists scored highest. Dentists under the age of 30 years scored higher than 30-39- and 40-49-year-old dentists in these areas: emergency treatment of crown fractures with pulp exposure, identification of complications after avulsion, and management of severe intrusive luxation injury. CONCLUSION Younger dentists had a higher theoretical knowledge of TDI. Continuing professional development among dentists in the Norwegian PDS is needed for emergency treatment and complication management after TDI.
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Affiliation(s)
- Andjelka Cvijic
- Oral Health Centre of Expertise in Western Norway, Bergen, Norway
| | - Anne Åstrøm
- Oral Health Centre of Expertise in Western Norway, Bergen, Norway
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Monika Kvernenes
- Department of Clinical Medicine, Center for Medical Education and Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Georgios Tsilingaridis
- Department of Dental Medicine, Karolinska Institute, Huddinge, Sweden
- Centre of Paediatric Oral Health, Stockholm, Sweden
| | - Athanasia Bletsa
- Oral Health Centre of Expertise in Western Norway, Bergen, Norway
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
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Yamada M, Hino S, Iijima Y, Horie N, Kaneko T. What are the Characteristics of Oral Injuries Caused by Playground Equipment? J Craniofac Surg 2024; 35:1456-1460. [PMID: 38861333 DOI: 10.1097/scs.0000000000010376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 05/06/2024] [Indexed: 06/13/2024] Open
Abstract
PURPOSE Studies regarding oral injuries from playground equipment in children remain limited. This study aimed to clarify the characteristics of oral injury caused by playground equipment and identify associations with concomitant head injury. METHODS Children treated between 2011 and 2021 at an oral surgery clinic for oral injuries from playground equipment were retrospectively investigated. The following factors were analyzed: demographic characteristics, mechanism of injury, type of equipment causing the injury, classification of oral injury, and whether the Department of Emergency and Critical Care Medicine was consulted regarding the head injury. The data collected were statistically analyzed using the Fisher-Freeman-Halton test with significance adopted at the 5% level. RESULTS This study analyzed data from 82 children. Injuries were concentrated in age groups of 2 to 3 years (32.9%), 4 to 5 years (28.0%), and 6 to 7 years (25.6%). Regarding the mechanism of injury, falls were more common (89.0%) than impact/striking (11.0%). The type of equipment most frequently causing injury was slides (29.3%), followed by swings (23.2%) and iron bars (18.3%). Injuries were classified as soft tissue injury alone (56.1%) or tooth injury and/or jaw fracture (43.9%). Consultation with the Department of Emergency and Critical Care Medicine for head injury was uncommon (13.4%), and all consultations for brain injury diagnosed minor injuries. CONCLUSION Oral injuries caused by playground equipment were frequent between 2 and 7 years old. The most common cause was falls, with most injuries caused by slides, swings, or iron bars. Approximately half of the oral injuries were soft tissue injuries only, while the other half were associated with tooth and/or jaw injuries. Department of Emergency and Critical Care Medicine consultations for head trauma were uncommon and consistently confirmed minor injuries.
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Affiliation(s)
- Miki Yamada
- Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan
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Sælen FD, Virtanen JI, Skeie MS, Sulo G, Thelen DS. Traumatic dental injuries among children attending the public after-hours emergency dental clinic in Bergen, Norway. Acta Odontol Scand 2024; 83:290-295. [PMID: 38742966 PMCID: PMC11302655 DOI: 10.2340/aos.v83.40622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 04/08/2024] [Indexed: 05/16/2024]
Abstract
OBJECTIVES To investigate traumatic dental injuries (TDIs) among children who for 1 year attended a Norwegian public after-hours emergency public dental (EPD) clinic. MATERIALS AND METHODS The study included 7-18-year-olds (n = 312) who presented at the EPD clinic, underwent a clinical dental examination, and consented to the disclosure of clinical information. Recording of TDIs was restricted to anterior permanent teeth. Potential TDI predictors were also analysed. RESULTS Almost half (n = 148) of the children were assessed with TDIs in permanent teeth, showing a mean age of 11.0 (standard deviation [SD]: 3.5) years. Males constituted 54.7%. The children experienced TDIs often outside school hours (43.9%), and the majority (58.1%) were caused by falls/accidents. Sixty of them experienced only one TDI. The most common location was the maxillary central incisors. Assessment of TDIs according to severity, could only be done in 131 individuals, involving 253 TDIs. Of these, 81.8% were mild. The odds of visiting the emergency clinic for a TDI were higher (odds ratio [OR] = 2.64, confidence interval [CI]: 1.61-4.31) among children with previous TDIs and lower (OR = 0.28, CI: 0.12-0.68) among those with poor dental attendance. CONCLUSIONS Traumatic dental injuries were a common reason for seeking emergency care. Milder injuries dominated and involved mostly one maxillary central incisor. Previous episodes of TDIs and attendance patterns seemed to be associated with seeking care for TDIs.
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Affiliation(s)
- Faiza D Sælen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway; Oral Health Center of Expertise in Western Norway, Bergen, Norway.
| | - Jorma I Virtanen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway; Institute of Dentistry, University of Turku, Turku, Finland
| | - Marit S Skeie
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway
| | - Gerhard Sulo
- Oral Health Center of Expertise in Western Norway, Bergen, Norway; Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Dorina S Thelen
- Oral Health Center of Expertise in Western Norway, Bergen, Norway
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Yang Y, Liu Y, Wang Z, Li Q, Wang J, Zhang M. The impact of COVID-19 pandemic on the epidemiological characteristics of permanent dental injury in Xi'an of China: A retrospective study. Medicine (Baltimore) 2023; 102:e35358. [PMID: 37773846 PMCID: PMC10545125 DOI: 10.1097/md.0000000000035358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 09/01/2023] [Indexed: 10/01/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) has become a major global concern, seriously affecting the lives and health of the population. This retrospective study aimed to investigate changes in permanent tooth injury in the Xi'an area of China influenced by the COVID-19 pandemic. The medical records of 466 dental emergency patients in 2019 and 2020 were retrospectively analyzed. The number of injured teeth in a single patient, the number of injury types, the time from injury to hospital visit and follow-up visits within 1 year before and after the pandemic were analyzed using the chi-squared test and the paired t-test. There was significant difference in the number of emergency patients and trauma types before and during COVID-19 pandemic (P < .05). The time from injury to hospital visit and the interval between the trauma event and visit showed longer during the COVID-19 pandemic (P < .05). The rate of on-time follow-up in the following year was significantly decreased, and the rates of delayed visits and patients lost to follow-up were significantly increased (P < .05). The outbreak of the COVID-19 pandemic brought a certain change in the epidemiological characteristics of dental injury in the Xi'an area of China. Dental emergency departments should provide even more timely and effective treatments. It is also necessary to strengthen public education, with emphasis on the importance of timely medical treatment and regular follow-up for dental trauma.
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Affiliation(s)
- Yang Yang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China
| | - Yanli Liu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China
| | - Ziheng Wang
- School of Computer Science and Engineering, Beihang University, Beijing, China
| | - Qiang Li
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China
| | - Jiang Wang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China
| | - Min Zhang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China
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Hirani M, Moshtofar Z, Devine M, Paolinelis G, Djemal S. Survival of immediate implants replacing traumatised teeth in the anterior maxilla. Br Dent J 2023:10.1038/s41415-023-5504-7. [PMID: 36737458 DOI: 10.1038/s41415-023-5504-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 10/27/2022] [Accepted: 11/07/2022] [Indexed: 02/05/2023]
Abstract
Aim The provision of implants following traumatic dental injuries can hold many challenges, primarily in higher aesthetic regions. The purpose of this retrospective study was to assess the clinical outcomes of immediate implants placed in fresh extraction sites in the anterior maxilla following dental trauma.Materials and methods In total, 60 patients requiring teeth replacement with dental implants in the anterior maxilla were included in the study. Following a delayed loading protocol, the implants were restored with definitive single crowns or bridges. Implant and prosthetic survival, complications and periodontal health were recorded during follow-up.Results A total of 70 implants were placed in the anterior maxilla with three failures reported, resulting in an implant survival rate of 95.7% over a follow-up period of three years. No additional bone augmentation was undertaken and prosthetic survival recorded was 100%, with favourable periodontal outcomes achieved overall.Conclusion This study showed that implants immediately inserted into fresh extraction sites following dental trauma can constitute a predictable treatment strategy, presenting high implant survival rates over the follow-up period observed. Further well-designed controlled clinical trials are required to evaluate longer-term outcomes for this technique.
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Affiliation(s)
- Murtaza Hirani
- Specialist Registrar in Oral Surgery, King´s College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom
| | - Zahra Moshtofar
- Former Dental Core Trainee in Restorative Dentistry, King´s College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom
| | - Maria Devine
- Consultant in Oral Surgery, Eastman Dental Hospital, Huntley Street, London, WC1E 6DG, United Kingdom
| | - George Paolinelis
- Former Consultant in Oral Surgery, Guy´s and St Thomas´ Hospital, Great Maze Pond, London, SE1 9RT, United Kingdom
| | - Serpil Djemal
- Consultant in Restorative Dentistry, King´s College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom.
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Huang C, Yang Y, Wang Z, Wang W, Liu Y, Zhang M. A retrospective study of emergent traumatic dental injuries in permanent teeth in Xi'an, China. Medicine (Baltimore) 2022; 101:e32588. [PMID: 36596078 PMCID: PMC9803479 DOI: 10.1097/md.0000000000032588] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Traumatic dental injury is one of the common injuries seen in the emergency department. To determine the distribution features of emergency traumatic dental injuries in Xi'an, China, data from the medical records of 623 patients (aged 6-78 years) were evaluated and analyzed according to age, gender, etiology, factors predisposing teeth to injury, and types of teeth traumatized. The patient records of 397 males (63.7%) and 226 females (36.3%), with a 1.8:1 male-to-female ratio, were included. The total number of traumatized teeth was 1475. The highest frequency of dental trauma was found in the 19- to 30-year age group (30.7%). The greatest frequency of dental trauma injuries was in May (13%). Over one-third of patients with traumatic injuries to permanent teeth (n = 218, 35%) injured 2 permanent teeth. The most commonly affected teeth were the maxillary central incisors (59.3%). The most common type of trauma was concussion (20.4%). There was statistically significant difference among the type composition ratio of age groups (P < .05). The most common causes of dental trauma were falls (50.2%). There was statistically significant difference among the etiological composition ratio of age groups (P < .05). Combined injuries were present in 120 teeth in 103 patients (16.5%). The epidemiological characteristics of dental trauma in Xi'an shows that the occurrence of dental trauma is closely related to the age, sex, time, type of injury, and cause of injury. There exists cross-correlation among the epidemiological factors. The most common type of trauma is concussion and the most common cause of dental trauma is fall. High incidence of combined injuries needs extra attention.
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Affiliation(s)
- Chao Huang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Yang Yang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Ziheng Wang
- School of Computer Science and Engineering, Beihang University, Beijing, China
| | - Wei Wang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Yanli Liu
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Min Zhang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
- * Correspondence: Min Zhang, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi 710032, China (e-mail: )
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7
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Nørgaard Petersen F, Jensen SS, Dahl M. Implant treatment after traumatic tooth loss: A systematic review. Dent Traumatol 2022; 38:105-116. [PMID: 34997947 DOI: 10.1111/edt.12730] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 12/09/2021] [Accepted: 12/10/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS Treatment after traumatic tooth loss is challenging and is currently guided by expert opinion and the individual patient situation. The aim of this study was to provide an overview on the outcome of dental implant treatment in the anterior maxilla after traumatic tooth loss, based on a systematic review of the existing evidence. MATERIALS AND METHODS A systematic search of the literature was performed on PubMed, Cochran Library and Web of Science following the PRISMA guidelines based on a structured research question (PICO). All clinical studies of five patients or more with follow-up of at least 1 year after implant loading were included. Patients were at least 18 years of age. Cohen's Kappa-coefficient was calculated. The Newcastle-Ottawa Scale was applied to assess the quality of the included studies. Descriptive statistical methods were applied. RESULTS Nine hundred and ninety-nine articles were identified through the systematic search. Finally, six articles were eligible for inclusion. The studies comprised prospective and retrospective cohort studies and case series. From these, 96 patients with 120 implants were included. The age ranged from 18 to 59 years. The survival rates of implants and superstructures were 97% and 95%, respectively, after a mean follow-up of 3.5 years. Mean marginal bone resorption was 0.56 mm (range 0.21-1.30 mm). Complication rates were 7% and 11% on implant and superstructure level, respectively. Patient-reported outcome measures and objective evaluations showed a high level of satisfaction with the aesthetic outcome. Bone augmentation was performed in 60 implant sites. Three patients underwent pre-surgical orthodontic treatment. The maxillary central incisor was the most frequently replaced tooth (70%). CONCLUSIONS This systematic review revealed a low level of evidence on the outcome of dental implant treatment after traumatic tooth loss. Systematic reporting of treatment outcomes of tooth replacements after dental trauma is highly encouraged to further guide dentists for the benefit of these challenging patients.
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Affiliation(s)
- Frej Nørgaard Petersen
- Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Simon Storgård Jensen
- Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,Research Area: Oral Surgery, Section for Oral Biology and Immunopathology, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Morten Dahl
- Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
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Wimalarathna AAAK, Herath EMUCK, Senarath NH, Fonseka MCN, Manathunga MMKM, Nawarathna LS, Andersson L. Introduction of an interactive tool (the Dental Trauma Guide) in the undergraduate dental teaching to manage traumatic dental injuries. Dent Traumatol 2021; 37:717-724. [PMID: 34120401 DOI: 10.1111/edt.12687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 05/03/2021] [Accepted: 05/03/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries (TDI) are complex problems where lack of proper care may result in serious complications. The need to improve the management of TDI is a frequently addressed concern. Methods of improvement in their diagnosis and management are continuously evolving. The interactive Internet tool, the Dental Trauma Guide (DTG), helps to simplify diagnostic and management dilemmas. However, it is not a freely available tool. The aim of the current study was to assess the knowledge and diagnostic skills of undergraduate dental students with access to the DTG compared with students without such access, in order to validate and promote this tool in dental education. MATERIALS AND METHODS Two groups of students were randomly selected where one group of final year dental undergraduate students were exposed to lectures, demonstrations, discussions and tutorials on the management of TDI according to the standard undergraduate curriculum in Sri Lanka. Another test group of 21 students were provided with access to DTG during their training in paediatric dentistry. At the end of the study period, students were assessed on their knowledge of TDI using MCQs (Multiple Choice Questions) and OSCEs (Objective Structured Clinical Examination), based on the DTG. RESULTS The students with access to the DTG were more knowledgeable in providing the correct answers to three out of the seven OSCE questions. Evaluation based on the MCQs did not reveal a significant difference (p = .913). However, users of the DTG showed a statistically significant difference with better overall knowledge based on their answers (p = .028). Following this period of evaluation, all of the students were provided with access to the DTG to supplement their learning experience. CONCLUSION The Dental Trauma Guide is a useful supplementary tool for undergraduate students to arrive at a correct diagnosis and treatment plan for TDI.
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Affiliation(s)
- A A A K Wimalarathna
- Department of Prosthetic Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - E M U C K Herath
- Division of Paedodontics, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - N H Senarath
- Division of Paedodontics, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - M C N Fonseka
- Department of Restorative Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - M M K M Manathunga
- Technical Officer, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - L S Nawarathna
- Department of Statistics & Computer Science, Faculty of Science, University of Peradeniya, Peradeniya, Sri Lanka
| | - L Andersson
- Oral & Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmo, Sweden
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Agouropoulos A, Pavlou N, Kotsanti M, Gourtsogianni S, Tzanetakis G, Gizani S. A 5-year data report of traumatic dental injuries in children and adolescents from a major dental trauma center in Greece. Dent Traumatol 2021; 37:631-638. [PMID: 33821535 DOI: 10.1111/edt.12678] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 03/21/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Prevalence and demographic characteristics of traumatic dental injuries (TDI) differ in different countries. The aim of this retrospective study was to assess TDI in primary and permanent teeth among children and adolescents who presented to the Department of Paediatric Dentistry, National and Kapodistrian University of Athens, Greece, during the last 5 years. MATERIAL AND METHODS Dental records of 236 new patients who presented with dento-alveolar trauma to the Postgraduate Dental Clinic from 1/1/2014 to 31/12/2019 were reviewed. Data recorded were gender, age, month of the year the injury occurred, type of trauma, and number of traumatized teeth. Injuries were classified as fracture, luxation, or combination injuries. Descriptive statistics, chi-squared (x2 ), and Fisher's exact tests were used to evaluate the results. Level of significance was set at 5%. RESULTS The age of the patients ranged from 1 to 18 years old, with a mean of 8.63 years (SD: 3.52). There were 395 anterior traumatized teeth and 2 cases with traumatized posterior teeth. Children suffered trauma more often at the ages of 5 years, 7 years, and 11 years. In this cohort, 60% were boys who had a higher chance of having trauma than girls (odds ratio = 1.418 95% CI = 0.724, 2.777). Most TDI occurred in March and May, followed by June and February, and most traumatized teeth were permanent (80%). Maxillary central incisors in both dentitions were injured most often and significantly more compared to lateral incisors (p < 0 .01). The most common type of injury was a fracture in the permanent dentition (60%) and luxation injuries (69%) in the primary dentition. CONCLUSIONS Traumatic dental injuries in this cohort occurred mostly in spring, affected boys more than girls, permanent teeth more than primary teeth, maxillary incisors more than mandibular incisors, and central incisors more than lateral incisors, while children aged 5, 7, and 11 years old had the most injuries.
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Affiliation(s)
- Andreas Agouropoulos
- Department of Paediatric Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece
| | - Nancy Pavlou
- Department of Paediatric Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece
| | - Marilena Kotsanti
- Department of Paediatric Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece
| | - Sofia Gourtsogianni
- Department of Paediatric Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece
| | - Giorgos Tzanetakis
- Department of Endodontics, Dental School, National and Kapodistrian University of Athens, Athens, Greece
| | - Sotiria Gizani
- Department of Paediatric Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece
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de Oliveira JMD, Pauletto P, Werlich MO, Massignan C, Lehmkuhl KM, Porfírio GJM, Curi Hallal AL, De Luca Canto G. Prevalence of orofacial injuries in wheeled non-motor sports athletes: A systematic review and meta-analysis. Dent Traumatol 2021; 37:546-556. [PMID: 33793079 DOI: 10.1111/edt.12661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 01/13/2021] [Accepted: 01/16/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND/AIMS As the popularity of sports activities grows, so do the number of sport-related injuries. Furthermore, sports that use equipment or vehicles that modify the speed of the player can present more serious injuries. The aim of this systematic review was to identify the overall prevalence of orofacial trauma in wheeled non-motor sports athletes. METHODS The search strategy was applied in eight electronic databases (Embase, LILACS, Livivo, PEDro, PubMed, Scopus, SportDiscus, and Web of Science). Additionally, a complementary search of the gray literature (Google Scholar, OpenGrey, and ProQuest Dissertations & Theses Global), reference lists of included articles, and studies indicated by experts on the subject was done. The included articles were observational studies with sufficient data of orofacial trauma (type and anatomical site) in wheeled non-motor sport athletes, regardless of the competition level. Risk of bias was assessed by using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The meta-analysis was performed using R Statistics software, and the strength of cumulative evidence was assessed by The Grading of Recommendations Assessment, Development, and Evaluation. RESULTS From 4042 identified studies, after the removal of duplicates and phase one of selection (title and abstracts screening), 251 studies remained for phase two (full-text screening). Five articles were finally included. One study was considered to have a low risk of bias and four had a moderate risk of bias. The cumulative prevalence of orofacial injuries in wheeled non-motor sport athletes was 21.7% (CI: 8.7-34.7; I2 :97.6%) and the prevalence of dental injuries in these sports was 7.5% (CI:4.3-10.7; I2 :61.9%). The certainty in cumulative evidence was considered to be very low. CONCLUSION About 22% of the wheeled non-motor sport athletes have suffered orofacial injuries. The most prevalent type of injury was classified as dental trauma.
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Affiliation(s)
- Júlia Meller Dias de Oliveira
- Department of Dentistry, Brazilian Centre for Evidence-Based Research (COBE), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Patrícia Pauletto
- Department of Dentistry, Brazilian Centre for Evidence-Based Research (COBE), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | | | - Carla Massignan
- Department of Dentistry, Brazilian Centre for Evidence-Based Research (COBE), University of Brasília (UnB), Brasília, Brazil
| | - Karyn Munyk Lehmkuhl
- Brazilian Centre for Evidence-Based Research (COBE), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | | | - Ana Luiza Curi Hallal
- Department of Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Graziela De Luca Canto
- Department of Dentistry, Brazilian Centre for Evidence-Based Research (COBE), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
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Sedlaceck P, Poi WR, Amaral MF, Castilho LR, Panzarini SR, Saito CTMH, Brandini DA. Educational Impact of Notebook Covers on the Knowledge of Sixth-Grade Primary Pupils About Tooth Avulsion and Replantation: A Randomized Trial. HEALTH EDUCATION & BEHAVIOR 2021; 49:525-533. [PMID: 33631978 DOI: 10.1177/1090198121991468] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Tooth avulsion is a common cause of tooth loss. However, there is a significant lack of knowledge about dental trauma and the appropriate emergency procedures to handle these cases. AIM The aim of this study was to evaluate the educational effect of notebook covers illustrated with figures and informative texts about tooth avulsion and replantation in sixth-grade primary school pupils. MATERIAL AND METHODS Sixth-grade pupils of two public school participated in this study. An experimental group consisting of 134 pupils received notebook covers illustrated with figures and informative texts about tooth avulsion and replantation, while a control group of 108 pupils received notebooks with neutral covers. An assessment of the educational effects on pupils was performed after 9 months, with a standardized questionnaire normally used to evaluate dental trauma. Statistical analysis was conducted with SPSS 21.0 (α = .05) for group description and comparison using chi-square and Student t tests. RESULTS Compared with the control group, the experimental group showed statistically significant improvements in correct meaning of dental trauma (38% vs. 58.2%); procedures to follow in the case of dental avulsion (2.8% vs. 70.9%); storing the avulsed tooth in milk (18.5% vs. 76.9%); general knowledge about dental anatomy (61.1% vs. 95.5%); and the ideal time for the tooth to remain outside the mouth prior to replantation (20.4% vs. 59.7%). CONCLUSION The use of notebook covers illustrated with figures and informative texts about dental trauma led to a significant increase in the knowledge of schoolchildren about tooth avulsion, first aid, and replantation.
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Affiliation(s)
- Paulo Sedlaceck
- Universidade Estadual Paulista, Araçatuba, Araçatuba, São Paulo, Brazil
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Eden E, Buldur B, Duruk G, Ezberci S. Web-based dental trauma database using Eden Baysal dental trauma index: a turkish multicenter study. Eur Oral Res 2021; 55:21-27. [PMID: 33937758 PMCID: PMC8055256 DOI: 10.26650/eor.20210077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Purpose To describe the prevalence and pattern of traumatic dental injuries (TDIs) among Turkish children in a web-based and multicenter design using Eden Baysal Dental Trauma Index (EBDTI). Materials and methods The study sample consisted dental trauma patients aging 1-15 years and a webbased form was developed and used to record the information of the patients' clinical and radiographic findings including EBDTI. The obtained data also included patient gender, age at the initial date of trauma, date of trauma, cause of injury and emergency treatment. Data were analyzed using Pearson Chi-square and Fisher's exact tests. Results A total of 280 traumatized teeth in 252 patients were evaluated. Dental trauma was seen more in boys and 7-10 years age group (p<0.05). There were significant differences between permanent and deciduous teeth with regard to uncomplicated and complicated crown fracture rate (p<0.05). The root fractures were mostly located at the apical third of the root in both dentitions. Conclusion TDI was associated with age, gender, and type of dental trauma. EDBTI provided easy and proper recording of multiple dental injuries and maturity of the apex and it was found to be a very useful tool to facilitate online recordings of dental injuries.
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Affiliation(s)
- Ece Eden
- Department of Pediatric Dentistry, Faculty of Dentistry,Ege University, İzmir, Turkey
| | - Burak Buldur
- Department of Pediatric Dentistry, Faculty of Dentistry,Cumhuriyet University, Sivas,Turkey
| | - Gulsum Duruk
- Department of Pediatric Dentistry, Faculty of Dentistry,Inonu University, Malatya,Turkey
| | - Sibel Ezberci
- Department of Pediatric Dentistry, Faculty of Dentistry,Uşak University, Uşak,Turkey
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Sharma S, Sharma A, Sharma S, Sharma R. Anterior tooth trauma among schoolchildren aged 10—19 years in Mewat district, India. SCIENTIFIC DENTAL JOURNAL 2021. [DOI: 10.4103/sdj.sdj_90_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Beltramini A, Capitaine AG, De la Dure Molla M, Colon P, Pateron D. Conduite à tenir du médecin urgentiste face aux urgences dentaires. ANNALES FRANCAISES DE MEDECINE D URGENCE 2020. [DOI: 10.3166/afmu-2020-0231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Wang N, Lei S, Luo R, Chen J, Han J, Zhao Y. Radiographic and Histologic Evaluation of Experimentally Induced Severe Intrusive Luxation of Immature Teeth in Rats. J Endod 2020; 46:1631-1638. [DOI: 10.1016/j.joen.2020.07.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 07/06/2020] [Accepted: 07/30/2020] [Indexed: 10/23/2022]
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Ng L, Malandris M, Cheung W, Rossi-Fedele G. Traumatic dental injuries presenting to a paediatric emergency department in a tertiary children's hospital, Adelaide, Australia. Dent Traumatol 2020; 36:360-370. [PMID: 32012455 DOI: 10.1111/edt.12548] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 01/27/2020] [Accepted: 01/28/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND/AIM There is a scarcity of data regarding paediatric traumatic dental injuries (TDI) in tertiary teaching hospitals. Therefore, the aim of this study was to review the TDI presenting to the Women's and Children's Hospital in Adelaide (Australia) on an emergency basis and to identify the characteristics of the presenting patient cohort, their accident, injuries and management. METHODS Medical health records of 337 paediatric patients attending the Paediatric Emergency Department (PED) for the management of TDI over 18 months were prospectively reviewed. RESULTS TDI were more frequent in children under 5 years of age (56.1%) with a predominance of injuries sustained by males (63.8%). The accident characteristics included weekend occurrence (35.6%), the most common aetiology was falls (64.4%) and many incidents occurred at home (48.5%). Overall, 654 teeth were injured with the majority affecting deciduous teeth (58.4%) and the maxillary central incisors (69.9%). The most frequent injury was lateral luxation (27.5%). The majority of patients were referred to the Paediatric Dentistry Department (60.8%). However, almost half of presenting patients did not require further management locally and were subsequently discharged to their dental practitioners (39.2%). Most patients receiving treatment were managed under general anaesthetic (36.9%), and there was often a delay of 3-12 hours before treatment commenced (49.1%). Similarly, more severe injuries in the permanent dentition (avulsion, extrusion, root fracture, intrusion, alveolar fracture) were more frequently managed between 3 and 12 hours following the accident. CONCLUSION The patient, accident, injury and management characteristics are comparable to what has previously been reported in other studies in paediatric populations. Injuries affecting the permanent dentition are more likely to be managed within 3 and 12 hours in an outpatient setting, whereas injuries affecting the deciduous dentition had a delay in management between 12 and 24 hours under general anaesthetic.
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Affiliation(s)
- Lydia Ng
- Dental Department, Hutt Valley District Health Board, Hut Hospital, Wellington, New Zealand.,Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | | | - Wendy Cheung
- Adelaide Dental School, The University of Adelaide, Adelaide, Australia
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18
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Wang N, Chen J, Zhao Y. Clinical outcomes of 79 traumatically intruded permanent teeth in Chinese children and adolescents: A retrospective study. Dent Traumatol 2019; 36:174-184. [PMID: 31638331 DOI: 10.1111/edt.12521] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 10/17/2019] [Accepted: 10/19/2019] [Indexed: 01/06/2023]
Affiliation(s)
- Nan Wang
- Department of Pediatric Dentistry Peking University School and Hospital of Stomatology Peking University Beijing China
| | - Jie Chen
- Department of Pediatric Dentistry Peking University School and Hospital of Stomatology Peking University Beijing China
| | - Yuming Zhao
- Department of Pediatric Dentistry Peking University School and Hospital of Stomatology Peking University Beijing China
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Abstract
BACKGROUND Root fractures are not a common injury, but a thorough understanding of their etiology, healing responses, diagnosis, management, and prognosis is essential. REVIEW The prognosis is largely related to the patient's age; degree of displacement, if any, of the coronal fragment; and the location and orientation of the fracture. The more apical the fracture is located, the better the prognosis. Teeth with root fractures located supracrestally may have the worst prognosis, but their management and outcome depend on many factors, with the most influential factor being the ability to restore the tooth because the coronal fragment usually needs to be removed. In contrast, root fractures located in the apical and middle thirds and those subcrestally in the coronal third of the root have a good prognosis and usually require little, if any, treatment apart from immediate repositioning (if the coronal fragment has been displaced) and stabilization. Monitoring of root-fractured teeth over time is essential to determine the healing response and to assess whether the pulp survives or not. In some cases, the pulp in the coronal fragment may necrose and become infected, thus requiring root canal treatment, but this should only be done to the fracture line. Pulp necrosis and infection typically occur within the first 3-4 months if it is a direct result of the trauma. However, pulp necrosis and infection can also occur many years later, in which case it is likely to be a result of bacterial penetration via cracks or breakdown of restorations. CONCLUSION Overall, root fractures should be managed conservatively unless they are located supracrestally.
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Affiliation(s)
- Paul V Abbott
- UWA School of Dentistry, The University of Western Australia, Nedlands, Western Australia, Australia.
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20
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Abbott PV. Diagnosis and management of transverse root fractures. Dent Traumatol 2019; 35:333-347. [DOI: 10.1111/edt.12482] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Accepted: 05/17/2019] [Indexed: 01/07/2023]
Affiliation(s)
- Paul V. Abbott
- UWA School of Dentistry The University of Western Australia Nedlands Western Australia Australia
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Tzimpoulas N, Markou M, Zioutis V, Tzanetakis GN. A questionnaire-based survey for the evaluation of the knowledge level of primary school teachers on first-aid management of traumatic dental injuries in Athens, Greece. Dent Traumatol 2019; 36:41-50. [PMID: 31355996 DOI: 10.1111/edt.12503] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 07/20/2019] [Accepted: 07/22/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM School teachers can play an important role in improving the prognosis of traumatized teeth of school children through immediate onsite management or on time referral to healthcare providers. In Greece where the research in the field of dental traumatology is very limited, this issue is of utmost importance. The aim of this study was to evaluate the knowledge level of Greek primary school teachers and their attitude with regard to emergency first-aid management of traumatic dental injuries (TDI) occurring in schools. MATERIAL AND METHODS A cross-sectional descriptive study among 276 school teachers was undertaken in Athens, Greece. This was done through a two-part questionnaire-based survey including demographic characteristics, attitude, and knowledge of first-aid management of TDI. Data were analyzed using non-parametric tests for differences. Log Poisson regression analysis was used to estimate relative risks of low or high knowledge of first-aid management. RESULTS The risk of lower knowledge score was almost double in teachers with <10 years of teaching experience and almost threefold higher in those reporting that they are not interested in being informed about dental trauma. In the case of luxation injury, 69.9% of the participants would not take any immediate action and would refer the child to a dentist. In case of permanent tooth avulsion, 52.2% knew that the tooth can be replanted in the socket, whereas only 17% believed that this should be performed within 30 minutes. Most of the participants would send the child to their own/family dentist, whereas only 4.7% would refer to an Endodontist. CONCLUSION The knowledge of primary school teachers in Greece about first-aid management of TDI is limited. However, a clear positive association was found between knowledge of first-aid management and teaching experience. Reliable information about dental trauma may result in improving the knowledge level of Greek primary school teachers.
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Bratteberg M, Thelen DS, Klock KS, Bårdsen A. Traumatic dental injuries and experiences along the life course - a study among 16-yr-old pupils in western Norway. Eur J Oral Sci 2019; 127:445-454. [PMID: 31228311 DOI: 10.1111/eos.12641] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2019] [Indexed: 11/28/2022]
Abstract
The study assessed risk factors for traumatic dental injuries (TDI) using experiences along the life course. A retrospective longitudinal study, including historical clinical data, was conducted on 16-yr-old pupils in western Norway. All first-grade pupils born in 1997 and attending public high schools were invited to participate (n = 5,184). Participants responded to an electronically administered closed-ended questionnaire (39.6%, n = 2,055). Information on the occurrence of TDI and events during the life course (categorized as socio-economic, biological, psychosocial, and behavioural indicators) was collected. Variables with a significant bivariate association with three different dependent variables (TDI, severity of TDI, and multiple episodes of TDI) were tested in a hierarchical logistic regression analysis. Traumatic dental injuries were more frequent among boys, adolescents of higher socio-economic status, and adolescents with adverse psychosocial and behavioural scores. Moderate and severe TDIs were more frequent among adolescents with adverse psychosocial and behavioural scores and among adolescents participating in the sport of wrestling. Multiple episodes of TDI were more frequent among adolescents with adverse psychosocial and behavioural scores and among adolescents participating in sports activities. Incorporation of different life-course indicators is important in evaluating TDI severity and repeated incidents.
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Affiliation(s)
- Magnus Bratteberg
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | | | - Kristin S Klock
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Asgeir Bårdsen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
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Eltair M, Pitchika V, Standl M, Lang T, Krämer N, Hickel R, Kühnisch J. Prevalence of traumatic crown injuries in German adolescents. Clin Oral Investig 2019; 24:867-874. [PMID: 31218460 DOI: 10.1007/s00784-019-02974-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Accepted: 06/06/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Although dental trauma and its unfavorable sequelae are considered major public health problems worldwide, the published data on the prevalence of traumatic crown injuries (TCIs) in Germany are lacking. Therefore, the present study assessed the prevalence of TCIs among adolescents in Bavaria, Germany. MATERIAL AND METHODS Ethical approval and parental consents were obtained, and population-based information from 10- (N = 1158), 12- (N = 416), and 15-year-olds (N = 1302) from two different cohort studies performed in Bavaria (GINIplus/LISA and LAGZ) were examined for the presence of TCIs, dental caries, and restorations. Statistical comparisons were made using Mann-Whitney U test and Wilcoxon signed-rank test. RESULTS The prevalence of TCIs was 6.3% in the 10- and 12-year-old children and 14.0% in 15-year-old children, and a higher prevalence was observed in boys than in girls. Most (87.5%) of the traumatized teeth were maxillary incisors. The caries prevalence was low in all three populations. CONCLUSION The prevalence of TCIs in Bavarian adolescents at a low risk for caries was found to be low. CLINICAL RELEVANCE Dental trauma is a prevalent event in children and adolescents, and incisors are the most affected teeth. Therefore, dental practitioners should be able to manage the spectrum of traumatic injuries.
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Affiliation(s)
- Mohamed Eltair
- Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany
- Department of Endodontics, Faculty of Oral and Dental Medicine, Future University, Cairo, Egypt
| | - Vinay Pitchika
- Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany
- Unit of Periodontology, Department of Restorative Dentistry, Periodontology, and Endodontology, University Medicine, Ernst Moritz Arndt University of Greifswald, Greifswald, Germany
| | - Marie Standl
- Institute of Epidemiology, Helmholtz Zentrum München - German Research Centre for Environmental Health, Neuherberg, Germany
| | - Toni Lang
- Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany
| | - Norbert Krämer
- Department of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Giessen and Marburg, Campus Giessen, Giessen, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany
| | - Jan Kühnisch
- Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany.
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Storgård Jensen S. Timing of implant placement after traumatic dental injury. Dent Traumatol 2019; 35:376-379. [PMID: 31121083 DOI: 10.1111/edt.12484] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Accepted: 05/20/2019] [Indexed: 11/29/2022]
Abstract
Dental implants are reliable to replace teeth lost because of traumatic dental injury. However, dental implants behave like ankylosed teeth and should not be placed in growing individuals because of the risk of infraposition. This risk may be reduced by ensuring arrested skeletal growth and ideal incisal support. The timing of implant placement may be immediate, early, conventional, or late and is determined by the extent of the trauma, remaining growth, and conditions of the hard and soft tissues. Timing should allow an observation period to properly evaluate the prognosis of concomitantly traumatized neighboring teeth. Orthodontic alignment is often necessary after traumatic dental injury in young individuals to provide symmetric dental conditions around the facial midline, to allow implant placement in the correct 3-dimensional position for the later prosthetic reconstruction, and to ensure sufficient mesiodistal space that leaves a minimum of 1.5 mm of healthy alveolar bone between the future implant and neighboring teeth. Space and stable occlusion should be maintained by bonded retainers and a splint used during the night. A partial prosthesis is usually recommended as a temporary replacement. If a fixed provisional prosthesis is required, it is crucial that it does not interfere with the remaining growth and incisal support and allows proper oral hygiene.
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Affiliation(s)
- Simon Storgård Jensen
- Department of Oral and Maxillofacial Surgery, Centre of Head and Orthopedics, Copenhagen University Hospital, Copenhagen, Denmark
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Kurt A, Guduk OF, Erbek SM, Baygin O, Tuzuner T. Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma. Eur Oral Res 2019; 53:74-79. [PMID: 31309197 PMCID: PMC6614694 DOI: 10.26650/eor.20195236] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 05/07/2018] [Accepted: 09/04/2018] [Indexed: 01/06/2023] Open
Abstract
Purpose: Traumatic dental injuries are among the commonly observed problems in the
primary and permanent teeth. The rate of prevalence of dental trauma varies
globally. In this study, we investigated the type of dental trauma, related factors,
and treatment procedures in children. Subjects and methods: During a 5-year period (January 2011–January 2016), 416 children aged in the range
of 1–15 years were admitted to our clinic with dental trauma. The cause and type
of the dental trauma in the primary and permanent teeth and their relation with
gender and age were evaluated using the chi-square test, and their distribution by
age was evaluated using regression analysis. Results: Overall, girls and boys comprised 37% and 63% of the study population,
respectively. The mean age was 8.5 years. Falls (61.1%) were the most common
cause of traumatic dental injuries, and enamel–dentin fracture (26%) was the most
common dental trauma type. Conclusion: Traumatic dental injuries in children are common. A large proportion of patients
without any clinical symptoms (15.8%) did not seek any treatment after the trauma.
Teachers, parents, and children should be informed about the action to be taken
when dental trauma occurs and about the importance of immediately taking the
child to a dentist after the trauma to ensure an accurate diagnosis, an optimal
treatment plan, and positive outcome.
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Affiliation(s)
- Ayca Kurt
- Recep Tayyip Erdoğan University, Faculty of Dentistry, Deparment of Pedodontics, RizeTurkey
| | - Omer Faruk Guduk
- Department of Pedodontics, Karadeniz Technical University Faculty of Dentistry, Trabzon, Turkey
| | - Sengul Merve Erbek
- Department of Pedodontics, Karadeniz Technical University Faculty of Dentistry, Trabzon, Turkey
| | - Ozgul Baygin
- Department of Pedodontics, Karadeniz Technical University Faculty of Dentistry, Trabzon, Turkey
| | - Tamer Tuzuner
- Department of Pedodontics, Karadeniz Technical University Faculty of Dentistry, Trabzon, Turkey
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de Sá MAB, Nunes E, de Souza Gruppioni Côrtes MI, Silveira FF. A Short Time Period in the Treatment of an Open Apice Intruded Tooth: An 8-year Follow-up. Int J Clin Pediatr Dent 2019; 12:160-163. [PMID: 31571792 PMCID: PMC6749880 DOI: 10.5005/jp-journals-10005-1612] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIM Among traumatic dental injuries, intrusive dislocation is considered to be one of the most serious injuries. Despite the high success rate in complacent patients, the traditional technique of calcium hydroxide inoculation has drawbacks. The good antimicrobial and sealing properties combined with excellent biocompatibility and high success rates of the mineral trioxide aggregate (MTA) encourage its use. BACKGROUND The objective of this study was to report a successful case of intrusive dislocation in a short time with a follow-up of eight years. CASE DESCRIPTION A patient, seven years of age, presented intrusive dental dislocation, confirmed by radiographic examination, which revealed besides axial displacement of the central incisor towards the bone, incomplete root development. The passive repositioning was chosen as the treatment modality. After cleansing of the root canal, therapy with hydroxide paste was performed for 30 days, and then the apex was closed using an artificial barrier made with apical MTA buffer to facilitate root canal obturation. CONCLUSION Clinical and radiographic signs at 6 months and 8 years of preservation evidence the success of the therapy. CLINICAL RELEVANCE Teeth with incomplete root formation when traumatized may have their development process interrupted; consequently their root canals remained ample with thin and fragile walls and the open apex which represents a great challenge to the accomplishment of endodontic therapy. The process of apexification with MTA as in this case is an alternative to traditional therapy based on calcium hydroxide, conferring a faster treatment and a decrease in the odds of fracture of the tooth since from the confection of the apical barrier there is a possibility of being the same restored at an early stage. HOW TO CITE THIS ARTICLE de Sá MAB, Nunes E, et al. A Short Time Period in the Treatment of an Open Apice Intruded Tooth: An 8-year Follow-up. Int J Clin Pediatr Dent 2019;12(2):160-163.
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Affiliation(s)
- Maria AB de Sá
- Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Eduardo Nunes
- Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Frank F Silveira
- Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Abstract
The aim of the study was to review literature data on incidence and outcomes of traumatic dental injuries (TDI) in pediatric population. A systematic search was conducted using Elibray, Pubmed/Medline, Scopus databases in October 2018. Reference lists were also hand-searched to identify additional literature. The most prevalent complication of TDI is pulp necrosis (PN) which triggers inflammatory root resorption (IRR). PN and IRR are however much more specific for mature permanent teeth. In immature teeth pulp revascularization may occur even after avulsion. Pulpectomy timing is well defined for mature teeth only. It is accepted that pulp extirpation should be performed in the first 10 days after trauma. In immature teeth no criteria exist with pulp electrosensitivity having very low negative prognostic value as drop of pulp sensitivity because of trauma not necessary indicate PN. Follow-up protocol for immature teeth with various TDI would be useful for proper timing of pulpectomy and prevention of IRR.
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Affiliation(s)
- M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M S Rakhmanova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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Soares TRC, Silva LP, Salazar SLDA, Luiz RR, Risso PDA, Maia LC. Profile of intrusive luxation and healing complications in deciduous and permanent teeth - a retrospective study. Acta Odontol Scand 2018; 76:567-571. [PMID: 29909718 DOI: 10.1080/00016357.2018.1481226] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE This retrospective study analyse the profile of intrusion in deciduous (DT) and permanent teeth (PT), the occurrence of healing complications (HC), type of treatments and predisposing factors. METHODS The records of patients attended from 2005 to 2011 were analysed. Records of patients who had one or more intruded DT or PT were included in the study. Data collected from dental records included age, gender, attendance (immediate/mediate), healing complications and type of treatment. A Chi-square test and Logistic regression (p ≤ .05) were performed to evaluate the associations between the type of teeth and presence of HC, as well as to explore the interactions between predisposing factors. RESULTS The intrusion prevalence was 9.98% in DT and 2.45% in PT. Partial intrusion (57.3%) with palatal direction of the crown (61.8%) was most prevalent in DT, while complete intrusion (56.7%) with buccal direction of the crown (58.1%) was predominant for PT. Mobility was the most common HC in DT compared to root resorption in PT. Minimally invasive treatments were the most common therapy for DT compared to invasive treatments for PT. PT demonstrated increased HC when compared to DT (p = .004). A logistic regression illustrated that the level of intrusion and crown direction during the trauma did not influence the occurrence of HC (p > .05). CONCLUSION Intrusion's profile in DT and PT are different. PT showed more HC than DT, however the level of intrusion and crown direction were not associated with the presence of HC.
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Affiliation(s)
- Thais Rodrigues Campos Soares
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Luciana Pereira Silva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Sabrina Loren de Almeida Salazar
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ronir Raggio Luiz
- Institute of Public Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Patrícia de Andrade Risso
- Department of Dental Clinic, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Nicolau B, Castonguay G, Madathil S, Vuong T, Almeida TDD. Periodontal Diseases and Traumatic Dental Injuries in the Pediatric Population. Pediatr Clin North Am 2018; 65:1051-1061. [PMID: 30213348 DOI: 10.1016/j.pcl.2018.05.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This article provides an overview of periodontal diseases and traumatic dental injuries (TDIs) in children and adolescents, which are serious public health problems worldwide. Periodontal diseases, including gingivitis and periodontitis, commonly affect the oral soft tissues and teeth and often co-occur with other chronic diseases. TDIs are prevalent from an early age and carry high treatment costs. Behavioral and environmental factors contribute to both TDIs and periodontal diseases, but their etiology varies according to population characteristics and case definition. Both conditions may lead to pain, function impairment, esthetic problems, and psychosocial effects, with major consequences on quality of life.
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Affiliation(s)
- Belinda Nicolau
- Faculty of Dentistry, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec H3A 1G1, Canada.
| | - Geneviève Castonguay
- Faculty of Dentistry, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec H3A 1G1, Canada
| | - Sreenath Madathil
- Faculty of Dentistry, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec H3A 1G1, Canada
| | - Thien Vuong
- Faculty of Dentistry, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec H3A 1G1, Canada
| | - Tahyna Duda Deps Almeida
- Faculty of Dentistry, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec H3A 1G1, Canada; Faculty of Dentistry, Federal University of Minas Gerais, Av. Presidente Antônio Carlos, 6627 Pampulha, Belo Horizonte, Minas Gerais, Brazil
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Bratteberg M, Thelen DS, Klock KS, Bårdsen A. Traumatic dental injuries-Prevalence and severity among 16-year-old pupils in western Norway. Dent Traumatol 2018; 34:144-150. [DOI: 10.1111/edt.12399] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Magnus Bratteberg
- Department of Clinical Dentistry; Faculty of Medicine; University of Bergen; Bergen Norway
| | | | - Kristin S. Klock
- Department of Clinical Dentistry; Faculty of Medicine; University of Bergen; Bergen Norway
| | - Asgeir Bårdsen
- Department of Clinical Dentistry; Faculty of Medicine; University of Bergen; Bergen Norway
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Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries. Dent Traumatol 2018; 34:71-86. [PMID: 29455471 DOI: 10.1111/edt.12389] [Citation(s) in RCA: 261] [Impact Index Per Article: 43.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2018] [Indexed: 12/24/2022]
Abstract
Traumatic dental injuries (TDIs) account for a considerable proportion of bodily injuries. Nevertheless, global TDI frequency is unknown, probably because TDI diagnosis is not standardized. This study estimated world TDI frequency. A literature search (publication years 1996-2016) was aimed at covering as many countries, communities, ethnic groups as possible, thus achieving high generalizability. In particular, non-specific keywords, no language restrictions, and large databanks were used. Observational studies reporting proportions of individuals with at least one TDI (prevalence) and who developed TDI (incidence rate) were considered. Prevalence rates to permanent dentition, primary dentition and in 12-year-olds, incidence rate to any tooth for any age, male-to-female prevalence ratio (PR) in 12-year-olds, with 95% confidence intervals (95 CIs), were extracted/calculated. Study quality, Z-score distribution, funnel plot symmetry analysis, between-study heterogeneity, sensitivity, and subgroup analyses were performed. Selected primary studies were 102 (permanent dentition; 268 755 individuals; median age, 13.8 years), 46 (primary dentition; 59 436 individuals; median age, 3.4 years), 42 (12-year-olds; 33 829 individuals), 11 (incidence rate; 233 480 person-years; median age, 7.8 years), and 31 (PR; 16 003 males, 16 006 females). World TDI frequency resulted as follows: permanent dentition prevalence 15.2% (95 CI, 13.0%-17.4%); primary dentition prevalence 22.7% (95 CI, 17.3%-28.7%); 12-year-olds prevalence 18.1% (95 CI, 15.3%-21.0%); incidence rate, 2.82 (95 CI, 2.28%-3.42%) per 100 person-years; PR, 1.43 (95 CI, 1.34%-1.52%). Differences between WHO Regions were found. This study shows that more than one billion living people have had TDI. TDI is a neglected condition which could rank fifth if it was included in the list of the world's most frequent acute/chronic diseases and injuries.
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Affiliation(s)
- Stefano Petti
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - Ulf Glendor
- Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Lars Andersson
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait
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Goswami M, Kumar P, Bhushan U. Evaluation of Knowledge, Awareness, and Occurrence of Dental Injuries in Participant Children during Sports in New Delhi: A Pilot Study. Int J Clin Pediatr Dent 2018; 10:373-378. [PMID: 29403232 PMCID: PMC5789142 DOI: 10.5005/jp-journals-10005-1468] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 10/17/2017] [Indexed: 11/23/2022] Open
Abstract
Aim To evaluate the occurrence of dental injuries in children, the level of knowledge of the participants about preventive measures, and management of dental trauma during sports, in New Delhi. Materials and methods A cross-sectional study was carried out among 450 children aged 6 to 16 years. A structured interviewer-guided questionnaire was used to determine the prevalence of oral injuries sustained during sport activities, the use of mouthguard as well as the athlete’s awareness regarding use of mouthguard. The respondents consisted of 313 males (69.6%) and 137 females (30.4%) with a mean age of 12.6 years. Results Out of the total participants, 27 (6%) had chipping or fracture of teeth, 25 (5.6%) had soft-tissue laceration, 24 (5.4%) had avulsion of teeth, and 18 (4%) had suffered fracture of jaw/bones. Out of the total participants, 263 (58.4%) knew that it was possible to replant the teeth and 187 (41.6%) did not know that it was possible to replant the teeth. Out of the total participants, 203 (45.1%) did not know what is the best time to put the teeth back in the mouth and 247 (54.9 %) answered in affirmative with variable answer. Of the total participants, 223 (49.6%) answered that they would carry avulsed tooth in water, 94 (20.8%) wrapped in cloth, 57 (12.6%) in mouth/saliva, 9 (2%) in Hanks’ balanced salt solution (HBSS), and 67 (14.8%) answered others. Of the total participants, 321 (71.3%) were aware that mouthguards prevent injury and 129 (28.7%) did not know about mouthguards. Out of the total participants, 94 (20.9%) used mouthguards and 356 (79.1%) had never used mouthguards. Conclusion Level of awareness and knowledge about sports-related orofacial injury is very poor among children in New Delhi. Education on prevention of orofacial trauma should be given to the coaches and children. Wearing of mouthguards during sport activities should be compulsory during practice and competition events. How to cite this article: Goswami M, Kumar P, Bhushan U. Evaluation of Knowledge, Awareness, and Occurrence of Dental Injuries in Participant Children during Sports in New Delhi: A Pilot Study. Int J Clin Pediatr Dent 2017;10(4):373-378.
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Affiliation(s)
- Mridula Goswami
- Professor and Head, Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Puneet Kumar
- Postgraduate Student, Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Urvashi Bhushan
- Senior Resident, Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
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Tzanetakis GN. Management of Intruded Immature Maxillary Central Incisor with Pulp Necrosis and Severe External Resorption by Regenerative Approach. J Endod 2018; 44:245-249. [DOI: 10.1016/j.joen.2017.11.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Revised: 11/08/2017] [Accepted: 11/09/2017] [Indexed: 12/14/2022]
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Autotransplantation and Orthodontic Treatment after Maxillary Central Incisor Region Trauma: A 13-Year Follow-Up Case Report Study. Case Rep Dent 2018; 2018:2039714. [PMID: 29581900 PMCID: PMC5822928 DOI: 10.1155/2018/2039714] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Revised: 11/26/2017] [Accepted: 12/07/2017] [Indexed: 11/18/2022] Open
Abstract
The anterior maxilla is the most prone region to the trauma during childhood, and tooth loss sometimes happens due to trauma. Replacing the missing teeth has always been one of the dentists' challenges in children and adolescents, since their dentofacial growth is not complete. Autotransplantation of mandibular premolars with two-thirds or three-quarters of root formation provides the best prognosis for the tooth survival. This case report describes the management of a 10-year-old boy suffering a severe dental injury who received the autotransplantation of the premolars from mandible to restore the space caused by trauma in maxillary central incisor region and a 13-year follow-up of the autotransplantation.
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Maran S, Shashikiran ND, Ahirwar P, Maran P, Raj Kannojiya P, Niranjan B. Prevalence of Dental Caries and Traumatic Dental Injuries among 6- to 12-year-old Children in Bhopal City, India. Int J Clin Pediatr Dent 2017; 10:172-176. [PMID: 28890618 PMCID: PMC5571387 DOI: 10.5005/jp-journals-10005-1429] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 12/02/2016] [Indexed: 11/26/2022] Open
Abstract
Introduction Dental caries and trauma are the most common oral health problems for many decades. There is need for prevalence data to analyze the nature of the problems and to take necessary steps in improving public health. Aim and objectives To assess the prevalence of dental caries and traumatic dental injuries among schoolchildren of age 6 to 12 years in Bhopal city. Settings and design Cross-sectional study design was selected. Universal sampling method was followed in this study. Materials and methods A total of 1,204 children were examined. The distribution of samples was done based on age, gender, residing area, and type of school. Statistical analysis Data were collected and statistically evaluated under chi-square test and analysis of variance. Results The overall caries experience (73.17%) was found to be higher than that of traumatic injury experience (20.9%). There was age-related correlation between age and decay, missing, and filled teeth score. Conclusion Since most injuries occur at home or at school, educating the individual is the key that will have a great impact on the prognosis of traumatic injuries. Also good food habits need to be instilled in children from a tender age with the help of parents, which is the ultimate solution to fight caries. How to cite this article Maran S, Shashikiran ND, Ahirwar P, Maran P, Kannojiya PR, Niranjan B. Prevalence of Dental Caries and Traumatic Dental Injuries among 6- to 12-year-old Children in Bhopal City, India. Int J Clin Pediatr Dent 2017; 10(2): 172-176.
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Affiliation(s)
- Satish Maran
- Assistant Professor, Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences, Bhopal, Madhya Pradesh, India
| | - N D Shashikiran
- Dean and Head, Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Karad, Maharashtra, India
| | - Pratibha Ahirwar
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Bhabha Dental College, Madhya Pradesh, India
| | - Priyanka Maran
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Institute of Dental Education and Advanced Studies, Madhya Pradesh India
| | - Pawan Raj Kannojiya
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences, Bhopal, Madhya Pradesh, India
| | - Babita Niranjan
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences, Bhopal, Madhya Pradesh, India
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Fiore PMD, Hartwell GR. Dental Pulp Revascularization in a Replanted Avulsed Immature Maxillary Permanent Central Incisor. Eur Endod J 2017; 2:1-6. [PMID: 33403346 PMCID: PMC7757963 DOI: 10.5152/eej.2017.17031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 06/16/2017] [Accepted: 06/21/2017] [Indexed: 12/25/2022] Open
Abstract
An 8-year-old girl sustained an accidental traumatic avulsion of her right maxillary permanent central incisor. She arrived with her mother at a hospital dental clinic with the right maxillary central incisor tooth wrappe in a wet paper towel over 1 hour after the injury. Replantation was accomplished without root surface alteration or root canal intervention. Clinical and radiographic follow-up examinations for over 1 year revealed continued root growth and apical development of the replanted avulsed immature maxillary central incisor with no signs or symptoms of pulpal or periapical pathosis. Excellent outcomes were achieved for periodontal ligament reattachment without removal of the periodontal membrane and pulp revascularization without endodontic intervention.
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Affiliation(s)
- Peter M Di Fiore
- Department of Endodontics, University of Texas School of Dentistry, Houston, TX, USA
| | - Gary R Hartwell
- Department of Endodontics, Rutgers University School of Dental Medicine, Newark, NJ, USA
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Soares AJ, Souza GA, Pereira AC, Vargas-Neto J, Zaia AA, Silva EJNL. Frequency of root resorption following trauma to permanent teeth. J Oral Sci 2017; 57:73-8. [PMID: 26062854 DOI: 10.2334/josnusd.57.73] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
This retrospective study evaluated the frequency of development of root resorption in dental trauma cases involving supporting tissue. For 249 traumatized teeth of 125 patients aged between 7 and 51 years, we collected data on the gender and age of the patient, the teeth involved, the type of trauma, and the period between dental injury and initial examination. Radiographic parameters examined in relation to root resorption included the presence of inflammatory external root resorption, internal root resorption, replacement resorption, and canal calcification. Data were analyzed by chi-squared test, Fisher's exact test, and mult iple logistic regression (P < 0.05). The results indicated that there was a significant relationship between the period from the date of injury until initial examination and the occurrence of inflammatory external resorption (P = 0.0199), as well as the type of injury (P = 0.0406). Furthermore, external resorption was most frequently associated with intrusive luxation (92.8%), followed by avulsion (89.0%), lateral luxation (80.2%), and extrusive luxation (77.4%). Among the types of dental injury, replacement resorption was observed more frequently in cases of avulsion (87.2%). The only factor that was significantly associated with this type of resorption was the type of injury (P < 0.0001). Root resorption is observed more frequently and its risk of development is higher in cases of severe trauma, especially avulsion and intrusive luxation.
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Affiliation(s)
- Adriana J Soares
- Department of Restorative Dentistry, Endodontics Area, State University of Campinas
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Lechner K, Connert T, Kühl S, Filippi A. Lip and tooth injuries at public swimming pools in Austria. Dent Traumatol 2017; 33:214-220. [PMID: 28231409 DOI: 10.1111/edt.12331] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS There is an increased risk of orofacial injuries in swimming pool facilities. Nevertheless, only a few studies have addressed this issue. The aim of this study was to identify the frequency of lip and tooth injuries at public swimming pools in Austria. A further aim was to examine which gender and age groups were affected, where and why these injuries occurred, and whether pool attendants had sufficient knowledge of dental first-aid measures. MATERIAL AND METHODS A total of 764 pool attendants in Austria were contacted by telephone and 689 participated in the study (90.2%). The attendants were interviewed retrospectively about accident occurrences in 2014 by a standardized questionnaire. Responses to the provision of first aid and choice of storage medium for avulsed teeth were subsequently evaluated. RESULTS The frequency of lip injuries was 19.0%, and tooth injuries were 11.3%. Male bathers (P < .05) and children under 12 years (P < .001) most frequently suffered injuries. The waterslide was the most common accident site. The most common cause of lip injuries was slipping on wet surfaces (39.0%), and for tooth injuries it was collisions with other persons or objects (each 28.1%). The pool attendants' responses were predominantly good or sufficient on first aid, with the exception of what storage medium to choose. Tooth rescue boxes were available in only 8.6% of all pool facilities. CONCLUSION Orofacial injuries are a frequently occurring problem in swimming pool facilities. The pool attendants' knowledge on first-aid care of tooth injuries could still be improved.
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Affiliation(s)
- Katharina Lechner
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Thomas Connert
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Sebastian Kühl
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Andreas Filippi
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
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Oyedele TA, Jegede AT, Folayan MO. Prevalence and family structures related factors associated with crown trauma in school children resident in suburban Nigeria. BMC Oral Health 2016; 16:116. [PMID: 27814704 PMCID: PMC5097397 DOI: 10.1186/s12903-016-0314-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 10/27/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Multiple risk factors have been identified for traumatic dental injuries, including crown fractures, in various age groups and various populations. The objective of this study was to determine the prevalence, risk factors and family related factors for crown trauma among 8 to 16 year-old children in a suburban population, Nigeria. METHODS This is a secondary analysis of a data of 2107 children collected through a school-based survey. Study participants were 8 to 16 year-old resident in suburban Nigeria. The independent variables for the study were age, sex, socioeconomic status, and birth rank, family size and parenting status (one parent, step parent, both parents, and guardians). Details were collected using an interviewer administered questionnaire. Intraoral examination was conducted to identify presence of crown fracture. The independent variables associated with and predictors of crown trauma were determinedusing chi-square and logistic regression analysis respectively. RESULTS Only 167 (7.9 %) of the 2107 study participants had crown trauma. The teeth level prevalence of crown trauma was 0.33 %. Children with middle socioeconomic status had reduced odds of having crown trauma when compared with children with low socioeconomic status (AOR 0.50; CI 0.32-0.80). The odds of having crown traumawas more than doubled in males when compared with females (AOR 2.41; CI 1.72-3.39) and almost doubled in children living with single parents when compared with children living with both parents (AOR 1.94; CI 1.29-3.05). CONCLUSIONS The prevalence of crown traumawas low in this study population. Being a female and having lowsocioeconomic status significantly reduced the risk factors for crown traumawhile living with single parents increased risk for crown trauma.
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Affiliation(s)
- T A Oyedele
- Department of Surgery, Ben Carson School of Medicine, Babcock University, Ilisan-Remo, Ogun, Nigeria. .,Dental Department, Babcock University Teaching Hospital, Ilisan-Remo, Ogun, Nigeria.
| | - A T Jegede
- Dental Department, Babcock University Teaching Hospital, Ilisan-Remo, Ogun, Nigeria
| | - M O Folayan
- Department of Child Dental Health, Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria
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Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J 2016; 61 Suppl 1:4-20. [DOI: 10.1111/adj.12395] [Citation(s) in RCA: 162] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- R Lam
- International Research Collaborative - Oral Health and Equity, School of Anatomy, Physiology and Human Biology; The University of Western Australia; Western Australia Australia
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Enabulele JE, Oginni AO, Sede MA, Oginni FO. Pattern of traumatised anterior teeth among adult Nigerians and complications from late presentation. BMC Res Notes 2016; 9:70. [PMID: 26852327 PMCID: PMC4744399 DOI: 10.1186/s13104-016-1871-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Accepted: 01/18/2016] [Indexed: 11/19/2022] Open
Abstract
Background
The objectives of this study were to determine the prevalence and pattern of traumatic dental injury (TDI) among adults presenting in a tertiary health care facility in Nigeria, the time interval between injury and presentation in the hospital, the reasons for seeking treatment, and the complications arising due to late presentation. Methods
Information obtained from history taking and clinical examination included Patient’s demographics, the when, where, and how of the injury, previous history of trauma, time elapsed between injury and presentation at the hospital, reason for seeking treatment, tooth/teeth involved, sensibility, tenderness to percussion, mobility, presence of discolouration, swelling, sinus tract, and mobility. Radiographic findings such as periapical radiolucency, pulp canal obliteration, and root resorption were also documented. TDI was classified using the Andreasen’s classification. Results Out of the 2645 adult patients that attended the outpatient clinic, 184 Presented with TDI giving a prevalence of 6.96 %. Their age range and mean age were 17–69 years and 30.6 ± 11.2 years respectively. Falls accounted for most (26.4 %) of the trauma to anterior teeth followed by motor cycle accidents (18.4 %) and domestic accidents (12.9 %), while opening bottle cork accounted for 1.2 %. The most common type of injury was enamel-dentine fracture accounting for 28.8 %, followed by complicated crown fracture 18.6 %, and avulsion 11.7 %. The maxillary central incisors were the most commonly affected followed by the maxillary lateral incisors and canines. More than half (51.5 %) of the patients presented in the hospital more than 1 year after injury. Majority of patients in the age groups ≤20 and 51–60 sought treatment because of pain, while more of those in the age groups 21–30 and 31–40 sought treatment because of aesthetic considerations. Seventy three (45.3 %) of the patients presented with complications involving 138 teeth. Majority of the complications were in teeth with enamel-dentine fracture (93.4 %), followed by concussion injury (55.6 %). Conclusions The prevalence of TDI in this study falls within previously reported figures. However, the high number of teeth developing complications may have resulted from late presentation for care.
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Affiliation(s)
- Joan Emien Enabulele
- Department of Restorative Dentistry, University of Benin, Benin City, 300001, Edo State, Nigeria.
| | - Adeleke O Oginni
- Department of Restorative Dentistry, Obafemi Awolowo University, Ife, Osun State, Nigeria.
| | - Matthew A Sede
- Department of Restorative Dentistry, University of Benin, Benin City, 300001, Edo State, Nigeria.
| | - Fadekemi O Oginni
- Department of Oral and Maxillofacial Surgery, Obafemi Awolowo University, Ife, Osun State, Nigeria.
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Skaare AB, Pawlowski AA, Maseng Aas AL, Espelid I. Dentists’ self-estimation of their competence to treat avulsion and root fracture injuries. Dent Traumatol 2015; 31:368-73. [DOI: 10.1111/edt.12186] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Anne B Skaare
- Department of Paediatric Dentistry and Behavioural Science; Institute of Clinical Dentistry; University of Oslo; Oslo Norway
| | - Andrzej Adam Pawlowski
- Department of Paediatric Dentistry and Behavioural Science; Institute of Clinical Dentistry; University of Oslo; Oslo Norway
- Public Dental Health Service; Rogaland Norway
| | - Anne-Lise Maseng Aas
- Department of Paediatric Dentistry and Behavioural Science; Institute of Clinical Dentistry; University of Oslo; Oslo Norway
| | - Ivar Espelid
- Department of Paediatric Dentistry and Behavioural Science; Institute of Clinical Dentistry; University of Oslo; Oslo Norway
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Basha S, Noor Mohammad R, Shivalinga Swamy H. Incidence of dental trauma among obese adolescents - a 3-year-prospective study. Dent Traumatol 2014; 31:125-9. [DOI: 10.1111/edt.12137] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Sakeenabi Basha
- Department of Preventive and Community Dentistry; College of Dental Sciences; Davangere Karnataka India
| | - Roshan Noor Mohammad
- Department of Pediatric Dentistry; College of Dental Sciences; Davangere Karnataka India
| | - Hiremath Shivalinga Swamy
- Department of Preventive and Community Dentistry; Oxford College of Dental Sciences; Bangalore Karnataka India
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Skeie MS, Evjensvold T, Hoff TH, Bårdsen A. Traumatic dental injuries as reported during school hours in Bergen. Dent Traumatol 2014; 31:228-32. [DOI: 10.1111/edt.12146] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Marit S. Skeie
- Department of Clinical Dentistry Faculty of Medicine and Dentistry University of BergenBergen Norway
| | - Trine Evjensvold
- Former dental students at Department of Clinical Dentistry Faculty of Medicine and Dentistry University of Bergen BergenNorway
| | - Thu Hue Hoff
- Former dental students at Department of Clinical Dentistry Faculty of Medicine and Dentistry University of Bergen BergenNorway
| | - Asgeir Bårdsen
- Department of Clinical Dentistry Faculty of Medicine and Dentistry University of BergenBergen Norway
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Oldin A, Lundgren J, Nilsson M, Norén JG, Robertson A. Traumatic dental injuries among children aged 0-17 years in the BITA study - A longitudinal Swedish multicenter study. Dent Traumatol 2014; 31:9-17. [DOI: 10.1111/edt.12125] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Anna Oldin
- Department of Pediatric Dentistry; Institute of Odontology; Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| | - Jesper Lundgren
- Department of Psychology; University of Gothenburg; Gothenburg Sweden
| | - Marita Nilsson
- Region Västra Götaland; Public Dental Service; Gothenburg Sweden
| | - Jörgen G. Norén
- Department of Pediatric Dentistry; Institute of Odontology; Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| | - Agneta Robertson
- Department of Pediatric Dentistry; Institute of Odontology; Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
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46
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Surgical management of mandibular central incisors with dumbbell shaped periapical lesion: a case report. Case Rep Dent 2014; 2014:769381. [PMID: 25105031 PMCID: PMC4109420 DOI: 10.1155/2014/769381] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 06/18/2014] [Accepted: 06/18/2014] [Indexed: 11/17/2022] Open
Abstract
Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.
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47
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Warren M, Widmer R, Arora M, Hibbert S. After hours presentation of traumatic dental injuries to a major paediatric teaching hospital. Aust Dent J 2014; 59:172-9. [DOI: 10.1111/adj.12166] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2013] [Indexed: 11/28/2022]
Affiliation(s)
- M Warren
- Department of Dentistry; The Children's Hospital at Westmead; Westmead New South Wales
- Westmead Centre for Oral Health; Faculty of Dentistry; The University of Sydney; New South Wales
| | - R Widmer
- Department of Dentistry; The Children's Hospital at Westmead; Westmead New South Wales
| | - M Arora
- Institute of Dental Research; The University of Sydney; New South Wales
| | - S Hibbert
- Department of Dentistry; The Children's Hospital at Westmead; Westmead New South Wales
- Westmead Centre for Oral Health; Faculty of Dentistry; The University of Sydney; New South Wales
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48
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Factors Affecting Sports-Related Orofacial Injuries and the Importance of Mouthguards. Sports Med 2014; 44:777-83. [DOI: 10.1007/s40279-014-0167-9] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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49
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Kondoh Y, Takeda T, Ozawa T, Narimatsu K, Konno M, Fujii T, Sekiguchi C, Nakajima K, Ishigami K, Shomura M. Influence of different post-core systems on impact stress: a pilot study. Open Dent J 2013; 7:162-8. [PMID: 24358064 PMCID: PMC3866705 DOI: 10.2174/1874210601307010162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2013] [Revised: 10/21/2013] [Accepted: 10/23/2013] [Indexed: 11/24/2022] Open
Abstract
This pilot study compared impact strain at the core and root surfaces between two different post-core systems.
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Affiliation(s)
- Yoshihiro Kondoh
- Department of General Dentistry, Tokyo Dental College Chiba Hospital
| | | | | | | | - Michiyo Konno
- Department of Sports Dentistry, Tokyo Dental College
| | - Toshiki Fujii
- Department of Sports Dentistry, Tokyo Dental College
| | | | | | | | - Masahito Shomura
- Department of Pediatric Dentistry, Matsumoto Dental University School of Dentistry ; Division of Oral Health Promotion, Matsumoto Dental University Graduate School
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50
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Rodrigues Campos Soares T, de Andrade Risso P, Cople Maia L. Traumatic dental injury in permanent teeth of young patients attended at the federal University of Rio de Janeiro, Brazil. Dent Traumatol 2013; 30:312-6. [DOI: 10.1111/edt.12087] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Thais Rodrigues Campos Soares
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Rio de Janeiro; Rio de Janeiro RJ Brazil
| | - Patrícia de Andrade Risso
- Department of Dental Clinic; School of Dentistry; Federal University of Rio de Janeiro; Rio de Janeiro RJ Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics; School of Dentistry; Federal University of Rio de Janeiro; Rio de Janeiro RJ Brazil
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