1
|
Nagendrababu V, Vinothkumar TS, Rossi-Fedele G, Doğramacı EJ, Duncan HF, Abbott PV, Levin L, Lin S, Dummer PMH. Dental patient-reported outcomes following traumatic dental injuries and treatment: A narrative review. Dent Traumatol 2023. [PMID: 36744323 DOI: 10.1111/edt.12827] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 01/19/2023] [Indexed: 02/07/2023]
Abstract
Dental patient-reported outcomes (dPROs) are self-reported descriptions of a patient's oral health status that are not modified or interpreted by a healthcare professional. Dental patient-reported outcome measures (dPROMs) are objective or subjective measurements used to assess dPROs. In oral healthcare settings, the emphasis on assessing treatment outcomes from the patient's perspective has increased and this is particularly important after traumatic dental injuries (TDIs), as this group of injuries represent the fifth most prevalent disease or condition worldwide. The purpose of this review is to summarize the current use of dPROs and dPROMs in the field of dental traumatology. Oral Health-Related Quality of Life, pain, swelling, aesthetics, function, adverse effects, patient satisfaction, number of clinical visits and trauma-related dental anxiety are the key dPROs following TDIs. Clinicians and researchers should consider the well-being of patients as their top priority and conduct routine evaluations of dPROs using measures that are appropriate, accurate and reflect what is important to the patient. After a TDI, dPROs can assist clinicians and patients to choose the best management option(s) for each individual patient and potentially improve the methodology, design and relevance of clinical studies.
Collapse
Affiliation(s)
| | - Thilla Sekar Vinothkumar
- Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.,Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, India
| | | | - Esma J Doğramacı
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Henry F Duncan
- Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Paul V Abbott
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Alberta, Edmonton, Canada
| | - Shaul Lin
- The Israeli National Center for Trauma & Emergency Medicine Research, Gertner Institute, Tel Hashomer, Israel.,Department of Endodontics, Rambam Health Care Campus, Haifa, Israel.,The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel
| | - Paul M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| |
Collapse
|
2
|
Collignon AM, Vergnes JN, Germa A, Azogui S, Breinig S, Hollande C, Bonnet AL, Nabet C. Factors and Mechanisms Involved in Acquired Developmental Defects of Enamel: A Scoping Review. Front Pediatr 2022; 10:836708. [PMID: 35281236 PMCID: PMC8907975 DOI: 10.3389/fped.2022.836708] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 01/20/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Developmental Defects of Enamel (DDE) is a pathology of the teeth that can greatly alter the quality of life of patients (hypersensitivity, esthetic issues, loss of function, etc.). The acquired DDE may occur as a result of a wide range of acquired etiological factors and his prevalence of this pathology may reach up to 89.9%. The main objective of this research was to identify and analyze, in current literature, the factors related to acquired DDE, in order to propose a general theory about the mechanisms involved. METHODS The search of the primary literature was conducted until [December 31, 2021]. Our search strategy uses the Pubmed/MEDLINE database and was structured around 3 terms ["Development," "Defect," and "Enamel"]. To be included, references had to be primary studies, written in English. Exclusion criteria were reviews, in vitro, animal, genetic or archeology studies, and studies focused on clinical management of DDE. One hundred and twenty three articles were included in this scoping review: 4 Randomized clinical trials, 1 letter, 5 cases reports, 2 fundamentals studies, and 111 observational studies (33 Cross-sectional studies, 68 Cohort study and 10 Case-control study). The quality of evidence was assessed using the PEDro scale for clinical trials, the Newcastle-Ottawa scale for observational studies, and a published tool to assess the quality of case reports and case series. RESULTS A scoping review of the literature identified 114 factors potentially involved in acquired DDE. The most frequently encountered pathologies are those causing a disorder of calcium homeostasis or a perturbation of the ARNT pathway in mother or child. The link between the ARNT pathway and metabolism deficiency in uncertain and needs to be defined. Also, the implication of this mechanism in tissue impairment is still unclear and needs to be explored. CONCLUSIONS By identifying and grouping the risk factors cited in the literature, this taxonomy and the hypotheses related to the mechanism allow health practitioners to adopt behaviors that limit the risk of developing aDDE and to set up a prevention of dental pathology. In addition, by reviewing the current literature, this work provides guidance for basic research, clinical studies, and literature searches.
Collapse
Affiliation(s)
- Anne-Margaux Collignon
- URP 2496 Laboratory Orofacial Pathologies, Imaging, and Biotherapies and Life Imaging Platform (PIV), Montrouge, France.,Department of Odontology, AP-HP, Paris, France.,Dental School Faculty, Paris University, Paris, France.,Department of Epidemiology, Public Health, Prevention and Legislation, Dental Faculty, Toulouse University Hospital, Paul Sabatier University, Toulouse, France
| | - Jean-Noël Vergnes
- Department of Epidemiology, Public Health, Prevention and Legislation, Dental Faculty, Toulouse University Hospital, Paul Sabatier University, Toulouse, France.,Inserm UMR 1295 CERPOP, Toulouse University, Toulouse, France
| | - Alice Germa
- Department of Odontology, AP-HP, Paris, France.,Dental School Faculty, Paris University, Paris, France.,CRESS, EPOPE Team, INSERM, INRA, Paris, France
| | - Sylvie Azogui
- Department of Odontology, AP-HP, Paris, France.,Dental School Faculty, Paris University, Paris, France.,Education and Health Practices Laboratory (LEPS) (EA 3412), UFR SMBH, Paris 13 University, Sorbonne Paris Cité, Bobigny, France
| | - Sophie Breinig
- Inserm UMR 1295 CERPOP, Toulouse University, Toulouse, France.,Pediatric and Neonatal Intensive Care Unit, CHU Toulouse, Toulouse, France
| | - Clémence Hollande
- Department of Hepatology, Université de Paris Centre, Hôpital Beaujon, AP-HP, Paris, France
| | - Anne-Laure Bonnet
- URP 2496 Laboratory Orofacial Pathologies, Imaging, and Biotherapies and Life Imaging Platform (PIV), Montrouge, France.,Department of Odontology, AP-HP, Paris, France.,Dental School Faculty, Paris University, Paris, France
| | - Cathy Nabet
- Department of Epidemiology, Public Health, Prevention and Legislation, Dental Faculty, Toulouse University Hospital, Paul Sabatier University, Toulouse, France.,Inserm UMR 1295 CERPOP, Toulouse University, Toulouse, France
| |
Collapse
|
3
|
Andrade MRTC, Americano GCA, da Costa MP, Lenzi MM, Dede Waele SouchoisMarsillac M, Campos V. Traumatic injuries in primary dentition and their immediate and long-term consequences: a 10-year retrospective study from the State University of Rio de Janeiro, Brazil. Eur Arch Paediatr Dent 2021; 22:1067-1076. [PMID: 34313973 DOI: 10.1007/s40368-021-00652-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 07/13/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIM Dental trauma is a highly prevalent problem worldwide. The aim of this study was to describe characteristics of trauma to anterior primary teeth and its sequelae for primary and successor teeth over a 10-year period of assistance at the paediatric dental traumatology clinic in the State University of Rio de Janeiro, Brazil. MATERIALS AND METHODS The data were obtained from the dental records of children assisted from 2006 to 2016. Inclusion criteria were trauma to anterior primary teeth; aged <1 to 9 years at the time of trauma; and at least one follow-up appointment. The data concerning traumatized teeth, child's age, soft tissue injuries, types of traumatic dental injuries and sequelae in both dentitions were collected. RESULTS Of the 1230 dental records, 483 (39.3%) were eligible, consisting of 815 teeth. The mean age at the time of trauma was 37.4 months (239 males and 244 females). The most important characteristics were: tooth 51 was most affected; falls, at home, on a ceramic floor, were the main cause; gingival laceration, enamel fracture and intrusive luxation were the most frequent types of trauma; premature tooth loss of primary teeth and enamel discoloration in their successor were the most frequent sequelae; and injuries in the periodontal tissue were demonstrated as the highest risk for sequelae in successors (OR, 3.798; p< 0.001). CONCLUSIONS Most traumatic injuries occur in young children, in their home environment. Consequences for the primary teeth were more frequent compared to the permanent successor tooth. Traumatized primary teeth involving periodontal tissue have more chances to result in sequelae to their successor teeth.
Collapse
Affiliation(s)
- M R T C Andrade
- Department of Specific Formation - Pediatric Dentistry, Dental School, Health Institute of the Fluminense Federal University, Nova Friburgo, Brazil
| | - G C A Americano
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil.,Dental School, Center University of Minas Gerais' East (UNILESTE), Ipatinga, Brazil
| | - M P da Costa
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil.,Department of Pediatric Dentistry and Orthodontics, Dental School, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
| | - M M Lenzi
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil. .,Departamento de Odontologia Preventiva e Comunitária, Faculdade de Odontologia, Universidade do Estado do Rio de Janeiro, Rua: Boulevard 28 de setembro 157 - Vila Isabel - Rio de Janeiro, Rio de Janeiro, Brasil.
| | - M Dede Waele SouchoisMarsillac
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - V Campos
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil
| |
Collapse
|
4
|
Del Negro B, Lauridsen E, Mendes FM, Andreasen JO, Wanderley MT, Hermann NV. Impact of avulsion of the primary incisors on the occurrence of sequelae in the permanent teeth: A retrospective cohort study. Community Dent Oral Epidemiol 2021; 50:404-413. [PMID: 34309039 DOI: 10.1111/cdoe.12686] [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: 10/07/2020] [Revised: 07/02/2021] [Accepted: 07/16/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The purpose of this retrospective cohort study was to investigate the occurrence of sequelae in the permanent teeth after avulsion of their primary antecessors and to evaluate the factors associated with this occurrence. METHODS We screened 2922 records of patients with photographic and radiographic images who attended a reference centre for dental trauma in the primary teeth from 1998 to 2019. Among them, 240 were eligible records of children who had suffered avulsion of the primary incisors and were followed up until complete eruption of the permanent successors. Multilevel Poisson regression analyses were conducted between the explanatory variables related to children and avulsed teeth; outcome variables were occurrences of any type of sequelae in the permanent teeth, opacities, hypoplasia and malformation. Relative risks (RRs) and respective 95% confidence intervals (95% CIs) were calculated. RESULTS Among the 240 children's records, 194 fulfilled the inclusion criteria. Finally, we found 266 primary avulsed teeth and 115 (43.2%) permanent teeth presenting with sequelae. Avulsion occurring when children were older than 4 years (RR = 0.48; 95% CI = 0.24-0.95) had lower risks for developing sequelae than children aged 0-2 years of age. Additionally, when avulsion occurred in the lower dental arch (RR = 1.45; 95% CI = 1.06-1.99) and when three or more teeth were affected (RR = 1.57; 95% CI = 1.02-2.41), the occurrence of sequelae in the permanent teeth was more probable than if avulsion occurred in the upper arch and affected only a single tooth. Age older than 3 years was a protective factor for the occurrence of hypoplasia and age older than 4 years protective for the occurrence of opacities. CONCLUSIONS The risk of sequelae in the permanent teeth after avulsion of their antecessor is higher when the trauma occurs in young children (<2 years) and in patients with avulsions of greater magnitude, such as when it affects the lower jaw, and more teeth are involved.
Collapse
Affiliation(s)
- Bianca Del Negro
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil.,Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Eva Lauridsen
- Department of Oral and Maxillofacial Surgery, University Hospital, Copenhagen, Denmark
| | - Fausto Medeiros Mendes
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Jens O Andreasen
- Department of Oral and Maxillofacial Surgery, University Hospital, Copenhagen, Denmark
| | - Marcia Turolla Wanderley
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Nuno Vibe Hermann
- Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
5
|
Almulhim B. Molar and Incisor Hypomineralization. JNMA J Nepal Med Assoc 2021; 59:295-302. [PMID: 34506432 PMCID: PMC8369532 DOI: 10.31729/jnma.6343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Indexed: 11/09/2022] Open
Abstract
Molar and incisor hypomineralization is a developmental defect that is systemic in origin that affects one or more than one permanent first molars, and is often associated with permanent incisors. It is usually characterized by well demarcated opacities and qualitative enamel defects caused by decreased inorganic enamel components, and reduced mineralization. It can cause esthetic, functional, psychological, and behavioral problems in children. Its reported prevalence varies widely, from 2.5% to 40.2%. Multiple aspects of dental treatment for it are challenging, such as behavior management, difficulty in achieving adequate local anesthesia, tooth hypersensitivity, and retention of restorations. This review discusses the most important considerations pertaining to its prevalence, severity, etiology, differential diagnosis, and some of the challenges and treatment modalities applicable in young patients. Data is collected from PubMed, Medline, and Embase databases.
Collapse
Affiliation(s)
- Basim Almulhim
- Department of Preventive Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah, 11952, Saudi Arabia
| |
Collapse
|
6
|
Yilmaz N, Erbek SM, Reis T, Güdük OF, Baygin O, Tüzüner T. Traumatic Dental Injuries Occurred in Primary Teeth and their Sequel Effects on the Developmental Permanent Successors: A Controlled Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.153] [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] Open
|
7
|
Goswami M, Rahman B, Singh S. Outcomes of luxation injuries to primary teeth-a systematic review. J Oral Biol Craniofac Res 2020; 10:227-232. [PMID: 32489826 DOI: 10.1016/j.jobcr.2019.12.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 12/12/2019] [Indexed: 11/18/2022] Open
Abstract
Objective Luxation injuries are one of the most prevalent type traumatic dental injuries in primary dentition. The impact of these injuries may not only be limited to the primary teeth but may also have adverse effects on the developing succedaneous tooth bud resulting in various unfavorable consequences. This systematic review aims at compiling the evidence of available literature regarding luxation injuries to primary teeth, etiology, treatment modalities, outcomes and sequelae on permanent teeth. Methodology Search of PubMed, Google Scholar, Cochrane Database of Systematic Reviews, SCOPUS and LILACS virtual health library was conducted for the literature published from January 1, 2007 to December 31, 2017. Two authors separately reviewed the literature and extracted the data from the included studies. Results After screening 224 articles, 13 articles fulfilled the inclusion criteria. Most common etiological factor for injury (up to 44.8%) is fall while walking or running. The unfavorable outcomes which are mostly associated with luxation injuries are pulp canal obliteration ranging from 8.6% to 43.3% and pulp necrosis 8.6% -78.9%. Sequelae on succedaneous teeth vary with a high incidence of white or yellow brown discoloration of enamel (78%) and enamel hypoplasia (7.8%-28.3%). Conclusion Fall is the most common cause and regular monitoring is recommended for most of the luxated teeth. Pulp canal obliteration, pulp necrosis and tooth loss due to trauma are prevalent complications observed following luxation. White or yellow brown discoloration of enamel and enamel hypoplasia are the most common undesirable sequelae to permanent teeth.
Collapse
Affiliation(s)
- Mousumi Goswami
- Department of Pediatric and Preventive Dentistry, I.T.S Dental College, Hospital & Research Centre, Greater Noida, Uttar Pradesh, India
| | - Bushra Rahman
- Department of Pediatric and Preventive Dentistry, I.T.S Dental College, Hospital & Research Centre, Greater Noida, Uttar Pradesh, India
| | - Sanjay Singh
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, JamiaMilliaIslamia, New Delhi, India
| |
Collapse
|
8
|
La Monaca G, Pranno N, Vozza I, Annibali S, Polimeni A, Bossù M, Cristalli MP. Sequelae in permanent teeth after traumatic injuries to primary dentition. ACTA ACUST UNITED AC 2020; 68:332-340. [PMID: 32052622 DOI: 10.23736/s0026-4970.19.04297-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Traumatic injuries to the primary dentition are critical events in dentistry not only due to the need for urgent care, but also since they have potential sequelae in the permanent dentition, with a prevalence ranging from 12% to 74%. The aim of this article was to provide an overview of the prevalence, etiology, and clinical and radiographic characteristics as well as the management of permanent teeth sequelae resulting from traumatic injuries to their deciduous predecessors. An extensive literature review was performed to reveal the current evidence on enamel discoloration with or without hypomineralization/hypoplasia, crown dilaceration, odontoma-like malformation, root anomalies, partial or complete arrest of root formation, sequestration of the permanent tooth germ, and eruption disturbances.
Collapse
Affiliation(s)
- Gerardo La Monaca
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Nicola Pranno
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy -
| | - Iole Vozza
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Susanna Annibali
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Maria P Cristalli
- Department of Biotechnologies and Medical Surgical Sciences, Sapienza University, Rome, Italy
| |
Collapse
|
9
|
Bletsa A, Bessonova MV, Iden O. Using Cone-beam CT in Diagnosis and Management of Severe Dilaceration Following Trauma in Primary Teeth: A Case Report. Int J Clin Pediatr Dent 2020; 13:S110-S114. [PMID: 34434025 PMCID: PMC8359877 DOI: 10.5005/jp-journals-10005-1868] [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] [Indexed: 11/23/2022] Open
Abstract
AIM This case report illustrates the multidisciplinary treatment of a 12-year-old boy with esthetic challenges and endodontic problems in his maxillary incisors after severe dental injury at the age of 2½ years. BACKGROUND The close anatomic relationship of the primary tooth to the permanent tooth germ explains why traumatic dental injuries in primary dentition may affect the development of permanent teeth especially in the maxillary anterior region. Developmental defects of enamel (DDE) as well as crown/root dilacerations are often seen after displacement injuries such as intrusion or avulsion occurring at lower age. CASE DESCRIPTION A 12-year-old boy with severe discoloration and enamel hypoplasia of his maxillary incisors was treated with composite restorations. History of avulsion injury of teeth 51 and 61 at the age of 2½ years explained the DDE, the severe dilaceration, and delayed tooth eruption of tooth 21. Use of cone-beam computed tomography (CBCT) was decisive in diagnosis and treatment planning of esthetic concerns and endodontic complications. CONCLUSION Trauma to primary teeth taking place at early childhood may have severe consequences on permanent successors. CLINICAL SIGNIFICANCE Severe morphological variations in permanent incisors caused by dental injuries in the predecessor teeth require monitoring and multidisciplinary approach. Advanced three-dimensional radiographic imaging is useful in identification and treatment planning of such cases. HOW TO CITE THIS ARTICLE Bletsa A, Bessonova MV, Iden O. Using Cone-beam CT in Diagnosis and Management of Severe Dilaceration Following Trauma in Primary Teeth: A Case Report. Int J Clin Pediatr Dent 2020;13(S-1):S110-S114.
Collapse
Affiliation(s)
- Athanasia Bletsa
- Oral Health Centre of Expertise in Western Norway, Vestland, Bergen, Norway
| | - Maria V Bessonova
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Ole Iden
- Oral Health Centre of Expertise in Western Norway, Vestland, Bergen, Norway
| |
Collapse
|
10
|
Amaral‐Freitas G, Brasileiro CB, Zarzar PM, Ferreira FM. Rare dental developmental disturbance in primary and permanent teeth following trauma prior to tooth eruption: Case report. Dent Traumatol 2019; 36:79-83. [DOI: 10.1111/edt.12500] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 06/19/2019] [Accepted: 06/20/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Gabrielle Amaral‐Freitas
- Department of Child and Adolescent Oral Health, Faculty of Dentistry Federal University of Minas Gerais Belo Horizonte Minas Gerais Brazil
| | - Cláudia B. Brasileiro
- Department of Clinical, Pathology and Dental Surgery, Faculty of Dentistry Federal University of Minas Gerais Belo Horizonte Minas Gerais Brazil
| | - Patrícia M. Zarzar
- Department of Child and Adolescent Oral Health, Faculty of Dentistry Federal University of Minas Gerais Belo Horizonte Minas Gerais Brazil
| | - Fernanda M. Ferreira
- Department of Child and Adolescent Oral Health, Faculty of Dentistry Federal University of Minas Gerais Belo Horizonte Minas Gerais Brazil
| |
Collapse
|
11
|
Flores MT, Onetto JE. How does orofacial trauma in children affect the developing dentition? Long-term treatment and associated complications. Dent Traumatol 2019; 35:312-323. [PMID: 31152620 DOI: 10.1111/edt.12496] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 05/29/2019] [Indexed: 10/26/2022]
Abstract
Each year, millions of children are injured and live with the consequences of those injuries. Through infancy and childhood, orofacial trauma caused by falls or being struck by or against objects occurs in children. The long-term implications on the developing permanent teeth are little known, even when the oral region is the second most frequently injured body area in children under 6 years of age. During this period, the developing permanent teeth may be directly involved after trauma, causing mild to severe hypoplasia, displacement, damage to the tooth germ, or an extended range of morphofunctional disturbances. In some cases, the effects of oral and dental injuries caused by trauma appear later with the eruption of the permanent incisors when ectopic eruption, malalignments, and other developmental disturbances become visible. Therefore, long-term follow up of the patient in order to diagnose and treat associated complications becomes essential. Critical points for facing the consequences of orofacial trauma on the developing dentition are to recognize the impact of orofacial trauma in young children and the dentist's role in providing anticipatory guidance to parents and health care professionals, differentiate between mild and severe disturbances affecting the developing permanent teeth after oral injuries in early childhood, recognize the importance of follow-up controls, and recognize the importance of early referral to a pediatric dentist and orthodontist for diagnosis and treatment planning.
Collapse
Affiliation(s)
- Marie Therese Flores
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile
| | - Juan Eduardo Onetto
- Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile
| |
Collapse
|
12
|
How Does Orofacial Trauma in Children Affect the Developing Dentition? Long-term Treatment and Associated Complications. J Endod 2019; 45:S1-S12. [PMID: 31623906 DOI: 10.1016/j.joen.2019.05.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Each year, millions of children are injured and live with the consequences of those injuries. Through infancy and childhood, orofacial trauma caused by falls or being struck by or against objects occurs in children. The long-term implications on the developing permanent teeth are little known, even when the oral region is the second most frequently injured body area in children under 6 years of age. During this period, the developing permanent teeth may be directly involved after trauma, causing mild to severe hypoplasia, displacement, damage to the tooth germ, or an extended range of morphofunctional disturbances. In some cases, the effects of oral and dental injuries caused by trauma appear later with the eruption of the permanent incisors when ectopic eruption, malalignments, and other developmental disturbances become visible. Therefore, long-term follow up of the patient in order to diagnose and treat associated complications becomes essential. Critical points for facing the consequences of orofacial trauma on the developing dentition are to recognize the impact of orofacial trauma in young children and the dentist's role in providing anticipatory guidance to parents and health care professionals, differentiate between mild and severe disturbances affecting the developing permanent teeth after oral injuries in early childhood, recognize the importance of follow-up controls, and recognize the importance of early referral to a pediatric dentist and orthodontist for diagnosis and treatment planning.
Collapse
|
13
|
Lenzi MM, da Silva Fidalgo TK, Luiz RR, Maia LC. Trauma in primary teeth and its effect on the development of permanent successors: a controlled study. Acta Odontol Scand 2019; 77:76-81. [PMID: 30345854 DOI: 10.1080/00016357.2018.1508741] [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] [Indexed: 10/28/2022]
Abstract
Objective: This controlled study investigated the occurrence of sequelae to permanent successors (SPS) following traumatic dental injury in primary teeth (TDIp). Additionally, this study evaluated whether TDIp is a risk factor for SPS, with a focus on an association between SPS and the child's age and type of trauma. Materials and methods: The trauma group (TG) consisted of permanent teeth, whose antecessors had suffered TDIp, in a population of children with complete eruption of permanent teeth. The control group (CG) consisted of permanent teeth from the same individuals, whose antecessors had not suffered TDIp. There were 214 cases of TDIp with their respective permanent teeth. In the CG 247 permanent teeth, whose antecessor had not suffered TDIp, were included. Data concerning such teeth and when TDIp occurred (in terms of the child's age) and types of SPS were collected. The chi-square test, regression logistic with generalized estimating equations (GEE) test, and risk analyses were applied to investigate the associations. Results: Overall, 29% of the permanent teeth in the TG presented SPS. This was compared to the development disturbances in the CG, which was 7%. The TG demonstrated the highest risk for SPS (OR, 5.388; p = .0001). The discolouration of enamel (37%) was the most common type of SPS found. SPS was more prone to occur in permanent teeth whose antecessors had been intruded (39%; p < .001). TDIp when the child was 1-year old was associated with SPS (p < .001). Moreover, children who had TDIp had a 4.1 times higher risk of presenting SPS. Conclusions: TDIp is a risk factor for the development of SPS. All types of TDIp caused SPS in this research. Additionally, the younger ages at the time of the injury and intrusions were related to SPS.
Collapse
Affiliation(s)
- Michele Machado Lenzi
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Tatiana Kelly da Silva Fidalgo
- Department of Preventive and Community Dentistry, School of Dentistry, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Brazil
- Department of Pediatric Dentistry, School of Dentistry, Universidade Salgado de Oliveira, Rio de Janeiro, Brazil
| | - Ronir Raggio Luiz
- Institute of Public Health Studies, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
14
|
Holan G, McTigue DJ. Introduction to Dental Trauma. Pediatr Dent 2019. [DOI: 10.1016/b978-0-323-60826-8.00016-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
15
|
Mohan A, Agarwal T, Cherian TS, Muthu MS, Balasubramanian S, Subbalekshmi N, Saikia A, Goswami M, Sharma A, Subramanian P, Johar S, Bazaz N. Diagnostic ability of a smart phone app (injured tooth) in diagnosing traumatic injuries to the teeth - a multicentre analysis. Int J Paediatr Dent 2018; 28:561-569. [PMID: 29992696 DOI: 10.1111/ipd.12411] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND Dental trauma is not uncommon. The initial management provided at the time of injury is critical in predicting prognosis. However, initial management depends on correct diagnosis. Recently an App named 'Injured Tooth' was made available to diagnose traumatic injuries to the teeth and supporting structures. AIM To test the diagnostic ability of the Injured Tooth App compared with the conventional method of diagnosing traumatic injuries to the teeth. DESIGN A cross-sectional study was conducted at three different centres with 176 patients aged 0-15 years, having 201 injured teeth. Diagnosis of the injured teeth in these children at every centre was done independently by one experienced faculty using the traditional method and by a student using the Injured Tooth App. RESULTS Injured Tooth App gave a correct diagnosis for 197 teeth included in the study. Statistical analysis showed that there was good agreement (Kappa = 0.973) between the diagnosis given by the App and the experienced faculty. CONCLUSIONS The study found that the diagnosis given by the Injured Tooth App was in good agreement with the diagnosis given by an experienced faculty. Hence, the App can be successfully used by dental students to arrive at diagnosis.
Collapse
Affiliation(s)
- Anusha Mohan
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Tanvi Agarwal
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Theresa Sam Cherian
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Murugan Satta Muthu
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Suganya Balasubramanian
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Natesh Subbalekshmi
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Ankita Saikia
- Pedo Planet - Children Dental Center, Chennai, India
| | - Mridula Goswami
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Akhilesh Sharma
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Priya Subramanian
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Smriti Johar
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Negar Bazaz
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| |
Collapse
|