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Ozden I, Gokyar M, Ozden ME, Sazak Ovecoglu H. Assessment of artificial intelligence applications in responding to dental trauma. Dent Traumatol 2024. [PMID: 38742754 DOI: 10.1111/edt.12965] [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: 02/26/2024] [Revised: 04/15/2024] [Accepted: 04/16/2024] [Indexed: 05/16/2024]
Abstract
BACKGROUND This study assessed the consistency and accuracy of responses provided by two artificial intelligence (AI) applications, ChatGPT and Google Bard (Gemini), to questions related to dental trauma. MATERIALS AND METHODS Based on the International Association of Dental Traumatology guidelines, 25 dichotomous (yes/no) questions were posed to ChatGPT and Google Bard over 10 days. The responses were recorded and compared with the correct answers. Statistical analyses, including Fleiss kappa, were conducted to determine the agreement and consistency of the responses. RESULTS Analysis of 4500 responses revealed that both applications provided correct answers to 57.5% of the questions. Google Bard demonstrated a moderate level of agreement, with varying rates of incorrect answers and referrals to physicians. CONCLUSIONS Although ChatGPT and Google Bard are potential knowledge resources, their consistency and accuracy in responding to dental trauma queries remain limited. Further research involving specially trained AI models in endodontics is warranted to assess their suitability for clinical use.
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Affiliation(s)
- Idil Ozden
- Department of Endodontics, Marmara University Faculty of Dentistry, Istanbul, Turkey
| | - Merve Gokyar
- Department of Endodontics, Marmara University Faculty of Dentistry, Istanbul, Turkey
| | - Mustafa Enes Ozden
- Department of Public Health, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Hesna Sazak Ovecoglu
- Department of Endodontics, Marmara University Faculty of Dentistry, Istanbul, Turkey
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Costantinides F, Tonizzo M, Dotto F, Lenhardt M, Borella A, Sclabas M, Rizzo R, Maglione M. Epidemiological aspects of dental trauma associated with maxillofacial injures: Ten years of clinical experience in Trieste, Italy. Dent Traumatol 2023. [PMID: 36872847 DOI: 10.1111/edt.12835] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 02/06/2023] [Accepted: 02/10/2023] [Indexed: 03/07/2023]
Abstract
BACKGROUND/AIMS The prevalence of dental injuries in patients with facial fractures is relevant. Epidemiologically, dental trauma in association with facial fractures generally affects the age group between 20 and 40 years old, with a higher prevalence in males. The aim of this retrospective study was to identify the incidence and etiology of dental trauma associated with facial fractures over a 10-year period. METHODS From January 2009 to April 2019, among 381 patients with facial fractures, 353 were included in this study. Age, gender, trauma etiology, injured teeth and dental treatment were investigated. RESULTS From 353 patients, with a mean age of 49.7 ± 19.9 years, 247 (70%) were males and 106 (30%) were females. Accidental falls were the most common type of injury (n = 118, 33.4%), followed by road accidents (n = 90, 25.5%), assaults (n = 60, 17%) and sports trauma (n = 37, 10.5%). Fifty-five subjects (15.60%) had dental injuries associated with facial fractures. Of the 145 teeth involved, 48 (33.1%) were diagnosed with luxation, 22 teeth (15.2%) were avulsed, 11 teeth (7.5%) suffered a concussion and there were 10 (6.8%) alveolar wall fractures.Uncomplicated enamel-dentin fracture was the more frequent hard tissue injury (n = 21, 14.5%), followed by complicated crown-root fracture (n = 10, 6.9%), infraction (n = 8, 5.5%), enamel fracture (n = 3, 2%) and complicated enamel-dentin fracture (n = 3, 2%). There was a peak in incidence between 21 and 40 years (42%). Males had a significantly higher risk of facial fractures with dental injury (75%). Maxillary incisors and canines (62.8%) were the most affected teeth. CONCLUSIONS There was a high prevalence of dental injuries associated with facial fractures. Maxillary incisors were the most injured teeth, with a higher prevalence in males.
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Affiliation(s)
- Fulvia Costantinides
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy.,Department of Maxillofacial Surgery and Stomatology, "Maggiore" University Hospital of Trieste, Trieste, Italy
| | - Matteo Tonizzo
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy
| | - Federica Dotto
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy
| | | | - Alberto Borella
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy
| | | | - Roberto Rizzo
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy.,Department of Maxillofacial Surgery and Stomatology, "Maggiore" University Hospital of Trieste, Trieste, Italy
| | - Michele Maglione
- School of Specialization in Oral Surgery, University of Trieste, Trieste, Italy.,Department of Maxillofacial Surgery and Stomatology, "Maggiore" University Hospital of Trieste, Trieste, Italy
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Analysis of Pediatric Maxillofacial Fractures: A 10-year Retrospective Study. J Craniofac Surg 2023; 34:448-453. [PMID: 36441830 DOI: 10.1097/scs.0000000000008846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 05/10/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND The aim of this study is to analyze patterns of maxillofacial fractures in children and adolescent in southeast of China,in a period of 10 years. MATERIAL AND METHODS In this retrospective study, the medical records of 162 hospitalized patients under 18 years old were analyzed in the Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Wenzhou Medical University, China. Age, gender, etiology, site, and type of fracture, monthly distribution, weekly distribution, dental complications, and treatment were evaluated. The cases were divided into 3 age groups: group A: 0 to 6 years, group B: 7 to 12 years, and group C: 13 to 18 years. RESULTS Three hundred thirty-four maxillofacial fractures in 162 patients younger than 18 years were analyzed. The male to female ratio was 2.24:1 and mean age of these patients was 9.85 years old . Falls were the leading cause of maxillofacial fractures.The most frequent fracture site was mandible. Most patients with maxillofacial fractures were treated by open reduction. And it was done more in adolescents than in children. CONCLUSIONS Falls were the main reason for maxillofacial fracutres in childern, and traffic accidents was the leading cause in adolescent. Preventive measures should be applied to reduce occurrences of pediatric facial fractures .Children can not be left at home alone, and monitoring is very necessary when children play in the high place. The government can consider related e-bike driving skills training. Teenagers must pass the relevant electric vehicle test before they can drive. Make the law that the driver of e-bike must wear a safety helmet. Our study shows that open reduction was a good choice for pediatric facial fractures, but usually conservative treatment is a better choice for condylar fractures.
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Simsek H, Kardes S, Kilic M, Kardes E. Trends and seasonality in public interest in dental trauma: Insights from Google Trends. Int J Paediatr Dent 2022; 32:464-472. [PMID: 34569105 DOI: 10.1111/ipd.12926] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 08/16/2021] [Accepted: 09/14/2021] [Indexed: 01/25/2023]
Abstract
AIM To assess trends and seasonal variation of dental trauma by using the Google Trends data. DESIGN Google Trends was used to obtain relative search volume (RSV) of search terms such as dental trauma, broken tooth, chipped tooth, knocked-out tooth, avulsed tooth, and gum trauma. The search strategy was set to the time period (January 2004 to December 2019), region (worldwide, the United States, the UK, Australia, Canada, New Zealand, Ireland, and Turkey), Web search, and all categories. Seasonal variation was evaluated using the cosinor analysis. RESULTS The worldwide RSV values of broken tooth, chipped tooth, knocked-out tooth, and avulsed tooth have shown a general increase in recent years with an upward forecast line. The RSV values of dental trauma have shown a general increase in recent years with a plateau forecast line, and gum trauma has shown a stable trend with a plateau forecast line. Seasonal variation of chipped tooth, broken tooth, dental trauma, knocked-out tooth, avulsed tooth, and gum trauma was not found statistically significant in any of the countries (p > .025). The top related queries of chipped tooth and broken tooth were about pain, fix/repair, and cost. The top related topics for avulsed tooth and knocked-out tooth are about infant, child, toddler, and primary tooth. CONCLUSIONS People's interest on dental trauma, broken tooth, chipped tooth, knocked-out tooth, and avulsed tooth has shown a general increase in recent years without showing a seasonal pattern. Healthcare professionals should pay more attention to people's concerns and informational needs.
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Affiliation(s)
- Huseyin Simsek
- Department of Pediatric Dentistry, Faculty of Dentistry, Ordu University, Ordu, Turkey
| | - Sinan Kardes
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, İstanbul University, Istanbul, Turkey
| | - Munevver Kilic
- Department of Pediatric Dentistry, Faculty of Dentistry, Atatürk University, Erzurum, Turkey
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Rodrigues OFE, Landim KLG, Alves RT, Machado FC, Carrada CF. Knowledge of Avulsion of Permanent Teeth Emergency Management Among Undergraduate in Brazilian Health Care Students. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | | | | | - Camila Faria Carrada
- Faculty of Medical Sciences and Health of Juiz de Fora, Brazil; Federal University of Minas Gerais, Brazil
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Uzarevic Z, Ivanisevic Z, Karl M, Tukara M, Karl D, Matijevic M. Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Students of the Faculty of Education. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197159. [PMID: 33007854 PMCID: PMC7579500 DOI: 10.3390/ijerph17197159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Revised: 09/26/2020] [Accepted: 09/27/2020] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to evaluate the knowledge regarding tooth avulsion and dental first aid response among Croatian students of the Faculty of Education. A cross-sectional study was conducted among students. Participants (N = 235) were female with an average age of 21.9 ± 2.7 years. The questionnaire contained 10 close-ended questions with two to eleven possible answers. Every participant chose one correct answer. Statistical significance was determined using a Chi-square test. Majority of participants had never received any kind of information on management of a knocked-out tooth. Questions in the nature of tooth injuries, a knocked-out tooth, tooth replantation and whether the knocked-out tooth should be placed back were answered confirmatively by 40.43%, 83.40%, 57.02% and 62.55% of participants, respectively. The questionnaire showed that 18.78% of participants were aware that replantation should be performed within 30 min. The appropriate cleaning and transport medium was chosen by 40.85% and 35.31% of participants, respectively. A nearby dentist would be visited by 66.38% of students. Only 8.08% of participants provided a correct answer to all of the knowledge-based questions. The “I do not know” answer was chosen by 18.30% of participants whenever it was offered. This indicates that the majority (89.78%) were not aware of the fact that the procedure they chose would be inappropriate. The current study confirmed that future primary school teachers have a lack of knowledge for immediate response to tooth avulsion, leaving small chances for a successful prognosis of tooth replantation.
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Affiliation(s)
- Zvonimir Uzarevic
- Faculty of Education, University of Osijek, Cara Hadrijana 10, 31000 Osijek, Croatia;
- Correspondence: ; Tel.: +385-9-1167-8478
| | - Zrinka Ivanisevic
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
| | - Matej Karl
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
- Faculty of Medicine Osijek, University of Osijek, 31000 Osijek, Croatia;
| | - Marina Tukara
- Faculty of Education, University of Osijek, Cara Hadrijana 10, 31000 Osijek, Croatia;
| | - Dora Karl
- Faculty of Medicine Osijek, University of Osijek, 31000 Osijek, Croatia;
| | - Marko Matijevic
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
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Tan YZ, Levin L, Guo W, Chen Y. Dental injuries at the Xi'an, China Stomatological Hospital: A Retrospective Study. Dent Traumatol 2020; 36:505-509. [PMID: 32450001 DOI: 10.1111/edt.12572] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 05/19/2020] [Accepted: 05/19/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND/AIM In order to enrich epidemiological knowledge regarding traumatic dental injuries (TDI) in China, and to further improve the treatment, prevention and education of TDI, the aim of this study was to retrospectively analyze the TDI that presented to the emergency dental department at the Stomatological Hospital in Xi'an, China. METHODS This retrospective study included all first-visit patients who presented with TDI at the Stomatological Hospital affiliated with the Fourth Military Medical University in Xi'an, China, between January 2013 and June 2019. Data were extracted using the terms of diagnosis of TDI from the hospital database. RESULTS Overall, 965 (606 males and 359 females) files were reviewed. The average age was 22.8 ± 13.4 years. Among the 2059 teeth injured (average of 2.1 teeth per patient), the maxillary incisors (1751; 85.0%) were the most prevalent teeth to present with injuries, while the main types of injuries were concussions (14.8%) enamel-dentin-fractures (14.50%) and enamel-dentin-pulp fractures (14.0%). After initial examination and diagnosis, 4.2% patients refused treatment. CONCLUSIONS The epidemiological statistics of TDI in Xi'an, China show consistency with other studies from around the world, but they also vary in diagnosis proportion and the choice of treatments. This information may further instruct treatment, prevention and emergency resources distribution to target the high-risk groups.
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Affiliation(s)
- Yi-Zhou Tan
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Weiwei Guo
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry and Emergency, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Yongjin Chen
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry and Emergency, School of Stomatology, The Fourth Military Medical University, Xi'an, China
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Ningthoujam S, Gurunathan D, Singh WR, Mall BB. Parental self-perceived knowledge and attitudes toward emergency management of avulsed permanent teeth in Imphal: A cross-sectional study. Natl J Maxillofac Surg 2019; 10:33-42. [PMID: 31205386 PMCID: PMC6563633 DOI: 10.4103/njms.njms_64_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Introduction: Dental avulsion is one of the dental traumatic injuries commonly affecting children aged between 6 and 12 years. One of the major limitations in obtaining a successful outcome while treating dental avulsions is the lack of knowledge on its first aid management among parents. The present study aims to assess the knowledge and attitude of parents in Imphal toward the emergency management of avulsed permanent tooth using a self-reported questionnaire method. Materials and Methods: The present cross-sectional study was undertaken among 777 parents of 6–12-year-old children who were recruited through 2 private schools in Imphal. A questionnaire consisting of 14 closed-ended questions used to assess the parental knowledge and attitude on emergency management of avulsed permanent teeth was distributed to the respondents after obtaining official consent from the respective schools and informed consent from the respondents. Statistical Analysis: Chi-square test was used to assess the association between the results and the educational status, gender, and geographical location of the respondents. Results: The study revealed that only a fraction of the respondents, i.e., 11.8% gave a positive response on attempting “self-replantation” and higher fractions (76.1%) of the respondents reported to have received no previous information on the emergency management of dental avulsion. Conclusion: About 96.1% of the respondents showed interest on acquiring knowledge on the emergency management of dental avulsion. This warrants the urgent need on educating the parents on the first aid emergency management of avulsed tooth.
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Affiliation(s)
- Sharna Ningthoujam
- Department of Paediatric and Preventive Dentistry, Dental College Jawaharlal Nehru Institute of Medical Sciences, Porompat, Manipur, India
| | - Deepa Gurunathan
- Department of Pedodontics and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha University, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - Waikhom Robindro Singh
- Department of Oral and Maxillofacial Surgery, Dental College Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Braj Bhushan Mall
- Department of Oral and Maxillofacial Surgery, Dental College Regional Institute of Medical Sciences, Imphal, Manipur, India
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Alyahya L, Alkandari SA, Alajmi S, Alyahya A. Knowledge and Sociodemographic Determinants of Emergency Management of Dental Avulsion among Parents in Kuwait: A Cross-Sectional Study. Med Princ Pract 2018; 27:55-60. [PMID: 29212087 PMCID: PMC5968277 DOI: 10.1159/000486095] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Accepted: 12/06/2017] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the knowledge of first aid measures for a permanent tooth avulsion among parents in Kuwait and to assess the effect of different sociodemographic characteristics. MATERIALS AND METHODS A cross-sectional study was conducted among 554 parents who visited 5 dental specialty centers in Kuwait. Parent sociodemographic data and responses to avulsion management questions were collected through a self-administered questionnaire. Descriptive and binary logistic regression analyses were used for data analysis. RESULTS In the 554 responses from patients, gaps were identified in the following areas: replantation (199, 35.9%), cleaning of the tooth (182, 32.9%), and transport media (84, 15.2%). Most parents demonstrated satisfactory knowledge levels regarding the urgency to seek professional help (391, 70.6%) and the first place of contact after the injury (525, 94.8%). Having previous information on emergency management of dental avulsion was a significant predictor of good knowledge (OR 2.138, 95% CI 1.347-3.395, p = 0.001). Of the 544 parents, 99 (17.8%) had received information on dental avulsion management: 30 (30.3%) from the Internet, 19 (19.2%) from books, 12 (12.1%) from television, 6 (6%) from smart phone applications, 2 (2%) from newspapers, and 30 (30.3%) from other sources. CONCLUSION In this study, parents in Kuwait did not have adequate knowledge of emergency management for dental avulsion. Future educational campaigns on dental avulsion are urgently needed to educate parents.
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Affiliation(s)
- Lolwa Alyahya
- General Practice Dentistry, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
- *Lolwa Alyahya, General Practice Dentistry, Dental Division, Ministry of Health, PO Box 13001, Sulaibikhat 12009 (Kuwait), E-Mail
| | - Sarah A. Alkandari
- General Practice Dentistry, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
| | - Saitah Alajmi
- Dental Internship, Dental Division, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
| | - Asma Alyahya
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Jabriya, Kuwait
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KARBEYAZ K. ADLİ OLGU OLARAK DEĞERLENDİRİLEN TRAVMATİK DİŞ YARALANMALARI. MUSTAFA KEMAL ÜNIVERSITESI TIP DERGISI 2017. [DOI: 10.17944/mkutfd.376387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Abstract
INTRODUCTION Motor vehicle accidents (MVA) and falls are major causes of maxillofacial injuries posing real challenges for the medical staff. PURPOSE To describe the demographic and injury characteristics, as well as the treatment procedures of casualties diagnosed with maxillofacial injuries. METHODS The investigators implemented a multicenter retrospective study composed of hospitalized maxillofacial trauma patients recorded in the Israel Trauma Registry for 2000 to 2011. The predictor variable was mechanism of injury and the outcome variable was type of injury, severity, and hospital resources utilization. Descriptive and bivariate statistics with P values was set at 0.05. RESULTS The study included 11,592 reported hospitalized maxillofacial trauma patients (39.4% of them were MVA, 33.5% were falls), with a male predominance of a 3:1 ratio. The high-risk age groups were the first 3 decades of life in both etiologies, while age groups above 75 years were also frequent in falls. Severity of maxillofacial injuries, multiple injuries, admission to intensive care units, hospitalization for more than 15 days, inpatient mortality, and rehabilitation after discharge was significantly higher in MVA compared with falls. Conversely, maxillofacial surgeries were performed slightly more among patients injured in falls (34.1% and 31.1% respectively), as tongue and mouth are more prone targets in falls, compared with zygoma, maxilla, mandible, and teeth in MVA. CONCLUSION The results of this study suggest that the etiologies present an entire separate pattern of trauma. A better understanding and proper identification of their high-risk groups should lead to appropriate prevention programs and treatment protocols.
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Abdullah D, Soo SY, Kanagasingam S. Knowledge of managing avulsed tooth among general dental practitioners in Malaysia. ACTA ACUST UNITED AC 2016; 37:21-26. [DOI: 10.1016/j.sdj.2016.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 01/23/2016] [Indexed: 10/20/2022]
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Incidence of root canal treatment of second molars following adjacent impacted third molar extraction. J Dent Sci 2016; 11:90-94. [PMID: 30894952 PMCID: PMC6395185 DOI: 10.1016/j.jds.2015.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Revised: 03/14/2015] [Indexed: 12/05/2022] Open
Abstract
Background/purpose The aim of this study was to evaluate the incidence of requirement for root canal treatment of adjacent second molars following the surgical extraction of an impacted third molar. Materials and methods The dental records of 6323 consecutive patients who had impacted third molars removed surgically were evaluated and the incidence of postoperative root canal treatment requirement of adjacent second molars was determined. Patients who required root canal treatment of neighboring second molars were accepted as the study group, while the remaining patients were accepted as a control group. Sex, age at the time of the operation, localization of third molar, the depth of impaction, angulation of the tooth, and the professional experience of the surgeon performing the operation were evaluated from patient records. Results The incidence of requirement of root canal treatment for second molars following a neighboring impacted third molar extraction was 0.17% (11/6323) and invariably occurred in the mandible. The mean age of the study group was found to be significantly higher than the control group (31 years vs. 23 years). The years of professional experience of the surgeons was significantly lower in the study group than in the control group. Conclusion Although the incidence is minimal, iatrogenic subluxation injuries occurring during the surgical removal of impacted third molars can lead to pulpal complications and a requirement for root canal treatment of adjacent second molars.
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Ruslin M, Wolff J, Boffano P, Brand HS, Forouzanfar T. Dental trauma in association with maxillofacial fractures: an epidemiological study. Dent Traumatol 2015; 31:318-23. [DOI: 10.1111/edt.12176] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Muhammad Ruslin
- Department of Oral and Maxillofacial Surgery Faculty of Dentistry; University of Hasanuddin; Makassar Indonesia
- Department of Oral and Maxillofacial Surgery/Oral Pathology; VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Jan Wolff
- Department of Oral and Maxillofacial Surgery/Oral Pathology; VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Paolo Boffano
- Department of Oral and Maxillofacial Surgery/Oral Pathology; VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Henk S. Brand
- Department of Oral and Maxillofacial Surgery/Oral Pathology; VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
- Department of Medical-Dental Interaction; Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
| | - Tymour Forouzanfar
- Department of Oral and Maxillofacial Surgery/Oral Pathology; VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA); Amsterdam The Netherlands
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Rahimi-Nedjat RK, Sagheb K, Walter C. Concomitant dental injuries in maxillofacial fractures - a retrospective analysis of 1219 patients. Dent Traumatol 2014; 30:435-41. [PMID: 24890672 DOI: 10.1111/edt.12118] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2014] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM Traumatic dental injuries are frequently combined with maxillofacial fractures, but literature addressing this topic is rare. In a retrospective study, the frequency of dental lesions in inpatients with traumatic facial injuries was analyzed. MATERIAL AND METHODS All patients referred to the Department of Oral and Maxillofacial Surgery of the University Medical Center of the Johannes Gutenberg-University Mainz for inpatient treatment due to facial fractures between January 2001 and December 2007 were analyzed regarding the type of fracture, its localization, and potential concomitant dental injuries. In addition a systematic review was performed to compare the findings of this study with existing data. RESULTS Altogether 1219 facial trauma patients underwent inpatient treatment. 184 (15.87%) out of those had 451 injured teeth, and 4.9% were edentulous. The most frequent causes were assaults (25.1%), followed by falls (19.6%) and bike accidents (10.1%). Avulsion, especially of the upper incisors, occurred in most cases (27.9%). Assaults caused 1.29 dental fractures per patient, while traffic-related accidents led to three to four times higher injury-rates. CONCLUSIONS With almost every sixth patient having at least one kind of dental injury, this study shows that a thorough anamnesis and examination of the dental status are absolutely necessary, especially in patients who suffered from high-speed impacts or collisions with low-resilience surfaces.
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Affiliation(s)
- Roman K Rahimi-Nedjat
- Department of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
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Roccia F, Boffano P, Bianchi FA, Ramieri G. An 11-year review of dental injuries associated with maxillofacial fractures in Turin, Italy. Oral Maxillofac Surg 2013; 17:269-274. [PMID: 23138750 DOI: 10.1007/s10006-012-0371-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2012] [Accepted: 10/22/2012] [Indexed: 06/01/2023]
Abstract
INTRODUCTION The aim of the study was to analyze the incidence, characteristics, and correlations between maxillofacial fractures and dental injuries in patients who were treated at a first-level trauma center in a metropolitan center in northwest Italy in the last 11 years. MATERIAL AND METHODS Between January 1, 2001 and December 31, 2011, 2,110 patients with maxillofacial fractures were admitted. Only dentulous patients with complete clinical records who presented with associated dental injuries were included in this study. Data on the age, gender, mechanism of injury, damaged tooth, type of dental injury, site of facial fractures, and concomitant injuries were recorded. RESULTS On the whole, 267 patients (13.1%), mainly males aged 20-29 years, presented with 759 dental injuries associated with maxillofacial fractures, especially following motor vehicle accidents. The maxillary teeth, most often the anterior elements with decreasing involvement from the incisors to the molars, were the teeth most frequently damaged overall. The main types of dental trauma in patients with maxillofacial fractures were luxations and dental fractures. DISCUSSION Our findings show that patients with mandibular fractures were statistically and significantly associated with dental injury, and the teeth in the upper jaw were the most frequently injured teeth, exhibiting mainly luxations and crown fractures. Confirmation of the predominant impact site in patients with dental injuries associated with maxillofacial fractures comes from the 177 lacerations noted in the chin and lip regions in 267 patients.
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Affiliation(s)
- Fabio Roccia
- Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Corso A.M. Dogliotti 14, 10126, Torino, Italy,
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Zhou HH, Ongodia D, Liu Q, Yang RT, Li ZB. Dental trauma in patients with single mandibular fractures. Dent Traumatol 2012; 29:291-6. [DOI: 10.1111/j.1600-9657.2012.01173.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2012] [Indexed: 12/01/2022]
Affiliation(s)
| | - David Ongodia
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology; Wuhan University; Wuhan; Hubei; China
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Zhou HH, Ongodia D, Liu Q, Yang RT, Li ZB. Dental trauma in patients with maxillofacial fractures. Dent Traumatol 2012; 29:285-90. [DOI: 10.1111/j.1600-9657.2012.01169.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2012] [Indexed: 11/28/2022]
Affiliation(s)
| | - David Ongodia
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education; School & Hospital of Stomatology; Wuhan University; Wuhan; Hubei; China
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Ulusoy AT, Onder H, Cetin B, Kaya S. Knowledge of medical hospital emergency physicians about the first-aid management of traumatic tooth avulsion. Int J Paediatr Dent 2012; 22:211-6. [PMID: 21883562 DOI: 10.1111/j.1365-263x.2011.01178.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the knowledge of emergency medical physicians employed in hospital emergency rooms as to their potential role in the treatment for traumatic teeth avulsion injuries (TTAI). METHODS A 15-item questionnaire was distributed to the emergency rooms of one university and 10 public hospitals. The questionnaire gathered data on the respondents' professional profiles and self-assessed perceived knowledge and actual knowledge of the emergency management of TTAIs. RESULTS The study was implemented with 69 emergency physicians present at their workplaces during the time of data collection. Of these, 55 (79.7%) were employed at public hospitals and 14 (20.3%) at a university hospital. The professional profiles indicated that 47 (68.1%) of the participants were general practitioners and the remaining 22 (31.9%) were distributed among various other medical specialties. Overall, 28 respondents (40.6%) assessed their knowledge regarding medical treatment for TTAI as insufficient, and the majority (78.3%) stated that they would like further education. Importantly, a large majority of practitioners could not provide correct answers to questions related to the emergency management of TTAI. CONCLUSION There is a need to improve the knowledge of emergency medical physicians regarding the emergency treatment for TTAI.
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Affiliation(s)
- Ayça T Ulusoy
- Department of Pediatric Dentistry, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
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Maxillofacial trauma and seat belt: a 10-year retrospective study. Oral Maxillofac Surg 2012; 17:21-5. [PMID: 22547385 DOI: 10.1007/s10006-012-0323-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2011] [Accepted: 04/03/2012] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Brazil is among the countries with the highest prevalence of people injured by traffic accidents, showing that in 2008, levels reached 18.3 victims for 100,000 habitants were victims of traffic accidents. MATERIALS AND METHODS This retrospective study involved data collected from treated patients' charts at seven different hospitals located in three different cities all in the state of São Paulo, Brazil. Information was obtained through a standardized form, which was designed to investigate the epidemiologic features of maxillofacial traumas, restricted to victims of car accidents. RESULTS Three hundred ninety-six patients were victims of car crashes with mean age 29.75 years. The age group 18-30 years showed an association with facial trauma in 96 patients, 41.56 % of whom reported using seat belt. Le Fort I, II and III (70 %) and mandible (63.11 %) were more associated with body traumas and seat belt use. The most common soft tissue lesion was laceration with 189 cases (42.3 %). The treatment way was assessed, 93 (23 %) were treated surgically and 303 (77 %) underwent conservative treatment. DISCUSSION Classically, it is known front seat belt use was positively correlated with back seat belt use, healthy diet, dental and general health, regular walking, adequate sleep and no smoking. Accidents involving cars occurred more frequently in age group 18-30 years, suffering more general traumas and representing the nonusers group that wore fewer seat belts, caused, perhaps, by bigger access of the youth to cars, driving in high speed and to an inefficient fiscalization of the traffic laws.
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Hashim H, Iqbal S. Motorcycle accident is the main cause of maxillofacial injuries in the Penang Mainland, Malaysia. Dent Traumatol 2011; 27:19-22. [PMID: 21244625 DOI: 10.1111/j.1600-9657.2010.00958.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Maxillofacial injuries are among the commonest forms of body injuries. There are three divisions, namely, facial bone fractures, soft tissue injuries, and dentoalveolar injuries. Etiologies include motor vehicle accidents, assaults, falls, and sporting injuries. The aim of this study was to determine the profiles including the causes of maxillofacial injuries seen in an urban government hospital in the mainland of Penang State, Malaysia. MATERIALS AND METHODS This was a cross-sectional study that recruited cases reported within a period of 1 year. The source population was maxillofacial injury patients presenting to the Oral and Maxillofacial Surgery Department of an urban hospital in the Penang Mainland, North Malaysia between May 2007 and May 2008. Cases of patients involved in accidents that occurred outside the reference vicinity were excluded. A case report form was developed and completed by the attending clinicians. Data were analyzed using spss version 12.0. RESULTS A total of 194 cases were studied, with the mean patient age being 27.8 (SD 15.20) years. The majority of patients were Malay men between 20 and 29 years of age. The main cause of injury was motorcycle accident (53.6%). The commonest injury (in isolation/combination with other injuries) involved the soft tissues (87.2%), dentoalveolar region (33.4%), and facial bones (23.9%). Laceration was the commonest soft tissue injury, and crown fracture was the most frequent dentoalveolar injury. The facial bone that was most highly involved in the injury was the zygoma. Subjects involved in motorcycle accidents had a significantly higher incidence of sustaining facial bone fractures. CONCLUSIONS Motorcycle accidents were the commonest cause of maxillofacial injuries in the Penang Mainland, Malaysia. Most patients were young men. Hence, it is prudent to reinforce appropriate road safety and awareness interventions particularly focusing young male motorcyclists so as to reduce the risk of accidents.
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Affiliation(s)
- Hasnah Hashim
- Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
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Gong Y, Xue L, Wang N, Wu C. Emergency dental injuries presented at the Beijing Stomatological Hospital in China. Dent Traumatol 2011; 27:203-7. [DOI: 10.1111/j.1600-9657.2010.00938.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Huang GTJ. Dental pulp and dentin tissue engineering and regeneration: advancement and challenge. Front Biosci (Elite Ed) 2011; 3:788-800. [PMID: 21196351 PMCID: PMC3289134 DOI: 10.2741/e286] [Citation(s) in RCA: 118] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Hard tissue is difficult to repair especially dental structures. Tooth enamel is incapable of self-repairing whereas dentin and cementum can regenerate with limited capacity. Enamel and dentin are commonly under the attack by caries. Extensive forms of caries destroy enamel and dentin and can lead to dental pulp infection. Entire pulp amputation followed by the pulp space disinfection and filling with an artificial rubber-like material is employed to treat the infection -- commonly known as root canal or endodontic therapy. Regeneration of dentin relies on having vital pulps; however, regeneration of pulp tissue has been difficult as the tissue is encased in dentin without collateral blood supply except from the root apical end. With the advent of modern tissue engineering concept and the discovery of dental stem cells, regeneration of pulp and dentin has been tested. This article will review the recent endeavor on pulp and dentin tissue engineering and regeneration. The prospective outcomes of current advancements and challenges in this line of research are discussed.
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Affiliation(s)
- George T-J Huang
- Boston University, Henry M. Goldman School of Dental Medicine, Boston, MA 02118, USA.
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Fariniuk LF, Souza MHD, Westphalen VPD, Carneiro E, Silva Neto UX, Roskamp L, Cavali AE. Evaluation of care of dentoalveolar trauma. J Appl Oral Sci 2010; 18:343-5. [PMID: 20835567 PMCID: PMC5349070 DOI: 10.1590/s1678-77572010000400004] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2009] [Accepted: 10/05/2009] [Indexed: 11/22/2022] Open
Abstract
Objectives The aim of this study was to evaluate cases of dental trauma treated at the
specialized center of Pontifical Catholic University of Paraná, Curitiba,
Brazil, during a period of 2 years. Material and Methods A total of 647 patients were evaluated and treated between 2003 and 2005. Data
obtained from each patient were tabulated and analyzed as to gender, age,
etiology, time elapsed after the injury, diagnosis (type of trauma), and affected
teeth. Results The results revealed that male individuals aged 7 to 13 years presented the
highest prevalence of injury, and falling was the main causal factor. In most
cases, the time elapsed between the accident and the first care ranged from 4 to
24 h. A total of 1,747 teeth were affected, with higher incidence of
concussion/subluxation and coronal fracture, followed by lateral luxation and
avulsion. The permanent maxillary central incisors were the most commonly affected
teeth. Conclusion The frequency and causes of dentoalveolar trauma should be investigated for
identification of risk groups, treatment demands and costs in order to allow for
the establishment of effective preventive measures that can reduce the treatment
duration and costs for both patients and oral health services.
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Affiliation(s)
- Luiz Fernando Fariniuk
- Endodontics, Department of Dentistry, Pontifical Catholic University of Paraná, Curitiba, PR, Brazil.
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Chrcanovic BR, Bueno SC, da Silveira DT, Custódio ALN. Traumatic displacement of maxillary permanent incisor into the nasal cavity. Oral Maxillofac Surg 2010; 14:175-82. [PMID: 19997765 DOI: 10.1007/s10006-009-0191-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
PURPOSE The purpose of this paper was to describe a case of unviable alveolar repositioning of an intruded tooth into the nasal cavity and to bring the subject of intrusive tooth injury among patients with dentoalveolar fractures to the attention of trauma surgeons. PATIENT A 26-year-old male was involved in a car accident and crashed his mouth against the dashboard due to sudden deceleration. Intraoral examination revealed an anterior maxillary dentoalveolar fracture and absence of the central maxillary incisors, right lateral maxillary incisor, and left maxillary canine. Computed tomography showed a dislocated tooth in the nasal cavity. The "missing" left maxillary canine was easily recovered from the floor of the left nostril. CONCLUSIONS Because complete dislocation of a tooth can cause a frontal sinus abscess, an airway complication, a respiratory tract obstruction, and a complicated lung abscess or sinusitis, anytime a tooth is not accounted for after a dentoalveolar trauma, the possibility that it has been fully intruded should be considered. Computed tomographic scan should be a routine diagnostic study in all cases with associated missing anatomical structures in the oral and maxillofacial region. The need to involve the dental professional in the initial assessment of dental trauma in emergency rooms in hospitals is important in order to identify how many teeth might be missing after dental trauma and to correctly reposition the avulsed teeth when possible.
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Affiliation(s)
- Bruno Ramos Chrcanovic
- Departamento de Odontologia, Pontifícia Universidade Católica de Minas Gerais, Av. Dom José Gaspar, 500 Prédio 45–Coração Eucarístico, 30535-610 Belo Horizonte, Minas Gerais, Brazil.
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A 9-Year Retrospective Study of Dental Trauma in Piracicaba and Neighboring Regions in the State of São Paulo, Brazil. J Oral Maxillofac Surg 2010; 68:1826-32. [DOI: 10.1016/j.joms.2009.10.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2009] [Revised: 09/19/2009] [Accepted: 10/03/2009] [Indexed: 11/17/2022]
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Thorén H, Numminen L, Snäll J, Kormi E, Lindqvist C, Iizuka T, Törnwall J. Occurrence and types of dental injuries among patients with maxillofacial fractures. Int J Oral Maxillofac Surg 2010; 39:774-8. [DOI: 10.1016/j.ijom.2010.03.024] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2009] [Revised: 01/26/2010] [Accepted: 03/16/2010] [Indexed: 10/19/2022]
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Kim HR, Kim YG. Clinical study of maxillofacial trauma of children. J Korean Assoc Oral Maxillofac Surg 2010. [DOI: 10.5125/jkaoms.2010.36.1.43] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Hak-Ryeol Kim
- Departement of Oral and Maxillofacial Surgery, Division of dentistry, The Armed Forces Yangju Hospital, Korea
| | - Yeo-Gab Kim
- Departement of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Korea
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Huang GTJ. Pulp and dentin tissue engineering and regeneration: current progress. Regen Med 2009; 4:697-707. [PMID: 19761395 DOI: 10.2217/rme.09.45] [Citation(s) in RCA: 118] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Dental pulp tissue is vulnerable to infection. Entire pulp amputation followed by pulp-space disinfection and filling with an artificial rubber-like material is employed to treat the infection - commonly known as root-canal therapy. Regeneration of pulp tissue has been difficult as the tissue is encased in dentin without collateral blood supply except from the root apical end. However, with the advent of the concept of modern tissue engineering and the discovery of dental stem cells, regeneration of pulp and dentin has been tested. This article will review the early attempts to regenerate pulp tissue and the current endeavor of pulp and dentin tissue engineering, and regeneration. The prospective outcome of the current advancement in this line of research will be discussed.
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Affiliation(s)
- George T J Huang
- Columbia University, College of Dental Medicine, Section of Oral & Diagnostic Sciences, Division of Endodontics, 630 West 168th St. Ph7 E, Rm 117, New York, NY 10032, USA.
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De Vasconcellos LGO, Brentel AS, Vanderlei AD, De Vasconcellos LMR, Valera MC, De Araújo MAM. Knowledge of general dentists in the current guidelines for emergency treatment of avulsed teeth and dental trauma prevention. Dent Traumatol 2009; 25:578-583. [DOI: 10.1111/j.1600-9657.2009.00820.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Aline Scalone Brentel
- Department of Restorative Dentistry, São José dos Campos School of Dentistry, State Paulista University (UNESP), São José dos Campos, Brazil
| | - Aleska Dias Vanderlei
- Department of Restorative Dentistry, São José dos Campos School of Dentistry, State Paulista University (UNESP), São José dos Campos, Brazil
| | - Luana Marotta Reis De Vasconcellos
- Department of Bioscience and Buccal Diagnosis, São José dos Campos School of Dentistry, State Paulista University (UNESP), São José dos Campos, Brazil
| | - Márcia Carneiro Valera
- Department of Restorative Dentistry, São José dos Campos School of Dentistry, State Paulista University (UNESP), São José dos Campos, Brazil
| | - Maria Amélia Máximo De Araújo
- Department of Restorative Dentistry, São José dos Campos School of Dentistry, State Paulista University (UNESP), São José dos Campos, Brazil
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Dental Injuries in Association With Facial Fractures. J Oral Maxillofac Surg 2009; 67:1680-4. [DOI: 10.1016/j.joms.2009.03.052] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2008] [Revised: 02/23/2009] [Accepted: 03/25/2009] [Indexed: 11/24/2022]
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Pileggi R, Holland GR. The expression of heat shock protein 70 in the dental pulp following trauma. Dent Traumatol 2009; 25:426-8. [PMID: 19519864 DOI: 10.1111/j.1600-9657.2009.00801.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND/AIM Traumatic dental injuries vary in severity from mild concussion to avulsion. All organisms respond to stress by inducing the synthesis of a group of proteins known generically as heat shock proteins. The activation of these proteins is an essential cellular mechanism designed to protect against a variety of environmental stresses. It is probable that the production of these proteins is increased in the cells of the traumatized dental pulp, however, this has not as yet been demonstrated. The degree of heat shock proteins expression may be related to the severity of the trauma such that estimating the extent of heat shock proteins expression may provide a practicable way of quantifying these injuries. MATERIALS AND METHODS Twenty adult male ferrets were divided into four groups. Each maxillary and mandibular right canine was traumatized with the contralateral canines acting as undamaged controls. The trauma was a simulated concussion injury applied using a uniform force. Animals were killed at 24, 48, 72 and 168 h after the injury. The canines were extracted, sectioned and processed for immunohistochemistry using a mouse monoclonal antibody specific for Hsp70. RESULTS There was a statistically significant difference in Hsp70 staining between traumatized and non-traumatized teeth only in the group observed 24 h after the trauma. The expression of heat shock proteins form part of the early pulpal response to trauma.
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Affiliation(s)
- Roberta Pileggi
- Department of Endodontics, University of Florida, College of Dentistry, Health Science Center, Gainesville, FL 32610-0436, USA.
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de Lourdes Vieira Frujeri M, Costa Jr ED. Effect of a single dental health education on the management of permanent avulsed teeth by different groups of professionals. Dent Traumatol 2009; 25:262-71. [DOI: 10.1111/j.1600-9657.2008.00760.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Santos MESM, Habecost APZ, Gomes FV, Weber JBB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol 2009; 25:203-8. [DOI: 10.1111/j.1600-9657.2008.00620.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Tham RCA, Cassell E, Calache H. Traumatic orodental injuries and the development of an orodental injury surveillance system: a pilot study in Victoria, Australia. Dent Traumatol 2009; 25:103-9. [DOI: 10.1111/j.1600-9657.2008.00720.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental trauma in an Australian rural centre. Dent Traumatol 2008; 24:663-70. [DOI: 10.1111/j.1600-9657.2008.00689.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Gulinelli JL, Saito CTMH, Garcia-Júnior IR, Panzarini SR, Poi WR, Sonoda CK, Jardim ÈCG, Faverani LP. Occurrence of tooth injuries in patients treated in hospital environment in the region of Araçatuba, Brazil during a 6-year period. Dent Traumatol 2008; 24:640-4. [DOI: 10.1111/j.1600-9657.2008.00673.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Schmitz MS, Montagner F, Montagner H, Escobar CAB, Dos Santos RA, Gomes BPFA. Different clinical outcomes following root fractures of adjacent incisors: a case report. Int Endod J 2008; 41:532-7. [PMID: 18355253 DOI: 10.1111/j.1365-2591.2008.01380.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To report different patterns of root fracture healing in adjacent maxillary central incisors with distinct post-treatment outcomes. SUMMARY To describe the case of a 12-year-old girl who presented with an avulsed coronal fragment of tooth 11 and root fractures in the middle thirds of teeth 11 and 21. Four months after initial treatment, she was referred for specialized endodontic care. Tooth 11 presented no clinical or radiographic signs of pulp breakdown. However a sinus tract was found related to the middle root third of tooth 21, indicating pulp necrosis in the coronal fragment. The coronal fragment was root filled and periapical surgery was performed to remove the apical fragment. Twelve months after the clinical procedures and 16 months after trauma, hard tissue healing was evident in tooth 11 region. Bone healing was also satisfactory in the periapical region of tooth 21. *Even adjacent teeth may display different reaction patterns after trauma. *The prognosis of root fractures is variable and different clinical approach may be required to preserve teeth with fractured roots.
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Affiliation(s)
- M S Schmitz
- Department of Restorative Dentistry, Santa Maria Dental School, Rio Grande do Sul, Brazil
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Abstract
BACKGROUND Trauma has been identified as a major public health problem in Australia. Maxillofacial trauma constitutes a significant proportion of trauma, although epidemiological studies in Australia are few. The purpose of this study was to assess the prevalence and the epidemiological pattern of maxillofacial trauma occurring in major trauma patients. METHODS Data were obtained from the Victorian State Trauma Registry, which included all major trauma patients in Victoria. All data relating to maxillofacial trauma defined according to Abbreviated Injury Scale and International Classification of Diseases codes from 1 July 2001 to 30 June 2004 were selected. Data collected included demographic and injury details, and operative procedures carried out. RESULTS Sixteen per cent of major trauma patients sustained maxillofacial trauma. The highest frequency of injuries occurred in the 15-24 years age group. More males were affected than females (3:1). The majority of injuries were due to transportrelated causes (69 per cent) and occurred mostly on roads, streets or highways (70 per cent). Falls were the cause of 15 per cent of injuries, 10.5 per cent of these injuries were fatal while 20.7 per cent needed rehabilitation. The most common type of bony injury was a fractured maxilla. CONCLUSION The need for preventive strategies to be reinforced has been highlighted as transport-related injuries remain high especially in the younger age groups.
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Affiliation(s)
- F N Shahim
- Department of Epidemiology and Preventive Medicine, Central and Eastern Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
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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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Wright G, Bell A, McGlashan G, Vincent C, Welbury RR. Dentoalveolar trauma in Glasgow: an audit of mechanism and injury. Dent Traumatol 2007; 23:226-31. [PMID: 17635356 DOI: 10.1111/j.1600-9657.2006.00430.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Traumatic dental injuries in children often require multiple follow-up visits to the dentist and may have long-term consequences for the developing dentition. The aim of this audit was to examine age, gender, location, time of year, mechanism of injury and type of injury sustained in relation to dentoalveolar trauma in children attending the paediatric dental trauma clinic at Glasgow Dental Hospital from 2002 to 2004, and to compare our findings with data in the published literature. Males suffered 60% of all dental trauma, 79% of sporting injuries and 85% of assaults. The injuries in males were more severe, representing 65% of enamel dentine and pulp fractures, 100% of crown root fractures and 66% of crown root and pulp fractures. A peak for trauma was seen in the 8-11-year-old group (43%). The majority of injuries in the under four age group resulted from falls (87%). Taken as a whole, falls accounted for 49%, sports related injuries 18%, bicycle and scooter 13%, assault 7%, and road traffic accidents 1.5% of all injuries. They also accounted for a far higher percentage of intrusive luxations (67%). The largest proportion of injuries occurred during the summer months (33%). Sixty-four percent of children suffered trauma to more than one tooth. Fifty-eight percent of injuries involved the dental hard tissues and pulp and the majority of these (82%) were crown fractures. Most subjects (82%) suffered trauma to their periodontal tissues, (26% concussion or subluxation, 26% lateral luxation and 23% avulsion). Injuries to the supporting bone were uncommon. Sixty-six percent of all injuries occurred outdoors. Our findings were similar to a number of published studies, but in contrast to several others. More consistency is required in the collection and reporting of trauma data to be able to draw meaningful conclusions by comparison.
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Affiliation(s)
- Graeme Wright
- Department of Paediatric Dentistry, Glasgow Dental Hospital and School, Glasgow, UK
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Cai HX, Long X, Cheng Y, Li XD, Jin HX. Dislocation of an upper third molar into the maxillary sinus after a severe trauma: a case report. Dent Traumatol 2007; 23:181-3. [PMID: 17511841 DOI: 10.1111/j.1600-9657.2006.00404.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Dental injuries are common following facial trauma. This article presents a rare injury: the dislocation of a third molar into the maxillary sinus after complex mandibular and maxillary tuberosity fractures. The possible mechanism and clinical treatment are discussed.
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Affiliation(s)
- Heng-Xing Cai
- Department of Oral Maxillofacial Surgery, College and Hospital of Stomatology, Key Laboratory for Oral Biomedical Engineering, Ministry of Education, Wuhan University, Wuhan, China
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Wright G, Bell A, McGlashan G, Vincent C, Welbury RR. Dentoalveolar trauma in Glasgow: an audit of mechanism and injury. Dent Traumatol 2007. [DOI: 10.1111/j.1600-9657.2007.00430.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Rezende FMDC, Gaujac C, Rocha AC, Peres MPSDM. A prospective study of dentoalveolar trauma at the Hospital das Clínicas, São Paulo University Medical School. Clinics (Sao Paulo) 2007; 62:133-8. [PMID: 17505697 DOI: 10.1590/s1807-59322007000200007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2006] [Accepted: 11/13/2006] [Indexed: 03/31/2023] Open
Abstract
PURPOSE This prospective study evaluated the profile of patients with dentoalveolar trauma assisted at the emergency room of the Oral and Maxillofacial Trauma and Surgery Service at the Hospital das Clínicas, São Paulo University Medical School (Brazil). METHODS A prospective study by a questionnaire applied during the first attendance of those patients, in a period of eight months. RESULTS The collected data were statistically analyzed. It was observed that 4.7% of the patients that sought treatment at the Service had sustained dentoalveolar trauma and among these 74% were male. The most affected individuals were children aged 0 to 5 years and fall was the most prevalent etiologic factor. Avulsion and coronal/crown-root fractures were the most common types of dentoalveolar traumatic injures. As the age increases, the most common etiologic factors are traffic accidents and physical assault. CONCLUSION The incidence of dentoalveolar trauma decreased with age and the main etiologic factors in adult patients were traffic accidents and physical assault.
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Affiliation(s)
- Fernanda Mendes do Carmo Rezende
- Oral and Maxillofacial Trauma and Surgery Service, Hospital das Clínicas, Medical School, São Paulo University, São Paulo, SP, Brazil
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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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Abstract
PURPOSE The purpose of this study was to evaluate the overall place of dental trauma in facial injuries. This was a retrospective investigation based on the analysis of a large amount of dentoalveolar injuries over a 10-year period. PATIENTS AND METHODS Between 1991 and 2000, 4763 of 9543 patients suffering from oral and maxillofacial injuries, sustained dentoalveolar trauma. Records of 6237 different dental injury patterns were reviewed according to the five main injury mechanisms: age, sex, type of injury, cause of accident, and frequency of dentoalveolar trauma. They were statistically analyzed using frequency distribution, chi-square test, t-test, Mann-Whitney U test, Kolmogorov-Smirnov test, and logistic regression analysis. RESULTS Household and play (2117), sports (1533), traffic accidents (438), acts of violence (426), and work-related accidents (201) were noted. A total of 4763 patients had 2988 subluxations, 2356 showed crown fractures, 444 had avulsions, 176 root fractures, 154 intrusions, and 119 patients suffered from concussions. This number of patients accounts for the prevalence of 49.9% for dentoalveolar trauma among all facial injuries. CONCLUSION Only the analysis of a large number of injuries reveals the risk of suffering from dentoalveolar trauma. Due to this fact, preventive methods can be recommended and demanded more effectively.
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Affiliation(s)
- T Tuli
- Klinische Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Universität Innsbruck.
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Blagojević D, Petrović B, Marković D. Possibilities of preventing traumatic dental injuries: A prospective study. ACTA ACUST UNITED AC 2005; 58:567-71. [PMID: 16673860 DOI: 10.2298/mpns0512567b] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Introduction The aim of this study was to investigate the most important etiological factors related to traumatic dental injuries, type of required treatment, period from injury to initial treatment and Frequency of recall appointments. Material and methods The sample consisted of 283 children with dental injuries managed at the Department of Dentistry of the Faculty of Medicine in Novi Sad. during the last 7 years. Retrospective data relied on trauma protocols of this department, whereas collected data referred to etiological factors, type of initial treatment, period from injury to initial treatment, recall appointments and complications of traumatic dental injuries. These results were compared with other similar national and international studies, in order to promote implementation of preventive strategies that would reduce the increasing frequency of dental trauma. Results Fall accidents were the most common cause of dental trauma. Injuries were most frequent in autumn, in the street, and in the afternoon hours. Single tooth injury was predominant, while the injured mostly denied previous injuries. Almost half of the injured patients did not seek professional help in the first 24 hours after the injury. 40% of treated patients missed their recall appointment. Conclusion Knowledge of the etiology is important for planning preventive, measures, but because of the complexity of etiological factors, it is difficult to prevent traumatic dental injuries. It is also important to underline the importance of immediate initial treatment of traumatized patients, and significance of their regular professional supervision. Generally speaking, almost all treatment procedures in management of traumatic dental injuries include preventive component.
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Incidence of dental trauma associated with facial trauma in Brazil: a 1-year evaluation. Br Dent J 2004. [DOI: 10.1038/sj.bdj.4811290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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