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Sans FA, Vidal-Ponsoda C, Caponi LQ, Cayón MR, Nagendrababu V. Computer-aided design and computer-aided manufacturing poly (methyl methacrylate) interim veneers for immediate esthetic restoration of autotransplanted teeth. Dent Traumatol 2024; 40:325-332. [PMID: 37990814 DOI: 10.1111/edt.12910] [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: 08/31/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/23/2023]
Abstract
Autotransplanted teeth in the maxillary anterior region should be restored or reshaped as soon as possible for functional and esthetic reasons as well as the well-being of the patient. However, such tooth restorations are frequently not carried out immediately after tooth transplantation because the process could have a negative impact on the healing process. The development of a simple, immediate, and atraumatic esthetic interim restoration would be of great benefit to both the clinician and patient and address all the concerns caused by immediately preparing the tooth postoperatively and cementing a permanent restoration. This report describes the use of CAD-CAM technology to create poly (methyl methacrylate) veneers preoperatively that can be cemented extraorally on the extracted donor tooth for the immediate and interim recontouring of autotransplanted anterior teeth.
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Affiliation(s)
- Francesc Abella Sans
- Department of Endodontics, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Carla Vidal-Ponsoda
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Lucas Queiroz Caponi
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
- Private practice, San Benedetto del Tronto, Italy
| | - Miguel Roig Cayón
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Venkateshbabu Nagendrababu
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, UAE
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2
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Pathak A, Dhamande MM, Gujjelwar S, Sonar PR, Tawade SU, Gupta A. Basal Implant Placement in the Anterior Aesthetic Zone: A Case Report. Cureus 2024; 16:e61782. [PMID: 38975416 PMCID: PMC11227428 DOI: 10.7759/cureus.61782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Accepted: 06/06/2024] [Indexed: 07/09/2024] Open
Abstract
Aesthetics are one of the primary goals of restorative care. Teeth that are traumatized in the anterior maxilla usually avulse or require extraction due to fractures. Rehabilitation is challenging in such a therapeutic state since it presents several anatomical and aesthetic issues. There are circumstances in which traditional implant placement is problematic. There must be enough bone for implant placement to be uneventful and successful. Other surgical therapies may be necessary in addition to implant placement for certain operations, such as extensive grafting, direct or indirect sinus lifts, and nerve lateralization. Certain procedures are required for these operations but are not always achievable. Because single-piece basal implants provide immediate temporization and loading while receiving adequate anchoring from the basal cortical bone, they have been extensively used to rehabilitate resorbed ridges. This case report demonstrates the placement of the basal implant in the anterior zone.
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Affiliation(s)
- Ankita Pathak
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Mithilesh M Dhamande
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Smruti Gujjelwar
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Prasanna R Sonar
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Shubham U Tawade
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Aashish Gupta
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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3
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Moss D, Nuni E, Slutzky H, Moreinos D, Slutzky-Goldberg I. The Outcome of Decoronation in Severe Cases of External Cervical Root Resorption in Young Patients. Cureus 2024; 16:e62853. [PMID: 39036151 PMCID: PMC11260440 DOI: 10.7759/cureus.62853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2024] [Indexed: 07/23/2024] Open
Abstract
This study examines decoronation as a treatment option for teeth with progressive external cervical root resorption (ECR). Six young patients aged 9.5-13, with a total of nine incisor teeth affected by ECR due to previous dental trauma, were treated by decoronation. Six teeth were classified as class 4 and two as class 3, according to Heithersay's classification. Another tooth with class 2 resorption also had a perforation. After decoronation, all cases showed favorable outcomes during a follow-up period of 2.5-8 years. The procedure halted the progression of ECR and promoted vertical and horizontal ridge development above the submerged root. Decoronation can be considered for the successful treatment of advanced cases of ECR in young patients.
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Affiliation(s)
- Dina Moss
- Department of Endoodntics, Hebrew University Hadassah School of Dental Medicine, Jerusalem, ISR
| | - Eyal Nuni
- Department of Endodontics, Galilee College of Dental Sciences, Nahariya, ISR
| | - Hagay Slutzky
- Department of Prosthodontics, Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, ISR
| | - Daniel Moreinos
- Department of Endodontics, Galilee College of Dental Sciences, Nahariya, ISR
- Faculty of Medicine, Bar Ilan University, Sefad, ISR
| | - Iris Slutzky-Goldberg
- Department of Endodontics, Galilee College of Dental Sciences, Nahariya, ISR
- Faculty of Medicine, Bar Ilan University, Sefad, ISR
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4
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Berlin-Broner Y, Torrealba Y, Flores-Mir C, Levin L. Multidisciplinary Approach for Autotransplantation and Restoration of a Maxillary Premolar into an Area of an Avulsed Anterior Tooth: A Case Report with a 6-Year Follow-up. J Endod 2023; 49:590-596. [PMID: 36841382 DOI: 10.1016/j.joen.2023.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 02/12/2023] [Accepted: 02/14/2023] [Indexed: 02/27/2023]
Abstract
The loss of an anterior tooth because of avulsion has been reported in up to 3% of dental injuries. Management alternatives, such as implant-supported restorations and a fixed partial denture, are contraindicated in growing patients because of the continuous growth of the alveolar process. At the same time, orthodontic treatment for gap closure will result in asymmetry and will require adjustment of the adjacent healthy teeth. Therefore, restoring a missing tooth imposes a treatment challenge, especially in children and young adults. Tooth autotransplantation is a treatment modality with high reported survival and success rates that overcome these mentioned limitations. It might also help to preserve the alveolar bone and the soft tissues. This case report describes a multidisciplinary approach for managing a 13-year-old boy who lost his right maxillary central incisor because of a fall. Management included autotransplantation of the left maxillary second premolar to the site of the lost right maxillary central incisor, management of external inflammatory resorption with an endodontic treatment, orthodontic treatment, and aesthetic restoration of the area with composite resin crowns that can be adapted to the expected changes of the jaws during the craniofacial growing period. At the 6-year follow-up, the teeth demonstrated a positive outcome.
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Affiliation(s)
- Yuli Berlin-Broner
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Ysidora Torrealba
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Carlos Flores-Mir
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
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5
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Implications of Post-Traumatic Treatment of Immature Maxillary Incisors. Int Dent J 2023; 73:337-345. [PMID: 36804746 DOI: 10.1016/j.identj.2023.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/15/2023] [Accepted: 01/17/2023] [Indexed: 02/20/2023] Open
Abstract
The aim of this review was to discuss traumatic dental injuries in view of their treatment implications to provide an evidence-based resource for clinicians when planning treatment for traumatised immature maxillary incisors. Dental trauma to immature maxillary incisors can result in various complications, such as critical fractures, resorptions, or ankylosis, and might lead to tooth loss. Traumatised teeth may exhibit various unaesthetic discolourations as a result of different dental trauma sequelae or materials used for treatment. All of the above can influence patients' social experience, including self-esteem, confidence, eating and speaking abilities, as well as proper development and growth of the jaw bones. Treatment of traumatised immature incisors should focus not only on the acute phase but on the long-term consequences. Any time gained with the tooth in the jaw bone, free of infection, is an achievement, as it allows normal growth and development. All these aspects are discussed in this narrative review, and an evidence-based summary resource is suggested for clinicians to use when planning treatment for traumatised immature maxillary incisors.
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6
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Deulkar PV, Bane SP, Rathi NV, Thosar NR. Rehabilitation of Traumatised Maxillary Anterior Teeth in Children Using Endocrown: A Case Series. Cureus 2022; 14:e28102. [PMID: 36127952 PMCID: PMC9480489 DOI: 10.7759/cureus.28102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 08/17/2022] [Indexed: 11/27/2022] Open
Abstract
Trauma to the anterior teeth has a great impact on the societal and psychosomatic well-being of an individual. Restoring such teeth with a minimally invasive approach is of utmost importance. Endocrown is a monolithic ceramic bonded structure that can be made at dental laboratories for the maintenance of tooth structures. This alternative for endodontically treated teeth turns out to be a viable option in restoring traumatic tooth structures. The steps in its preparation are easy and conservative when compared to conventional crowns with post and core. This article emphasizes two different cases of traumatic anterior teeth in children, successfully dealt with by means of endocrowns fabricated with composite and lithium disilicate prostheses with a 10-month follow-up period.
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7
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Deep A, Chawla D, Chhatwalia S. Dental implants and its use in children: A narrative review. BLDE UNIVERSITY JOURNAL OF HEALTH SCIENCES 2022. [DOI: 10.4103/bjhs.bjhs_25_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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8
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Hoss F, El-Mahdy K, Linsenmann R, Franz CW, Nolte D. Primary tooth autotransplantation: update and retrospective clinical study. Acta Odontol Scand 2021; 79:582-592. [PMID: 34171197 DOI: 10.1080/00016357.2021.1917656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE A new technique of primary tooth autotransplantation has recently been published demonstrating reliable replacement of missing permanent incisors in young children due to trauma or agenesis. This retrospective clinical study reports on the longterm success of this new technique in a larger patient group regarding its potential to support bone and soft tissue growth. STUDY DESIGN 40 children (age range: 2.7-17.6 years) received 53 primary tooth autotransplants (49 canines and 4 incisors) due to traumatic tooth loss (73%), agenesis (19%) or dysplasia/displacement (8%). Clinical and radiological follow-up examinations were performed to check up on root resorption, bone and soft tissue growth, survival and success. RESULTS 22 transplants still present in the oral cavity of 18 patients yielded a success rate of 77%. The Kaplan-Meier estimator measured a median survival time of 86 months (7.2 years) for all 53 grafts. In all cases, increasing soft tissue and bone development enabled a successful prosthetic rehabilitation regarding aesthetics and function. CONCLUSIONS Primary tooth autotransplantation reliably restores edentulous anterior space in children experiencing traumatic tooth loss or agenesis and acts as an immediate therapy before other therapies such as premolar transplantation or orthodontic space closure can be carried out at a later time. It guarantees the co-development of soft tissue and bone in the teenage jaw which is associated with high patient satisfaction and acceptance of this method.
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Affiliation(s)
- Florian Hoss
- Polyclinic for Oral Surgery, Heinrich Heine University, Düsseldorf, Germany
| | - Karim El-Mahdy
- Department of Restorative Dentistry & Periodontology, Dental School, Ludwig Maximilian University, Munich, Germany
| | - Robert Linsenmann
- Private Practice in Oral and Maxillofacial Surgery, MKG-Praxisklinik, Munich, Germany
| | - Christian W. Franz
- Private Practice in Organisational Psychology and Diagnostics, University of Salzburg, Salzburg, Austria
| | - Dirk Nolte
- Private Practice in Oral and Maxillofacial Surgery, MKG-Praxisklinik, Munich, Germany
- Faculty of Medicine, Ruhr University, Bochum, Germany
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9
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Dental Trauma Management in a Young Teenager through Endodontics and Implantology: A Case Report. Healthcare (Basel) 2021; 9:healthcare9050542. [PMID: 34066633 PMCID: PMC8148519 DOI: 10.3390/healthcare9050542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/26/2021] [Accepted: 05/03/2021] [Indexed: 11/20/2022] Open
Abstract
Endodontic treatment is often the first-line procedure to manage the immediate or long-term aftermath of dental trauma, particularly in cases of luxation or avulsion. Failure to manage trauma in the short or medium term leads to significant functional or aesthetic consequences, especially in the adolescence period. Under this specific conditions, endodontic treatment could provide a temporary solution by keeping teeth with poor prognosis on the arch while waiting for better anatomical conditions for implantology. This clinical case aimed to describe the management of a maxilla-facial dental trauma and the following consequences in a 10-year-old male patient. Clinical and radiological examination showed complete extrusive luxation of 11 and 21 and intrusive luxation of 12 and 22. Endodontic treatment of 11 and 21 was performed six months after the trauma. Two years later, the patient was referred to the endodontic department because pink spot lesions appeared on 12 and 22 due to cervical invasive resorptions (class III for 12 and class II for 22). Endodontic treatment of 12 and filling with resin composite of 22 were performed. During the following two years, complication management finally led to placement of four OBI® (Euroteknika, Sallanches, France)-type mini-implants after avulsion of all four maxillary incisors. Palliative endodontic treatment helped maintain the prosthetic space and the volume of supporting tissue needed for future implant placement. The interest of using delaying procedures (palliative endodontic treatments and mini-implants) was to allow the patient to complete growth. Managing early treatment failure of trauma in adolescents has to be pluridisciplinary and should take into account the evaluation of the treatment’s difficulty, the prognosis of the endodontic treatment, the available bone volume and the pubertal growth stage.
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10
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Glass Ionomer Subgingival Matrix Technique to Restore a Tooth with Severe Root Resorption for Implant Site Development. Case Rep Dent 2020; 2020:6676764. [PMID: 33299614 PMCID: PMC7704198 DOI: 10.1155/2020/6676764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 11/16/2020] [Indexed: 11/20/2022] Open
Abstract
Here, we present the multidisciplinary, patient-specific management of a patient with severe external root resorption and bone loss in a maxillary anterior tooth. The tooth was provisionally noninvasively restored with glass ionomer subgingival matrix in preparation for forced orthodontic extrusion, papillary preservation, and implant placement. This approach enables clinicians to control infection within and around the resorbed tooth and then to use it as an anchor for slow forced tooth eruption to correct bone and mucogingival deformities. Aesthetic and functional outcomes were clinically and radiographically satisfactory. The advantages and disadvantages of this technique are discussed.
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11
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Shahroudi AS, Golmohammadi S. Miniscrew-assisted single-tooth distraction osteogenesis to align an ankylosed infraoccluded maxillary central incisor: A case report. J Orthod 2020; 47:345-353. [PMID: 32962525 DOI: 10.1177/1465312520956660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The ankylosis of permanent incisors is usually caused by trauma. In a growing patient, the ankylosed tooth fails to move along with the vertical growth of the remaining alveolar process, which results in an infraoccluded tooth, gingival margin disharmony and unaesthetic smile.This case report presents an 23-year-old female patient whose maxillary right central incisor (tooth number 11) had been traumatised eight years earlier. A vertical discrepancy of about 4 mm was exhibited between teeth 11 and 12. To reposition the crown and gingival margins of the ankylosed tooth to an ideal level, single-tooth dento-osseous osteotomy and distraction of the block of bone containing the tooth was planned. In order to separate the roots of adjacent teeth for opening a space for osteotomy incision, fixed orthodontic treatment with multibracket appliances was initiated on her maxilla. After five weeks, a single-tooth dento-osseous osteotomy was performed using a piezoelectric device. To move the tooth in occlusal and buccal directions, two temporary anchorage devices (miniscrews) on her mandible and interarch elastics were applied. Approximately three weeks later, the ankylosed tooth successfully had an ideal position-relative to the adjacent teeth-and a harmonious gingival margin was achieved by minor gingivoplasty on all incisors.
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Affiliation(s)
- Atefe Saffar Shahroudi
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.,Department of Orthodontics, Dental School, Tehran University of Medical Sciences, Tehran, Iran
| | - Shima Golmohammadi
- Department of Periodontics, Dental School, Islamic Azad University of Borujerd, Borujerd, Iran
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12
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Papadopoulou AK, Papageorgiou SN, Hatzopoulos SA, Tsirlis A, Athanasiou AE. Alveolar ridge alterations in the maxillary anterior region after tooth extraction through orthodontic forced eruption for implant site development: a clinical CBCT study. Eur J Orthod 2020; 42:295-304. [PMID: 31081905 DOI: 10.1093/ejo/cjz028] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE To investigate the effects of orthodontic forced eruption (OFE) with the straight-wire appliance in the dimensions of the alveolar process when used for extracting compromised maxillary anterior teeth and implant site development. MATERIAL AND METHODS Cone-beam computed tomography (CBCT) scans of 7 patients needing extraction of 17 maxillary anterior teeth were obtained before and immediately after OFE. Alveolar plate height and thickness measurements were performed on the buccal and palatal socket walls in CBCT sagittal cross sections. Statistical analysis included sample size calculation, paired t-test, and Wilcoxon test to evaluate alveolar plate dimensional changes and linear regression analysis to assess whether bone changes and the feasibility of implant insertion were associated to tooth type and root length, baseline alveolar plate thickness, and age. RESULTS OFE caused statistically significant reduction of the buccal alveolar plate height (1.95 ± 1.83 mm) and significant increase of the palatal alveolar plate height (1.31 ± 2.41 mm) in the central tooth socket areas. Buccal reduction was associated positively to the baseline root length and negatively to the thickness of the corresponding plate in the apical level. A non-significant increase was noted in both buccal (0.23 ± 0.93 mm) and palatal (0.63 ± 1.59 mm) proximal bone. Inadequate buccal bone support hindered immediate implant placement in six sockets; however, all inserted implants showed adequate and gradually increasing stability from insertion to final restoration. CONCLUSIONS OFE resulted in favourable increase in the heights of the palatal and proximal alveolar bone and significant reduction in the buccal plate height, which inhibited implant placement in 35% of the treated sockets.
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Affiliation(s)
- Alexandra K Papadopoulou
- Discipline of Orthodontics, School of Dentistry, Faculty of Medicine and Health, University of Sydney and Sydney Dental Hospital, Sydney Local Health District, Australia
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Switzerland
| | - Stavros A Hatzopoulos
- Department of Statistics and Operational Research, School of Mathematics, Aristotle University of Thessaloniki, Greece
| | - Anastasios Tsirlis
- Department of Oral Surgery, Implantology and Dental Radiology, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Greece
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Abstract
Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries and caries are more frequently encountered in a younger population, tooth loss because of periodontal disease occurs in the older population. In the dental implant era, the trend sometimes seems to be to extract compromised teeth and replace them with dental implants. However, the long-term prognosis of teeth might not be comparable with the prognosis of dental implants. Complications, failures, and diseases such as peri-implantitis are not uncommon, and, despite popular belief, implants are not 99% successful. Other treatment options that aim to save compromised or diseased teeth such as endodontic treatment, periodontal treatment, intentional replantation, and autotransplantation should be considered on an individual basis. These treatments have competing success rates to dental implants but, more importantly, retain the natural tooth in the dentition for a longer period of time. These options are important to discuss in detail during treatment planning with patients in order to clarify any misconceptions about teeth and dental implants. In the event a tooth does have to be extracted, procedures such as decoronation and orthodontic extrusion might be useful to preserve hard and soft tissues for future dental implant placement. Regardless of the treatment modality, it is critical that strict maintenance and follow-up protocols are implemented and that treatment planning is ethically responsible and evidence based.
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14
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Clark D, Levin L. In the dental implant era, why do we still bother saving teeth? Dent Traumatol 2019; 35:368-375. [DOI: 10.1111/edt.12492] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Accepted: 05/21/2019] [Indexed: 12/13/2022]
Affiliation(s)
- Danielle Clark
- Division of Periodontology Faculty of Medicine and Dentistry University of Alberta Edmonton AB Canada
| | - Liran Levin
- Division of Periodontology Faculty of Medicine and Dentistry University of Alberta Edmonton AB Canada
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15
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Einy S, Kridin K, Kaufman AY, Cohenca N. Immediate post-operative rehabilitation after decoronation. A systematic review. Dent Traumatol 2019; 36:141-150. [PMID: 31471996 DOI: 10.1111/edt.12513] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 08/23/2019] [Accepted: 08/24/2019] [Indexed: 12/30/2022]
Abstract
BACKGROUND/AIMS Decoronation is currently considered the best treatment option for ankylosed teeth and discrepancies in the alveolar bone, particularly in childhood and adolescence. The loss of a front tooth creates aesthetic, functional, and psychological distress in patients and their parents. The aim of this study was to analyze the types of restorations provided after decoronation, their suitability, durability, and follow up until insertion of the final restoration. MATERIALS AND METHODS A literature review was conducted using Ovid MEDLINE, Embase, and Web of Science to identify eligible articles. English language publications until August 9, 2018, were searched independently and cross-checked by two researchers online, in print, and in press. RESULTS Of 618 articles screened, 10 included reports on 11 patients with detailed descriptions of 13 provisional restorations. Patients' ages at the time of decoronation were 8-15 years. Seven underwent avulsion and four intrusion. Removable partial denture (nine cases) was the most common restoration. In two cases, the restoration was provisional with a lingual bar with prosthetic crown and in two other cases with an adhesive bridge. Follow up ranged from 3 months to 5 years in nine patients. Two cases were followed until the permanent restoration was placed. CONCLUSIONS The importance of long-term provisional restorations was disregarded by most authors. A multidisciplinary approach should take into consideration immediate-, mid-, and long-term rehabilitation of the decoronated tooth.
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Affiliation(s)
- Shmuel Einy
- Department of Orthodontics and Craniofacial Deformities, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.,Bruce and Ruth Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel
| | - Khalaf Kridin
- Department of Dermatology, Rambam Health Care Campus, Haifa, Israel
| | - Arieh Y Kaufman
- Department of Endodontics, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.,Endodontology Department, Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Nestor Cohenca
- Private Practice Limited to Endodontics Kirkland, Kirkland, Washington.,Department of Pediatric Dentistry, University of Washington and Seattle Children's Hospital, Seattle, Washington
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16
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Sheridan BA, Freccia WF, Silvestrin T, Bakland LK. Treatment options for permanent teeth with coronal one-third root fractures. J Am Dent Assoc 2019; 150:213-218. [PMID: 30691689 DOI: 10.1016/j.adaj.2018.10.017] [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] [Received: 08/31/2018] [Revised: 10/25/2018] [Accepted: 10/26/2018] [Indexed: 12/23/2022]
Abstract
BACKGROUND AND OVERVIEW Teeth with coronal one-third root fractures are considered to have a poor prognosis. Historically, such teeth were likely to be extracted. Observations have indicated that at least some teeth with such fractures can survive for a significant amount of time. CASE DESCRIPTIONS The authors report on 2 cases of coronal one-third root fractures that have survived for 10 and 35 years and suggest that the long-term splinting of these teeth aided in their survival. CONCLUSION AND PRACTICAL IMPLICATION Stabilizing teeth with coronal one-third root fractures may allow such teeth to survive for long periods, which can be of great benefit, especially for young patients.
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17
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Yigit Y, Helvacioglu-Yigit D, Kan B, Ilgen C, Yilmaz S. Dentofacial traumatic injuries: A survey of knowledge and attitudes among emergency medicine physicians in Turkey. Dent Traumatol 2018; 35:20-26. [DOI: 10.1111/edt.12440] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 09/05/2018] [Accepted: 09/05/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Yavuz Yigit
- Department of Emergency Medicine; Kocaeli Derince Health Practice and Research Center; Kocaeli Turkey
| | | | | | - Cansu Ilgen
- MedicalPark Hospital Dental Clinic; Kocaeli Turkey
| | - Serkan Yilmaz
- Department of Emergency Medicine; Faculty of Medicine; Kocaeli University; Kocaeli Turkey
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18
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Azevedo L, Martins D, Veiga N, Fine P, Correia A. Dental Injuries in a Sample of Portuguese Militaries - A Preliminary Research. Mil Med 2018; 183:e591-e595. [PMID: 29796597 DOI: 10.1093/milmed/usy116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 05/01/2018] [Indexed: 11/13/2022] Open
Abstract
Introduction Traumatic dental and maxillofacial injuries are very common and appear to affect approximately 20-30% of permanent dentition, with often serious psychological, economic, functional, and esthetic consequences. Militaries are a highest risk group for orofacial trauma, not only because they are constantly engaged in physical activity (which increase the risk of traumatic injuries) but also because they are exposed to many risk factors. The aim of this study was to evaluate the prevalence of orofacial injuries, militaries knowledge about first-aid procedures following a dental avulsion and the use of mouthguards in a sample of Portuguese militaries. Materials and Methods An observational cross-sectional study was conducted for forces of the Infantry Regiment n°14 of Viseu, Portugal. The study involved 122 members of the armed forces who were asked to complete a questionnaire, which enquired about: the occurrence of dental trauma, the use of mouthguards and militaries knowledge with regard to first-aid management of dental avulsions. Results In our sample, 5.7% reported having experienced a dental trauma. This was further broken down to reveal that 2.5% had experienced an avulsion and 3.3% had a dental fracture. All respondents who reported having suffered dental trauma, reported that this was the only time that they had experienced dental trauma. Within this group, 71.4% visited a dentist, however only one (20%) visited the dentist during the same day that the trauma occurred. In addition, 21.3% mentioned that they had seen a dental trauma in at least one colleague during military trainings/operations. In the case of dental avulsion, the majority (54.9%) did not know how to act. The rate of mouthguard's use among militaries was very low (6.4%). The main reason reported for not using a mouthguard was thinking that it is not necessary (53.3%). Besides that, 31.1% did not know what a mouthguard was for. Conclusion Prevention programs and promoting actions with this population are important reflections and should be adopted to reduce the incidence of orofacial trauma and to increase knowledge about this topic.
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Affiliation(s)
- Luís Azevedo
- Institute of Health Sciences - Viseu, Universidade Católica Portuguesa, Viseu, Portugal
| | - David Martins
- Institute of Health Sciences - Viseu, Universidade Católica Portuguesa, Viseu, Portugal
| | - Nélio Veiga
- Institute of Health Sciences - Viseu, Universidade Católica Portuguesa, Viseu, Portugal.,Center for Interdisciplinary Research in Health (CIIS) - Universidade Católica Portuguesa, Viseu, Portugal
| | - Peter Fine
- UCL Eastman Dental Institute, 123 Gray's Inn Road, London, UK
| | - André Correia
- Institute of Health Sciences - Viseu, Universidade Católica Portuguesa, Viseu, Portugal.,Center for Interdisciplinary Research in Health (CIIS) - Universidade Católica Portuguesa, Viseu, Portugal
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Grisar K, Vanpoecke J, Raes M, Albdour EA, Willems G, Politis C, Jacobs R. Development and validation of the autotransplanted maxillary canine radiological index. Clin Exp Dent Res 2018; 4:167-173. [PMID: 30386638 PMCID: PMC6203832 DOI: 10.1002/cre2.125] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 07/06/2018] [Accepted: 07/09/2018] [Indexed: 11/11/2022] Open
Abstract
The purpose of this study was to propose and validate an index evaluating 2D and 3D radiographic variables of autotransplanted maxillary canines. Setting and sample population are from the Department of Oral and Maxillofacial Surgery at University Hospitals Leuven. Eight oral-maxillofacial surgeons rated 12 autotransplanted maxillary canines and adjacent bone using 11 rating variables. A new autotransplanted maxillary canine radiological index (AMCRI) was proposed. It consisted of 11 variables. These variables were based on 2D (intraoral) and 3D Cone Beam Computed Tomography (CBCT) radiographs. Intraclass correlation coefficient (ICC) and Fleiss's kappa statistics were performed to analyze intrarater and interrater agreement. Considering cumulative assessment of the AMCRI, the mean ICC value for the interrater agreement of the eight examiners was 0.94, representing an excellent agreement. Intrarater agreement was 0.91. The AMCRI is an objective tool in rating radiological outcome of autotransplanted canines and adjacent bone, when compared with the contralateral canine.
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Affiliation(s)
- Koenraad Grisar
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Jasper Vanpoecke
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Margot Raes
- Department of Oral Health SciencesUniversity of Leuven, University Hospitals LeuvenBelgium
| | - Emad Ali Albdour
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Guy Willems
- Department of Oral Health SciencesUniversity of Leuven, University Hospitals LeuvenBelgium
| | - Constantinus Politis
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
- Department of Dental MedicineKarolinska InstitutetSweden
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Interactions orthodontie-parodontie : égression orthodontique dans les traitements interdisciplinaires de régénération. Int Orthod 2018; 16:217-245. [DOI: 10.1016/j.ortho.2018.03.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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21
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Paolone MG, Kaitsas R. Orthodontic-periodontal interactions: Orthodontic extrusion in interdisciplinary regenerative treatments. Int Orthod 2018; 16:217-245. [PMID: 29661677 DOI: 10.1016/j.ortho.2018.03.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Orthodontics is a periodontal treatment. "Guided orthodontic regeneration" (GOR) procedures use orthodontic movements in perio-restorative patients. The GOR technique includes a guided orthodontic "soft tissue" regeneration (GOTR) and a guided orthodontic "bone" regeneration (GOBR) with a plastic soft tissue approach and a regenerating reality. The increased amount of soft tissue gained with orthodontic movement can be used for subsequent periodontal regenerative techniques. The increased amount of bone can as well improve primary implant stability and, eventually, simplify a GTR technique to regenerate soft tissues, to restore tooth with external resorption in aesthetic zone or to extract a tooth to create new hard-soft tissue for adjacent teeth.
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22
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Michl I, Nolte D, Tschammler C, Kunkel M, Linsenmann R, Angermair J. Premolar autotransplantation in juvenile dentition: quantitative assessment of vertical bone and soft tissue growth. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:e1-e12. [DOI: 10.1016/j.oooo.2017.02.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 01/16/2017] [Accepted: 02/13/2017] [Indexed: 10/20/2022]
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23
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Kaitsas R, Paolone MG, Paolone G. Régénération orthodontique guidée : un outil d’amélioration des techniques régénératives conventionnelles en chirurgie implantaire. Int Orthod 2015. [DOI: 10.1016/j.ortho.2015.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kaitsas R, Paolone MG, Paolone G. Guided orthodontic regeneration: A tool to enhance conventional regenerative techniques in implant surgery. Int Orthod 2015; 13:539-54. [PMID: 26507297 DOI: 10.1016/j.ortho.2015.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
A hopeless upper central incisor was subjected to forced eruption before implant substitution to improve and develop the amount of soft tissue. This involved a GBR to insert the implant and a GTR to regenerate the tissue around the dehiscence of the nearby lateral using a "Guided Orthodontic Regeneration" (GOR) approach. The extrusion was performed esthetically in lingual orthodontics. The GOR technique included a Guided Orthodontic "Bone" Regeneration (GOBR) and a Guided Orthodontic "Soft Tissue" Regeneration (GOTR). This developed a 3D implant site while correcting the osseous defects and increasing the amount of soft tissue, which was used for a subsequent regenerative technique.
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25
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Primary canine auto-transplantation: a new surgical technique. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:158-69. [DOI: 10.1016/j.oooo.2014.07.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2014] [Revised: 06/03/2014] [Accepted: 07/07/2014] [Indexed: 11/19/2022]
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A fused maxillary central incisor and its multidisciplinary treatment: an 18-year follow-up. Case Rep Dent 2014; 2014:503478. [PMID: 24738034 PMCID: PMC3967802 DOI: 10.1155/2014/503478] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2013] [Accepted: 12/24/2013] [Indexed: 01/18/2023] Open
Abstract
Fused teeth may cause aesthetic, spacing, periodontal, eruption, and caries problems. The present case report describes a 7-year-old boy patient with a chief complaint of unerupted maxillary incisor. Radiographic examination indicated a fused tooth which had two fused roots but two independent root canals. A complex management of a fused tooth is really difficult to standardize. In this case an orthodontic, endodontic, and surgical treatment (intentional replantation) allowed the tooth to be retained until 18 years following intervention. Maintenance of the root and alveolar bone in young adults at least until full skeletal maturation should be the main treatment objective.
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Huth KC, Nazet M, Paschos E, Linsenmann R, Hickel R, Nolte D. Autotransplantation and surgical uprighting of impacted or retained teeth: A retrospective clinical study and evaluation of patient satisfaction. Acta Odontol Scand 2013; 71:1538-46. [PMID: 23638808 DOI: 10.3109/00016357.2013.775667] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES This retrospective clinical study aimed to determine the success rate of autotransplanted impacted or retained teeth along with a patient satisfaction survey and to analyze the influence of relevant clinical and radiographic parameters. SUBJECTS AND METHODS Fifty-seven teeth (37 canines, 10 molars, seven premolars, three incisors) in 45 patients (median 15 years) were evaluated over a mean of 1.6 years. The success criteria were pocket probing depth ≤3.5 mm, mobility grade ≤ II, Periotest ≤30 and complete alveolar bone healing. The influencing parameters were oral hygiene, smoking, periodontal screening index, occlusal/proximal contacts, horizontal position, dental age, pulp obliteration and degree of displacement. Furthermore, bone height was measured. RESULTS The overall success rate was 74%, along with a high patient satisfaction. The survival rate was 96% after a mean follow-up of 1.6 years. The favorable factors were proper oral hygiene, non-smoking, good general periodontal condition, proximal contacts and pulp obliteration. An increase in or maintenance of bone level was found in 96%. CONCLUSIONS Autotransplantation of impacted or retained teeth is an appropriate treatment, if orthodontic alignment has failed, especially in growing patients.
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Immonen M, Anttonen V, Patinen P, Kainulainen MJ, Päkkilä J, Tjäderhane L, Oikarinen K. Dental traumas during the military service. Dent Traumatol 2013; 30:182-7. [PMID: 24112559 DOI: 10.1111/edt.12073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Dental traumas are most frequent during the first three decades of life and more frequent among males than females. Approximately 80% (n = 28 000) of the male age cohort performs military service annually in Finland. As little is known of dental, head, and neck traumas during the military service, our aim was to study the etiology, number and occurrence of traumas of the Finnish conscripts during one calendar year. Our hypothesis was that above-mentioned traumas comprise a remarkable proportion of military accidents. MATERIALS AND METHODS The data comprised of all the Finnish conscripts' trauma cases in the year 2009 (mean age 20.1 years, SD 1.1). The frequency, mechanism, and time of the incidences were analyzed. RESULTS Of the total 1432 trauma cases, 303 (23%) involved head, neck, or dentition. The occurrence rate of dental traumas was 6.5 cases/1000 persons/year. Dental traumas comprised 14.3% of all traumas. The most common mechanism for dental traumas was a blow-type force. First 4 months of the service and winter time were periods of increased risk of dental traumas. Two-thirds of the dental traumas, one-third of the body traumas and a quarter of the head and neck traumas occurred during military field exercises. Most dental traumas required a visit to a military dental clinic and also needed follow-up care. DISCUSSION AND CONCLUSION Head, neck, and dental injuries are common during the military service in Finland. Prevention of dental traumas and need for first aid dental skills of the personnel should be emphasized.
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Affiliation(s)
- Matti Immonen
- Institute of Dentistry, University of Oulu, Oulu, Finland
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29
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Güngör HC. Management of crown-related fractures in children: an update review. Dent Traumatol 2013; 30:88-99. [DOI: 10.1111/edt.12079] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Hamdi Cem Güngör
- Department of Pediatric Dentistry; Faculty of Dentistry; Hacettepe University; Ankara Turkey
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Schwartz-Arad D, Bichacho N. Effect of age on single implant submersion rate in the central maxillary incisor region: a long-term retrospective study. Clin Implant Dent Relat Res 2013; 17:509-14. [PMID: 23910497 DOI: 10.1111/cid.12131] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND It is contraindicated to place dental implants before growth and development are completed as they are at a risk of submersion due to growth arrest, creating a potential aesthetic problem. PURPOSE The present study evaluated the effect of age on mean submersion rate of single dental implant in the central maxillary incisor area as compared with the adjacent natural tooth in implants placed after growth has ceased. MATERIALS AND METHODS A retrospective study was conducted on 35 patients (mean age 29.3 ± 9.9 years, 21 females) who received a single dental implant replacing a missing maxillary central incisor from 1992 to 2008 with a follow-up of at least 3 years. Clinical photos from last follow-up were digitally analyzed to measure the vertical change between the incisal edge of the implant supported crown and the adjacent natural central incisor. RESULTS In the younger age group (≤30 years), the submersion rate was more than three times higher than in the older age group (>30 years), yielding submersion rates of 1.02 and 0.27% per year, respectively. CONCLUSIONS Whereas implant submersion continues throughout adult life, its rate varies with age. It is evident that this phenomenon is much more conspicuous during the second and third decades of life as compared with the fourth and fifth.
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Affiliation(s)
- Devorah Schwartz-Arad
- Oral and Maxillofacial Surgery, Advanced Implantology, Periodontology & Endodontology, Schwartz-Arad Day-Care Surgical Center, Ramat-Hasharon, Israel
| | - Nitzan Bichacho
- R.E. Goldstein Center for Aesthetic Dentistry and Clinical Research, Prosthodontics Dep. Faculty of Dentistry, Hebrew University - Hadassah, Jerusalem, Israel
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31
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Ashkenazi M, Levin L. Metal tooth-like surgical templates for tooth autotransplantation in adolescents. Dent Traumatol 2013; 30:81-4. [DOI: 10.1111/edt.12053] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2013] [Indexed: 11/28/2022]
Affiliation(s)
| | - Liran Levin
- Faculty of Medicine; Technion IIT; Haifa Israel
- Department of Periodontology; Rambam Health Care Campus; Haifa Israel
- Harvard School of Dental Medicine; Boston MA USA
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33
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Ridge Preservation/Decoronation. J Endod 2013; 39:S67-72. [DOI: 10.1016/j.joen.2012.11.056] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Revised: 11/02/2012] [Accepted: 11/06/2012] [Indexed: 11/22/2022]
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Steiner DR. Avulsed maxillary central incisors: The case for replantation. Am J Orthod Dentofacial Orthop 2012; 142:8, 10, 12, 14, 16. [DOI: 10.1016/j.ajodo.2012.04.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
Dental trauma is, unfortunately, not uncommon and may be even more prevalent in high-risk populations. It should be emphasized and acknowledged that many cases of dental trauma are preventable. Appropriate management includes primary prevention, i.e. avoidance of pathology development, and secondary prevention, i.e. early diagnosing and treatment of the pathology before significant morbidity occurs. The aim of this article is to provide a review of the current dental trauma literature with regard to education and knowledge and with relevance to primary and secondary prevention. As the duty of providing the public with measures for the maintenance of proper oral health is of the dental profession, the responsibility of providing primary and secondary prevention of dental trauma is of dentists, dental hygienists, and dental nurses. They may, and should, educate other medical, paramedical, and non-medical professionals, taking into account that those non-dental professionals could not maintain a high level of knowledge and service regarding dental trauma without a continuous backing by the dental professionals. It should be remembered that as the prevalence of dental decay has reduced in the Western world during recent decades, dental trauma plays a significant part in causing dental morbidity and mortality (tooth loss). It seems that now is the time to act for the benefit of our community and move from 'treating' toward 'managing' risk factors and prevention.
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Affiliation(s)
- Liran Levin
- Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa Faculty of Medicine, Technion - Israel.
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37
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Kuo J, Lin YTJ. WITHDRAWN: Treatment of traumatized maxillary central incisors. J Dent Sci 2011. [DOI: 10.1016/j.jds.2011.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Morgon L. [Multidisciplinary care. Pre-implant prosthesis preparation]. Orthod Fr 2011; 82:85-94. [PMID: 21457696 DOI: 10.1051/orthodfr/2011002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Darby LJ, O'Connell AC. Incisor reduction: a provisional aesthetic technique for traumatised teeth. Br Dent J 2010; 209:553-6. [PMID: 21151063 DOI: 10.1038/sj.bdj.2010.1083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2010] [Indexed: 11/09/2022]
Abstract
Patients in the mixed dentition who have suffered severe extrusion or avulsion injuries often present with difficult treatment decisions, especially when the initial emergency care has been compromised. Here we describe a well-tolerated, aesthetically acceptable and conservative method for treating such patients until a definitive treatment plan is possible.
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Affiliation(s)
- L J Darby
- Cork University Dental School and Hospital, Wilton, Cork, Ireland
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40
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Sapir S, Kalter A, Sapir MR. Decoronation of an ankylosed permanent incisor: alveolar ridge preservation and rehabilitation by an implant supported porcelain crown. Dent Traumatol 2009; 25:346-9. [DOI: 10.1111/j.1600-9657.2009.00788.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lin S, Sela G, Haik J, Bigman G, Peleg K. Dento-alveolar and maxillofacial injuries among different ethnic groups in Israel. Dent Traumatol 2009; 25:328-31. [DOI: 10.1111/j.1600-9657.2008.00661.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Zadik Y, Levin L. Referral practice of military corpsmen regarding dento-alveolar trauma. Dent Traumatol 2008; 24:366-9. [DOI: 10.1111/j.1600-9657.2008.00562.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sivolella S, Bressan E, Mirabal V, Stellini E, Berengo M. Extraoral endodontic treatment, odontotomy and intentional replantation of a double maxillary lateral permanent incisor: case report and 6-year follow-up. Int Endod J 2008; 41:538-46. [PMID: 18363700 DOI: 10.1111/j.1365-2591.2008.01391.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To describe combined endodontic, surgical and orthodontic treatment of a maxillary lateral incisor fused with a supernumerary. SUMMARY Double tooth is a dental irregularity consequent to fusion of two or more teeth or dental gemination. The teeth most commonly involved are deciduous, but in 0.1% of cases permanent teeth are affected, in which case aesthetic, functional and periodontal problems can result. This paper reports a clinical case of a double tooth in the position of the maxillary right lateral permanent incisor. Combined orthodontic, endodontic and surgical treatment (intentional replantation) allowed the tooth to be retained without periodontal compromise and with a positive orthodontic result both immediately and 6 years following intervention. *A conservative approach that addresses periodontal, pulpal and tooth tissues, can result in the retention of a double tooth. *Maintenance of the root and alveolar bone in young adults at least until full skeletal maturation should be the main treatment objective.
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Affiliation(s)
- S Sivolella
- Department of Oral Surgery, University of Padova, Institute of Clinical Dentistry, Padova, Italy.
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44
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Lin S, Levin L, Goldman S, Peleg K. Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 1: General vs facial and dental trauma. Dent Traumatol 2008; 24:53-5. [DOI: 10.1111/j.1600-9657.2006.00510.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lin S, Levin L, Goldman S, Sela G. Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 2: Severity and location. Dent Traumatol 2008; 24:56-8. [DOI: 10.1111/j.1600-9657.2006.00511.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Levin L, Samorodnitzky GR, Schwartz-Arad D, Geiger SB. Dental and oral trauma during childhood and adolescence in Israel: occurrence, causes, and outcomes. Dent Traumatol 2007; 23:356-9. [DOI: 10.1111/j.1600-9657.2006.00473.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Calvo Guirado JL, Saez Yuguero MR, Pardo Zamora G, Muñoz Barrio E. Immediate Provisionalization on a New Implant Design for Esthetic Restoration and Preserving Crestal Bone. IMPLANT DENT 2007; 16:155-64. [PMID: 17563506 DOI: 10.1097/id.0b013e31805816c9] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE This article describes how the concept of platform switching has been incorporated into a new implant design as a method of reducing crestal bone loss and maintaining the gingival papillae. A 6-month study of the effects of this implant on bone loss is described. MATERIALS Ten new platform switched implants were placed into fresh anterior maxillary extraction sites in 3 men and 7 women, ranging in age between 29 and 45 years old, and immediately provisionalized. The adjoining bone height was evaluated with digital radiography on the day after implant placement, and at 15 days, 1, 2, 3, and 6 months later. RESULTS After 6 months, the mean bone loss on the mesial of the central-incisor implants was 0.05 mm. The mean bone loss was 0.07 mm on the distal of the central incisor implants, 0.07 mm on the mesial of the lateral-incisor implants, and 0.06 mm on the distal of the lateral-incisor implants. CONCLUSIONS An implant design that incorporates the concept of platform switching is a simple and effective way to control circumferential bone loss around dental implants, helping to ensure a predictable esthetic result.
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Affiliation(s)
- José Luis Calvo Guirado
- School of Medicine and Dentistry, University of Murcia, Mozart Street #1, Murcia, Spain 30002.
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Campbell KM, Casas MJ, Kenny DJ. Development of ankylosis in permanent incisors following delayed replantation and severe intrusion. Dent Traumatol 2007; 23:162-6. [PMID: 17355290 DOI: 10.1111/j.1600-9657.2005.00420.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Ankylosis is a predictable outcome for replanted incisors and for most severely intruded incisors. There is no treatment to arrest or reverse this periodontal ligament complication. Ankylosis of the incisors of preadolescents alters local alveolar growth and eventually produces tooth loss subsequent to resorption. Currently, clinical methods used to diagnose ankylosis in the early postinjury period include subjective assessments of percussion sound and mobility and quantitative devices such as the Periotest. This paper describes the progression of ankylosis in two preadolescent patients that sustained severe trauma to their maxillary central incisors. A number of clinical assessments for diagnosis of ankylosis were compared for their usefulness, reliability and suitability.
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Affiliation(s)
- Karen M Campbell
- Department of Dentistry, The Hospital for Sick Children, The University of Toronto, Toronto, Ontario, Canada
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Lin S, Levin L, Goldman S, Peled M. Dento-alveolar and maxillofacial injuries ? a retrospective study from a level 1 trauma center in Israel. Dent Traumatol 2007; 23:155-57. [PMID: 17355291 DOI: 10.1111/j.1600-9657.2005.00418.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
To evaluate the frequency and causes of dental and maxillofacial trauma in hospitalized patients. From January 1, 2000 to December 31, 2003, data from hospitalized trauma patients in a level 1 trauma center in Israel were analyzed according to age, gender, time, place, and cause of injury. Maxillofacial and tooth injuries were separated and further analyzed according to the above parameters. The analysis was based on data from the Israel Trauma Registry (ITR). Of all 14 040 trauma patients, 1038 (7.4%) involved maxillofacial or dental injuries. Common causes of injury were motor vehicle crashes (41%), falls (27%) and intentional injuries (23%). Fifty percent occurred on the street/road, 17% at home and 14% in public buildings. Surgery was required in 55.5% of all maxillofacial injuries. Males were hospitalized three times more than females, and young people, ages 19-28, were at greatest risk (30.2%). Oral and maxillofacial trauma is common, requiring dental health training for primary caregivers.
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Affiliation(s)
- Shaul Lin
- Department of Oral and Maxillofacial Surgery, Bruce Rappaport Faculty of Medicine, Rambam Medical Center, Haifa, Israel.
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Cohenca N, Stabholz A. Decoronation ? a conservative method to treat ankylosed teeth for preservation of alveolar ridge prior to permanent prosthetic reconstruction: literature review and case presentation. Dent Traumatol 2007; 23:87-94. [PMID: 17367456 DOI: 10.1111/j.1600-9657.2006.00454.x] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Avulsed teeth that are stored extraorally in a dry environment for >60 min generally develop replacement root resorption or ankylosis following their replantation due to the absence of a vital periodontal ligament on their root surface. One negative sequelae of such ankylosis is tooth infra-positioning and the local arrest of alveolar bone growth. Removal of an ankylosed tooth may be difficult and traumatic leading to esthetic bony ridge deformities and optimal prosthetic treatment interferences. Recently a treatment option for ankylosed teeth named 'de-coronation' gained interest, particularly in pediatric dentistry that concentrated in dental traumatology. This article reviews the up-to-date literature that has been published on decoronation with respect to its importance for future prosthetic rehabilitation followed by a case presentation that demonstrates its clinical benefits.
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Affiliation(s)
- Nestor Cohenca
- Department of Endodontics, School of Dentistry, University of Washington, Seattle, WA 98195-7448, USA.
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