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Budak L, Levin L. Prevention of orofacial trauma in sports and beyond-What can be done further? Dent Traumatol 2024; 40:239-242. [PMID: 38738536 DOI: 10.1111/edt.12966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Affiliation(s)
- Lea Budak
- University of Zagreb, Zagreb, Croatia
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2
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Eggmann F, Filippi A, Mukaddam K. Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow-up. Dent Traumatol 2024; 40:345-352. [PMID: 38031999 DOI: 10.1111/edt.12915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 11/14/2023] [Accepted: 11/15/2023] [Indexed: 12/01/2023]
Abstract
Simultaneous avulsion of four or more teeth is a rare event. This case report examines the dental care given to an adult who, during a bicycle accident, experienced the avulsion of a mandibular incisor as well as all of his maxillary incisors. In the immediate aftermath of the accident, four out of the five incisors were located, promptly collected, and stored in a tooth rescue box, all within a 20-min window. Replantation and splinting were performed on the day of the accident. Endodontic treatment involved sequential intracanal dressing with an antibiotic-corticosteroid paste followed by calcium hydroxide prior to root canal obturation. 3 months post-accident, signs of external replacement resorption (ERR) began to appear in all the replanted teeth. The gap created by the missing maxillary central incisor was managed with a three-unit fixed dental prosthesis, despite the onset of ERR in the incisors used as abutment teeth. Regular follow-ups showed a relatively slow ERR progression rate over a span of nearly 6 years. The patient expressed satisfaction with both the esthetic and functional outcomes. This case, marked by multiple avulsions, underscores the importance of immediate and appropriate intervention alongside the imperative for carefully considered long-term management strategies. Given the decelerated bone remodeling rate in adults, ERR generally progresses at a slower pace than in children. Accordingly, this case demonstrates the viability of retaining replanted teeth over the long term, even when these teeth have been subjected to nonphysiological storage for extended durations, a factor known to impede periodontal healing.
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Affiliation(s)
- Florin Eggmann
- Department of Periodontology, Endodontology, and Cariology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
- Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Andreas Filippi
- Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
- Department of Oral Surgery, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Khaled Mukaddam
- Department of Oral Surgery, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
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3
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Ogle OE. Controversies in Dental Traumatology. Dent Clin North Am 2024; 68:151-165. [PMID: 37951631 DOI: 10.1016/j.cden.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Abstract
The management of traumatic dental injuries is more a shade of gray than it is black and white because not all treatment procedures used for dental trauma management are fully evidence based. This chapter has highlighted some of the gray areas related to the treatment and outcome of traumatic dental injuries. Significant controversies in the management of luxation and avulsive injuries have been brought out. Adjunctive treatment such as antibiotic usage, tetanus vaccination, and pain management is also addressed.
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Affiliation(s)
- Orrett E Ogle
- Oral and Maxillofacial Surgery, Woodhull Hospital, Brooklyn, NY 11206, USA.
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4
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Silva MT, Costa LC, Moura MS, Lima CCB, Almeida de Deus Moura LDF, Martins-Júnior PA, Lima MDDM. The Top 100 Most-Cited Articles on Permanent Teeth Avulsion: A Bibliometric Analysis. J Endod 2023; 49:1595-1604. [PMID: 37690496 DOI: 10.1016/j.joen.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 08/22/2023] [Accepted: 09/02/2023] [Indexed: 09/12/2023]
Abstract
INTRODUCTION Knowledge of bibliometric indices on the avulsion of permanent teeth can help researchers to identify gaps in the literature. The aim of this study was to analyze the bibliometric characteristics of the 100 most-cited articles on the avulsion of permanent teeth. MATERIALS AND METHODS Two researchers conducted an unfiltered search in the Core Collection section of the Web of Science (WoS-CC) database. The following data were extracted: position in the citation list, total number and density of citations, title, authors, institution, country, year of publication, journal, keywords, study design, tooth storage medium, and other topics of interest. Bibliometric networks were generated and analyzed using the VOSviewer software. Descriptive analysis and a Poisson regression analysis were performed (P < .05). RESULTS The number of citations per article varied between 31 and 407. The average was 70.05, and 13 articles received more than 100 citations. J.O. Andreasen (n = 13) and M. Trope (n = 15) were the authors who contributed most often to publications. The United States was the country with the highest number of articles (n = 31). Authors associated with the University of Copenhagen, Denmark (n = 9) and University of North Carolina, USA (n = 10) showed higher productivity. In vitro/animal model studies were the most frequent study designs (n = 50), and the most-discussed topic of interest was prognosis (n = 47). There was strong clustering among 13 research groups. CONCLUSION Observational studies, published by authors from Europe and about prognosis or treatment presented more citation ratio in WoS-CC. Clinical studies on permanent tooth avulsion are needed to increase the quality of scientific evidence and provide insights for health professionals and public policy makers.
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Affiliation(s)
| | - Lara Carvalho Costa
- Postgraduate Program in Dentistry, Federal University of Piauí (UFPI), Teresina, Brazil
| | - Marcoeli Silva Moura
- Department of Pathology and Dental Clinic, Federal University of Piauí (UFPI), Teresina, Brazil
| | | | | | - Paulo Antônio Martins-Júnior
- Department of Child and Adolescent Oral Health, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Kaur IP, Sharan J, Sinha P, Kumar A, Marya A. Avulsion of Permanent Mandibular Incisors: A Report of Two Cases with Pertinent Literature. Case Rep Dent 2023; 2023:6204171. [PMID: 37181618 PMCID: PMC10175012 DOI: 10.1155/2023/6204171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 04/04/2023] [Accepted: 04/13/2023] [Indexed: 05/16/2023] Open
Abstract
Introduction. This study reports two rare cases of avulsion of permanent mandibular incisors with their sequelae after being reimplanted by two contrary methods. The relevant literature regarding the avulsion of permanent mandibular incisors is also being discussed. Case Presentation. In Case I, a 9-year-old girl reported an avulsion of the permanent mandibular left lateral incisor that was immediately reimplanted within 20 minutes after injury, whereas in Case II, all four permanent mandibular incisors were avulsed and reimplanted after a prolonged extraoral dry time of 36 hours in an 18-year-old female. Both cases missed their scheduled follow-up visits and were reported after 3.5 years and 7 months, respectively, with severe root and alveolar bone resorption that was confirmed by clinical examination and Intra oral periapical radiograph (IOPA) radiographs. Discussion. Avulsion of permanent mandibular incisors is rare. The similar unfavorable outcome of contrary cases at a variable duration of time after missed follow-up illustrates the role of the appropriate treatment protocol and regular follow-up visits for the long-term success of reimplanted teeth.
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Affiliation(s)
- Ibadat Preet Kaur
- Department of Dentistry, ESI Medical College and Hospital, Alwar, Rajasthan, India
| | - Jitendra Sharan
- Unit of Orthodontics and Dentofacial Orthopedics, Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Pallawi Sinha
- Department of Prosthodontics, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India
| | - Ashok Kumar
- Department of Pedodontics and Preventive Dentistry, ESIC Dental College and Hospital, Rohini, New Delhi, India
| | - Anand Marya
- Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia
- Center for Transdisciplinary Research, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai 600077, India
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6
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Tooth Loss after Jaw Curettage Surgery: Associated Factors and Potential Benefit of Splint Application. DISEASE MARKERS 2022; 2022:7750229. [PMID: 35126790 PMCID: PMC8816549 DOI: 10.1155/2022/7750229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 01/11/2022] [Indexed: 11/17/2022]
Abstract
Background This retrospective study is aimed at (I) assessment of tooth loss and related parameters after jaw curettage of benign lesions and (II) assessment of the outcome of jaw curettage supported by splint insertion after at least six months of follow-up. Material and Methods. For (I), patients who had jaw curettage surgery in the Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University (Guangzhou, China) from July 2015 to June 2019 were included. For part (II), consecutive patients who came to the department from July to December 2019 that were additionally treated with dental splinting were involved in this study. Based on the patient records, age, gender, initial tooth mobility, follow-up outcome, and potential tooth loss (intra- or postoperatively) were recorded. Based on available radiographs, alveolar crest bone loss and root surface area supported by bone (RSA) were determined. Results (I) 128 patients with 305 teeth were included, of which 40 teeth were lost (success rate 86.9%), without statistical difference in gender, age, or tooth type (P > 0.05). Tooth mobility, RSA, and the presence of alveolar crest bone defects were associated to tooth loss (P < 0.001). (II) 17 patients with a medium follow-up period of 11 months (range 9 to 13 months) were enrolled. All lesion-involving teeth supported by splint treatment at risks of loss were preserved, showing an effective tooth retention rate in 17/17 cases (74/74 teeth, success rate: 100%). Conclusions Tooth mobility and bone loss (lesion-related and/or periodontal) are potential risk predictors for tooth loss in the first year after jaw curettage surgery. Dental splints could be recommendable for teeth involved by jaw benign lesions with little bone support.
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Baena Lopes M, Romero Felizardo K, Danil Guiraldo R, Fancio Sella K, Ramos Junior S, Gonini Junior A, Bittencourt Berger S. Photoelastic stress analysis of different types of anterior teeth splints. Dent Traumatol 2020; 37:256-263. [PMID: 33180992 DOI: 10.1111/edt.12618] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 09/08/2020] [Accepted: 09/09/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries are highly prevalent and are considered an important health problem. The aim of this study was to evaluate the in vitro stress distribution around simulated traumatized teeth subjected to different types of splints by photoelastic analysis. MATERIALS AND METHODS For each group, five models of maxillary and mandibular arches were made in photoelastic resin using prefabricated teeth models, which were fixed and adjusted in a semi-adjustable articulator. All splints were bonded with composite resin on the labial surfaces of the maxillary central incisors, the lateral incisors and the canine teeth, simulating trauma to the 11. The groups were divided according to the type of splint: control-without splint; rigid-brackets and 0.021 × 0.025 inch stainless steel wire; semi-rigid-brackets and 0.016 × 0.016 inch cobalt-chromium wire; fiber-fiberglass ribbon; and flexible-nylon thread. The groups were submitted to an occlusal force in a special device attached to a universal test machine in balanced, protrusive, and lateral occlusions. Then, the incisal edge of the 11 was ground to simulate infra-occlusion, and the tests were performed again. Five points were analyzed around tooth 11 with a polariscope, and the data were submitted to ANOVA and Tukey tests at a 5% level of significance. RESULTS When centric occlusion was analyzed by comparing normal occlusion to infra-occlusion, all groups showed high stress values in infra-occlusion with statistical differences-except for the control group. When lateral occlusion was analyzed, the nylon splint showed lower statistical differences compared with the control, fiberglass, and rigid splint groups, which did not differ between each other. The semi-rigid splint did not differ from any group. CONCLUSIONS Fiberglass and semi-rigid splints showed better stress distribution around the traumatized tooth under occlusal loads. The nylon splint showed characteristics of non-stress distribution.
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Affiliation(s)
- Murilo Baena Lopes
- Department of Restorative Dentistry, University of North Parana, Londrina, Brazil
| | | | | | - Karina Fancio Sella
- Department of Restorative Dentistry, University of North Parana, Londrina, Brazil
| | - Sérgio Ramos Junior
- Department of Restorative Dentistry, University of North Parana, Londrina, Brazil
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Abstract
Dental trauma and injuries to the dentition are difficult to treat because the treatment goals serve to restore esthetics and function. The oral and maxillofacial surgeon is often called on to coordinate the efforts of rehabilitation after a dentoalveolar injury. A comprehensive understanding of the ideal treatments and use of endodontic, orthodontic, periodontal, and pediatric dental colleagues leads to the best possible results with regards to a restoration of form and function. This article provides a succinct review of the oral and maxillofacial surgeon's treatment in dentoalveolar trauma. Epidemiology, treatment, and preventative measures are discussed in this article.
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Affiliation(s)
- Lewis C Jones
- Private Practice, Oral and Maxillofacial Surgery, Elizabethtown OMFS, Louisville, KY, USA; Oral and Maxillofacial Surgery, University of Louisville, Louisville, KY, USA.
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Cahuana-Bartra P, Cahuana-Cárdenas A, Brunet-Llobet L, Ayats-Soler M, Miranda-Rius J, Rivera-Baró A. The use of 3D additive manufacturing technology in autogenous dental transplantation. 3D Print Med 2020; 6:16. [PMID: 32710145 PMCID: PMC7379801 DOI: 10.1186/s41205-020-00070-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 07/14/2020] [Indexed: 12/26/2022] Open
Abstract
Background In medicine and dentistry, 3D technology allows the virtual planning and printing of surgical replicas of anatomical structures that can facilitate certain transplant procedures. In dentistry, 3D technology is useful in autogenous tooth transplantation. Case presentation We present a clinical case of an ectopic mandibular second premolar, describing the preoperative planning with dental replicas and the autotransplantation surgery. 3D prints of the surgical replica of the tooth to be transplanted was made using an Objet30 Prime® Printer, PolyJet. Clinical controls performed at 3, 6 and 12 months indicated the satisfactory evolution of the transplanted tooth. Conclusion 3D additive manufacturing technology allows the preparation of a new recipient socket with the aid of a surgical replica of the tooth to be transplanted, thus minimizing handling and extraoral time.
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Affiliation(s)
- Pau Cahuana-Bartra
- Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain.,Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Abel Cahuana-Cárdenas
- Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| | - Lluís Brunet-Llobet
- Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain. .,Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain.
| | - Marta Ayats-Soler
- Unit of Three-Dimentional Printing (3DP), Innovation Department, Fundació Sant Joan de Déu (FSJD), Barcelona, Spain
| | - Jaume Miranda-Rius
- Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain.,Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.,Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain
| | - Alejandro Rivera-Baró
- Department of Pediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain.,Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain
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Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, O'Connell A, Flores MT, Day PF, Hicks L, Andreasen JO, Cehreli ZC, Harlamb S, Kahler B, Oginni A, Semper M, Levin L. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2020; 36:331-342. [DOI: 10.1111/edt.12573] [Citation(s) in RCA: 116] [Impact Index Per Article: 29.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 05/19/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Ashraf F. Fouad
- Adams School of Dentistry University of North Carolina Chapel Hill NC USA
| | - Paul V. Abbott
- UWA Dental School University of Western Australia Crawley WA Australia
| | - Georgios Tsilingaridis
- Division of Orthodontics and Pediatric Dentistry Department of Dental Medicine Karolinska Institutet Huddinge Sweden
- Center for Pediatric Oral Health Research Stockholm Sweden
| | - Nestor Cohenca
- Department of Pediatric Dentistry University of Washington and Seattle Children’s Hospital Seattle WA Australia
| | - Eva Lauridsen
- Resource Center for Rare Oral Diseases Copenhagen University Hospital Copenhagen Denmark
| | | | - Anne O'Connell
- Paediatric Dentistry Dublin Dental University Hospital Trinity College Dublin The University of Dublin Dublin Ireland
| | - Marie Therese Flores
- Department of Pediatric Dentistry Faculty of Dentistry Universidad de Valparaíso Valparaíso Chile
| | - Peter F. Day
- School of Dentistry Community Dental Service Bradford District Care NHS Trust University of Leeds Leeds UK
| | - Lamar Hicks
- Division of Endodontics University of Maryland School of DentistryUMB Baltimore MD USA
| | - Jens Ove Andreasen
- Department of Oral and Maxillofacial Surgery Resource Centre for Rare Oral Diseases University Hospital in Copenhagen (Rigshospitalet) Copenhagen Denmark
| | - Zafer C. Cehreli
- Department of Pediatric Dentistry Faculty of Dentistry Hacettepe University Ankara Turkey
| | - Stephen Harlamb
- Faculty of Medicine and Health The University of Sydney Sydney NSW Australia
| | - Bill Kahler
- School of Dentistry The University of Queensland St Lucia QLD Australia
| | - Adeleke Oginni
- Faculty of Dentistry College of Health Sciences Obafemi Awolowo University Ile‐Ife Nigeria
| | | | - Liran Levin
- Faculty of Medicine and Dentistry University of Alberta Edmonton AB Canada
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11
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Zhang L, Zhang X, Gong Y. Treatment of avulsed immature permanent teeth in Beijing China: A retrospective comparison between 2008 and 2015. Dent Traumatol 2020; 36:498-504. [PMID: 32216025 DOI: 10.1111/edt.12557] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 03/12/2020] [Accepted: 03/12/2020] [Indexed: 12/14/2022]
Affiliation(s)
- Lili Zhang
- Department of General Dentistry and Integrated Emergency Dental Care Beijing Stomatological Hospital Capital Medical University Beijing China
| | - Xin Zhang
- Department of General Dentistry and Integrated Emergency Dental Care Beijing Stomatological Hospital Capital Medical University Beijing China
| | - Yi Gong
- Department of General Dentistry and Integrated Emergency Dental Care Beijing Stomatological Hospital Capital Medical University Beijing China
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Abstract
The objective of this manuscript was to review the literature on dental trauma splints and discuss materials used for splinting injured teeth in terms of their properties and conditions that are required for optimal stabilization. A literature search was conducted in the PubMed database with the keywords: "trauma splints", "dental trauma" and "traumatic dental injuries". The search was limited to English language publications. 42 publications fulfilled the inclusion criteria and were in accordance with the current recommendations. Optimal splinting of the teeth after trauma is one of the main predictors for pulpal and periodontal healing. The splints stabilize and protect the teeth, creating favorable conditions for the regeneration of the supporting tissues. Their application and removal should be easy and fast without any additional irritating of the surrounding tissues. The materials used to stabilize the injured teeth should keep the tooth in the original position, allowing for its physiological mobility.
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13
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Survival of a Maxillary Incisor in an Adolescent Male 16 Years after Its Delayed Replantation. Dent J (Basel) 2019; 7:dj7040101. [PMID: 31623181 PMCID: PMC6961055 DOI: 10.3390/dj7040101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Revised: 08/27/2019] [Accepted: 10/10/2019] [Indexed: 11/16/2022] Open
Abstract
Introduction: Recreational and sport activities, traffic accidents and human behaviour represent the main causes of trauma in young people. Case presentation: This report describes a case of a 15.2-year-old male who suffered uncomplicated crown fracture and avulsion of tooth 11 and uncomplicated crown fracture of tooth 21 due to a bicycle accident. Tooth 11 was dry stored and it was replanted 18 h after the trauma. The root was planed to remove the necrotic periodontal tissue, the pulp was extirpated before replantation and a flexible splint was applied to tooth 13 to tooth 23 for 3 weeks. A replacement root resorption of replanted tooth was suspected at the 3-month radiographic control and suffered a dramatic increase later; minimal infraocclusion, about 1 mm, was observed due to its ankylosis. Sixteen years after the trauma the patient was scheduled for an orthodontic and implanto-prosthetic rehabilitation. Conclusion: Delayed replantation usually has a long-term poor prognosis, so it is very important to promote awareness regarding emergency management modalities in dental traumatology especially among parents, school teachers, and coaches that are usually present at the site of the accident.
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Day PF, Duggal M, Nazzal H. Interventions for treating traumatised permanent front teeth: avulsed (knocked out) and replanted. Cochrane Database Syst Rev 2019; 2:CD006542. [PMID: 30720860 PMCID: PMC6363052 DOI: 10.1002/14651858.cd006542.pub3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Traumatic dental injuries are common. One of the most severe injuries is when a permanent tooth is knocked completely out of the mouth (avulsed). In most circumstances the tooth should be replanted as quickly as possible. There is uncertainty on which interventions will maximise the survival and repair of the replanted tooth. This is an update of a Cochrane Review first published in 2010. OBJECTIVES To compare the effects of a range of interventions for managing traumatised permanent front teeth with avulsion injuries. SEARCH METHODS Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 8 March 2018), Cochrane Central Register of Controlled Trials (CENTRAL; 2018, Issue 2) in the Cochrane Library (searched 8 March 2018), MEDLINE Ovid (1946 to 8 March 2018), and Embase Ovid (1980 to 8 March 2018). The US National Institutes of Health Ongoing Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA We considered randomised and quasi-randomised controlled trials that included a minimum follow-up period of 12 months, for interventions for avulsed and replanted permanent front teeth. DATA COLLECTION AND ANALYSIS Two review authors independently selected studies, extracted data and assessed the risk of bias. Authors were contacted where further information about their study was required. MAIN RESULTS Four studies, involving a total of 183 participants and 257 teeth were identified. Each of the interventions aimed to reduce infection or alter the inflammatory response or both at the time of or shortly after the tooth or teeth were replanted. Each study assessed a different intervention and therefore it was not appropriate or possible to numerically synthesise the data. All evidence was rated as being of very low quality due to problems with risk of bias and imprecision of results. This means that we are very uncertain about all of the results presented in this review.One study at high risk of bias with 69 participants (138 teeth) compared a 20-minute soak with gentamycin sulphate for both groups prior to replantation with the experimental group receiving daily hyperbaric oxygen for 80 minutes for the first 10 days. There was some evidence of a benefit for the hyperbaric oxygen group in respect of periodontal healing, tooth survival, and pulpal healing.One study at unclear risk of bias with 22 participants (27 teeth) compared the use of two root canal medicaments, Ledermix and Ultracal. There was insufficient evidence of a difference for periodontal healing or tooth survival. This was the only study to formally report adverse events with none identified. Study authors reported that Ledermix caused a greater level of patient dissatisfaction with the colour of avulsed and replanted teeth.A third study at high risk of bias with 19 participants compared extra- or intra-oral endodontics for avulsed teeth which were stored dry for longer than 60 minutes before replantation. There was insufficient evidence of a difference in periodontal healing.The fourth study at high risk of bias with 73 participants compared a 10-minute soak in either thymosin alpha 1 or saline before replantation followed by daily gingival injections with these same medicaments for the first 7 days. There was some evidence of a benefit for thymosin alpha 1 with respect to periodontal healing and tooth survival. AUTHORS' CONCLUSIONS Based on the results of the included studies, there is insufficient evidence to support or refute the effectiveness of different interventions for avulsed and replanted permanent front teeth. The overall quality of existing evidence was very low, and therefore great caution should be exercised when generalising the results of the included trials. There is urgent need for further well-designed randomised controlled trials.
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Affiliation(s)
- Peter F Day
- Leeds Dental InstituteDepartment of Paediatric DentistryClarendon WayLeedsUKLS2 9LU
| | - Monty Duggal
- Faculty of Dentistry, National University of SingaporeDepartment of Paediatric Dentistry9 Lower Kent Ridge Road Level 10National University Centre for Oral HealthSingaporeSingapore119085
| | - Hani Nazzal
- Leeds Dental InstituteDepartment of Paediatric DentistryClarendon WayLeedsUKLS2 9LU
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15
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Abstract
The aim of the study was to review literature data on incidence and outcomes of traumatic dental injuries (TDI) in pediatric population. A systematic search was conducted using Elibray, Pubmed/Medline, Scopus databases in October 2018. Reference lists were also hand-searched to identify additional literature. The most prevalent complication of TDI is pulp necrosis (PN) which triggers inflammatory root resorption (IRR). PN and IRR are however much more specific for mature permanent teeth. In immature teeth pulp revascularization may occur even after avulsion. Pulpectomy timing is well defined for mature teeth only. It is accepted that pulp extirpation should be performed in the first 10 days after trauma. In immature teeth no criteria exist with pulp electrosensitivity having very low negative prognostic value as drop of pulp sensitivity because of trauma not necessary indicate PN. Follow-up protocol for immature teeth with various TDI would be useful for proper timing of pulpectomy and prevention of IRR.
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Affiliation(s)
- M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M S Rakhmanova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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16
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Boschini L, Tepedino M, Melillo M, Mastrangelo F, Laurenziello M, Chimenti C, Lo Muzio L, Ciavarella D. Autotransplantation of an impacted maxillary canine with complete root formation in a young female – a case report. ACTA ACUST UNITED AC 2018. [DOI: 10.1111/ors.12393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - M. Tepedino
- Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy
| | - M. Melillo
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - F. Mastrangelo
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - M. Laurenziello
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - C. Chimenti
- Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy
| | - L. Lo Muzio
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
| | - D. Ciavarella
- Department of Clinical and Experimental Medicine University of Foggia Foggia Italy
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de Gregorio C, Cohenca N, Romano F, Pucinelli CM, Cohenca N, Romero M, Lucisano MP, Assed Bezerra da Silva R, Assed Bezerra da Silva L. The effect of immediate controlled forces on periodontal healing of teeth replanted after short dry time in dogs. Dent Traumatol 2018; 34:336-346. [DOI: 10.1111/edt.12427] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 07/06/2018] [Accepted: 07/09/2018] [Indexed: 01/28/2023]
Affiliation(s)
- Cesar de Gregorio
- Department of Dentistry; University Rey Juan Carlos; Madrid Spain
- Department of Pediatric Dentistry; University of Washington and Seattle Childrens Hospital. Private practice limited to endodontics in Seattle; WA
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
| | - Nestor Cohenca
- Department of Pediatric Dentistry; University of Washington and Seattle Childrens Hospital. Private practice limited to endodontics in Seattle; WA
| | - Fabio Romano
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
| | - Carolina M. Pucinelli
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
| | - Nathalie Cohenca
- Department of Psychiatry and Behavioral Sciences; Harborview Medical Center; University of Washington; Seattle Washington
| | - Martin Romero
- Department of Dentistry; University Rey Juan Carlos; Madrid Spain
| | - Marilia P. Lucisano
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
| | - Lea Assed Bezerra da Silva
- Department of Pediatric Dentisty; School of Dentistry of Ribeirao Preto; University of Sao Paulo; Ribeirao Preto Brazil
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Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M. Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth. Dent Traumatol 2018; 39:401-411. [PMID: 22230724 DOI: 10.1111/j.1600-9657.2011.01103.x] [Citation(s) in RCA: 271] [Impact Index Per Article: 45.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.
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Affiliation(s)
- Anthony J Diangelis
- Department of Dentistry, Hennepin County Medical Center and University of Minnesota School of Dentistry, Minneapolis, MN, USA;, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415, USA.
| | - Jens O Andreasen
- Center of Rare Oral Diseases, Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshopitalet, Denmark
| | - Kurt A Ebeleseder
- Department of Conservative Dentistry, Medical University Graz, Graz, Austria
| | - David J Kenny
- Hospital for Sick Children and University of Toronto, Toronto, Canada
| | - Martin Trope
- Department of Endodontics, School of Dentistry, University of Pennsylvania, Philadelphia, PA, USA
| | - Asgeir Sigurdsson
- Department of Endodontics, UNC School of Dentistry, Chapel Hill, NC, USA
| | - Lars Andersson
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center Kuwait University, Kuwait City, Kuwait
| | | | - Marie Therese Flores
- Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile
| | - Morris Lamar Hicks
- Department of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA
| | | | - Barbro Malmgren
- Department of Clinical Sciences Intervention and Technology, Division of Pediatrics, Karolinska University Hospital, Stockholm, Sweden
| | - Alex J Moule
- Private Practice, University of Queensland, Brisbane, Australia
| | - Yango Pohl
- Department of Oral Surgery, University of Bonn, Bonn, Germany
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19
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Deotale SP, Shewale AH, Gattani DR, Nathani AI, Banode AM. Reliability of two different protocols used for intentional re-implantation of periodontally hopeless teeth. J Indian Soc Periodontol 2018; 22:353-359. [PMID: 30131630 PMCID: PMC6077966 DOI: 10.4103/jisp.jisp_170_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 05/17/2018] [Indexed: 11/09/2022] Open
Abstract
Intentional re-implantation is the careful removal and re-insertion of an endodontically treated tooth performed with an attempt to preserve the natural dentition and patients' esthetic concerns. Its limited success rate and a possibility to obtain undesirable outcomes such as root resorption and ankylosis of the tooth restrict its clinical use to be attempted only as a last option after routine procedures. A vast array of procedures have been performed till date with inconsistent results due to lack of analogous protocols followed. Regardless of having a controversial background behind its success in periodontally compromised teeth, this procedure raises a hope to avoid unwarranted natural tooth loss. Performing each step with precision governs the success of the treatment. This case report demonstrates two different techniques with an interdisciplinary approach assessed over 1 year each.
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Affiliation(s)
| | | | - Deepti Rakesh Gattani
- Department of Periodontology, SDKS Dental College and Hospital, Nagpur, Maharashtra, India
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20
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Spinas E, Mameli A, Giannetti L. Traumatic Dental Injuries Resulting from Sports Activities; Immediate Treatment and Five Years Follow-Up: An Observational Study. Open Dent J 2018; 12:1-10. [PMID: 29430263 PMCID: PMC5791204 DOI: 10.2174/1874210601812010001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 11/29/2017] [Accepted: 12/15/2017] [Indexed: 11/22/2022] Open
Abstract
Background: Traumatic dental injuries (TDIs) represent 18-30% of all oral pathologies and a considerable number of these are sports related. It is very important to treat sports-related injuries and prevent complications. However, very few studies investigate the most expedient therapeutic strategies for the treatment of dental trauma correlated to sports. Objective: The aim of this work was to focus on the average recovery time for different lesions, to assess adequate times for each athlete, to identify any association with complications and to investigate whether or not the use of mouth-guards interfered with a full recovery to normal health. Methods: This study involved a group of 30 athletes (15 male and 15 female) who had dental injuries of varying severity. For the purposes of data collection, two classifications were taken into account: a classification for hard tissue trauma and another for periodontal lesions. The athletes were subdivided in “type of lesion’ groups”.They were then treated depending on their individual lesions and followed up for 5 years. A statistical analysis was carried out to study the association between recovery time, lesion types and occurrence of complications. Results: The time for recovery was different for each type of lesion and ranged from 3-5 days (only uncomplicated fractures) to 14 days (all hard-periodontal tissue traumas). The total number of recorded pulp complications amounted to 6 cases. Among 30 athletes, 20 had begun and maintained, during the five-year follow-up period, the habit of using mouth-guards when practicing their sport activities. Conclusions: Recovery time and the severity of lesions are statistically associated: the more serious the injury, the more time an athlete needs to recover and return to competitive sports events. Furthermore, recovery time and precautionary measures (mouth-guards) did not influence the onset of complications. The subjects’ habit of wearing a mouth guard continued even after the end of the therapy and follow-up periods.
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Affiliation(s)
- Enrico Spinas
- Department of Surgical Sciences, Sports Dental Research Center, University of Cagliari, Cagliari, Italy
| | - Antonello Mameli
- Department of Surgical Sciences, Sports Dental Research Center, University of Cagliari, Cagliari, Italy
| | - Luca Giannetti
- Department of Surgical Sciences, Pedodontics Division, University of Modena-Reggio, Modena, Italy
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21
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Ong D, Itskovich Y, Dance G. Autotransplantation: a viable treatment option for adolescent patients with significantly compromised teeth. Aust Dent J 2016; 61:396-407. [DOI: 10.1111/adj.12420] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2016] [Indexed: 12/26/2022]
Affiliation(s)
- D Ong
- Orthodontic Department; School of Dentistry; The University of Queensland; Brisbane Queensland
| | - Y Itskovich
- Orthodontic Department; The University of Otago; Dunedin New Zealand
| | - G Dance
- Townsville Oral and Maxillofacial Surgery; Private Practice; Townsville Queensland Australia
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22
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Chafaie A. Luxations partielle et totale des dents permanentes chez l’enfant : la prise en charge clinique. Int Orthod 2016. [DOI: 10.1016/j.ortho.2015.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kahler B, Hu JY, Marriot-Smith CS, Heithersay GS. Splinting of teeth following trauma: a review and a new splinting recommendation. Aust Dent J 2016; 61 Suppl 1:59-73. [DOI: 10.1111/adj.12398] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- B Kahler
- School of Dentistry; The University of Queensland; Queensland Australia
| | - J-Y Hu
- Private Practice; Melbourne Victoria Australia
| | - CS Marriot-Smith
- School of Dentistry; The University of Adelaide; South Australia Australia
| | - GS Heithersay
- School of Dentistry; The University of Adelaide; South Australia Australia
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24
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Chafaie A. Partial and total luxations of permanent teeth in children: Clinical management. Int Orthod 2016; 14:32-47. [PMID: 26826972 DOI: 10.1016/j.ortho.2015.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Dentoalveolar trauma, very frequent during childhood and adolescence, generally results in tooth fracture and/or partial or total luxation. Management of the pulpal and periodontal aspects of these traumatic cases is complex. The prognosis is improved if treatment is initiated promptly. Multidisciplinary management of these situations and regular patient follow-up make it possible to detect complications quickly and take the necessary action to maintain the teeth as long as possible in a healthy periodontal environment that allows harmonious development and the application of appropriate treatment in adulthood.
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Affiliation(s)
- Amir Chafaie
- Odontologie pédiatrique, faculté d'odontologie, université Aix-Marseille, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France.
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Priya M H, Tambakad PB, Naidu J. Pulp and Periodontal Regeneration of an Avulsed Permanent Mature Incisor Using Platelet-rich Plasma after Delayed Replantation: A 12-month Clinical Case Study. J Endod 2016; 42:66-71. [DOI: 10.1016/j.joen.2015.07.016] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2011] [Revised: 07/03/2015] [Accepted: 07/24/2015] [Indexed: 01/09/2023]
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Sharif MO, Tejani-Sharif A, Kenny K, Day PF. A systematic review of outcome measures used in clinical trials of treatment interventions following traumatic dental injuries. Dent Traumatol 2015; 31:422-8. [DOI: 10.1111/edt.12227] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2015] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Kate Kenny
- Department of Paediatric Dentistry; School of Dentistry, University of Leeds; UK
| | - Peter F. Day
- Department of Paediatric Dentistry; School of Dentistry, University of Leeds; UK
- Salaried Dental Service; Bradford District Care Trust; Bradford UK
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Abstract
CONTEXT Orofacial and dental trauma continues to be a commonly encountered issue for the sports medicine team. All sports have some risk for dental injury, but "contact sports" presumably incur more risk. Immediate evaluation and proper management of the most common injuries to dentition can result in saving or restoration of tooth structure. Despite the growing body of evidence, mouth guard use and dental protection have not paralleled the increase in sports participation. EVIDENCE ACQUISITION A PubMed search from 1960 through April 2012 was conducted, as well as a review of peer-reviewed online publications. RESULTS Common dental injuries in sports include tooth (crown) fractures; tooth intrusion, extrusion, and avulsion; and temporomandibular joint dislocation. Mouth guards help prevent most injuries and do not significantly affect ventilation or speech if fitted properly. CONCLUSION A working knowledge of the presentation as well as management of commonly encountered dental trauma in sports is essential to the immediate care of an athlete and returning to play. Mouth guard use should be encouraged for athletes of all ages in those sports that incur significant risk.
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Affiliation(s)
- Eliot J Young
- CHRISTUS Santa Rosa Primary Care Sports Medicine Fellowship/Sports Medicine Associates of San Antonio, San Antonio, Texas
| | | | - Lindsay Stephens
- CHRISTUS Santa Rosa Family Medicine Residency, San Antonio, Texas
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28
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Age and Timing of Pulp Extirpation as Major Factors Associated with Inflammatory Root Resorption in Replanted Permanent Teeth. J Endod 2014; 40:366-71. [DOI: 10.1016/j.joen.2013.10.009] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 10/02/2013] [Accepted: 10/02/2013] [Indexed: 11/18/2022]
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29
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Chung WC, Tu YK, Lin YH, Lu HK. Outcomes of autotransplanted teeth with complete root formation: a systematic review and meta-analysis. J Clin Periodontol 2014; 41:412-23. [DOI: 10.1111/jcpe.12228] [Citation(s) in RCA: 90] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Wen-Chen Chung
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Clinical Periodontics of Dental Department; Taipei Medical University Hospital; Taipei Taiwan
| | - Yu-Kang Tu
- Institute of Epidemiology and Preventive Medicine; College of Public Health; National Taiwan University; Taipei Taiwan
| | - Yi-Hung Lin
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Division of Periodontics; Department of Dentistry; Changhua Christian Hospital; Changhua Taiwan
| | - Hsein-Kun Lu
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Clinical Periodontics of Dental Department; Taipei Medical University Hospital; Taipei Taiwan
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Baginska J, Wilczynska-Borawska M. Continuing dental education in the treatment of dental avulsion: Polish dentists' knowledge of the current IADT guidelines. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2013; 17:e88-e92. [PMID: 23279420 DOI: 10.1111/j.1600-0579.2012.00765.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/15/2012] [Indexed: 06/01/2023]
Abstract
OBJECTIVES To evaluate the knowledge and experience of the treatment of avulsed teeth amongst Polish dentists 5 years after the publication of IADT guidelines. METHODS On the basis of IADT guidelines, a voluntary anonymous 12-item questionnaire was developed to evaluate dentists' knowledge on the treatment of avulsed teeth. The survey was conducted during three continuing education courses, which took place in Bialystok, Poland and covered 133 dentists. Data were analysed with Statistica 6.0 using Mann-Withney U- and Kruskal-Wallis tests (P < 0.05). RESULTS The study revealed that Polish dentists were not prepared to deal with dental avulsion. 63.2% of respondents have never treated such patients, and 68.45% have never attended any postgraduate course on dental trauma. Sufficient knowledge was presented only according to the way of cleaning a contaminated tooth. Lack of knowledge was observed in fields: method of choice in first aid in dental avulsion (23.3% of correct answers) and critical extra-oral dry time (26.3%). Dentists practising <10 years had better knowledge than those with greater experience (P = 0.0000). Gender, previous experience in the treatment of avulsion, postgraduate education in dental trauma and subjective knowledge assessment were not statistically significant. CONCLUSIONS There is a gap in the system of continuing dental education in Poland. Polish dentists need to familiarise themselves with the avulsion management procedures.
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Affiliation(s)
- J Baginska
- Department of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland.
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Early prognostic indicators and outcome prediction model for replanted avulsed teeth. Eur Arch Paediatr Dent 2012; 13:203-9. [DOI: 10.1007/bf03262871] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012; 39:412-419. [PMID: 22409417 DOI: 10.1111/j.1600-9657.2012.01125.x] [Citation(s) in RCA: 341] [Impact Index Per Article: 28.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals' opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of avulsed permanent teeth.
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Affiliation(s)
- Lars Andersson
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait.
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Kumbuloglu O, Saracoglu A, Ozcan M. Pilot study of unidirectional E-glass fibre-reinforced composite resin splints: up to 4.5-year clinical follow-up. J Dent 2011; 39:871-7. [PMID: 22001066 DOI: 10.1016/j.jdent.2011.09.012] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2011] [Revised: 09/19/2011] [Accepted: 09/27/2011] [Indexed: 10/16/2022] Open
Abstract
OBJECTIVES This prospective clinical pilot study evaluated the performance of fibre-reinforced-composite resin (FRC) splints on mandibular anterior teeth. METHODS Between June-2003 and January-2008, 19 patients (7 females, 12 males, 45-72 years old) from a group of consecutive patients who completed periodontal therapy received E-glass FRC splints (everStick Perio, StickTech) in combination with two types of flowable and restorative resin-composites (Filtek Flow, Filtek Supreme, n=11; Tetric Flow, Tetric-Ceram, n=8). Only patients with vital teeth, presenting mobility of grade 3, having at least one canine with no mobility on both sides of the dental arch were assigned for a splint therapy. The patients were recalled for periodical follow-up controls first at 6 months and thereafter annually. The evaluation protocol involved technical failures [chipping, debonding or fracture (tooth/restoration)] and biological failures (caries)]. Periodontal pocket depth (PPD) and clinical attachment level (CAL) were measured 6 months after splinting and annually. Six sites were measured for each natural tooth at the mesiobuccal, buccal, distobuccal, distolingual, lingual and mesiolingual sites. RESULTS All splints were applied from canine to canine in the mandible. In total, 5 recalls were performed and no drop-out was experienced. One partial debonding of the FRC splint with Tetric Flow/Tetric-Ceram combination was observed after 40 months. No caries was found around any of the splints and no teeth had to be extracted until the final follow up. The splinted teeth were found to be vital in the vitality tests. Overall survival rate was 94.8% (Kaplan-Meier). The survival rate was not significantly affected by the composite type (Filtek-Flow/Filtek Supreme: 100%, Tetric Flow/Tetric Ceram: 96% (p=0.92) [Kaplan-Meier, Log Rank (Mantel-Cox) (CI=95%)]. Hazard ratio for Tetric Flow/Tetric Ceram group was 0.05 (95% CI) and for Filtek Flow/Filtek Supreme group 0.00 (95% CI). Whilst overall PPD measurements of the dentition ranged between 6 and 12 mm, the CAL measurements ranged between 4.9 and 10mm at baseline. The mean PPD for the splinted teeth decreased from 8.9±1.8 mm to 5.2±1.2 mm, and CAL decreased from 7.2±1.6 mm to 4.6±1 mm at the end point. CONCLUSION Direct tooth splinting with E-glass FRC material performed successfully up to 4.5 years. Periodontal status of the splinted teeth showed decreased PPD and CAL.
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Affiliation(s)
- Ovul Kumbuloglu
- Department of Prosthodontics, Ege University, School of Dentistry, Izmir, Turkey
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36
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Zhang X, Gong Y. Characteristics of avulsed permanent teeth treated at Beijing Stomatological Hospital. Dent Traumatol 2011; 27:379-84. [DOI: 10.1111/j.1600-9657.2011.01024.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Turkistani J, Hanno A. Recent trends in the management of dentoalveolar traumatic injuries to primary and young permanent teeth. Dent Traumatol 2011; 27:46-54. [DOI: 10.1111/j.1600-9657.2010.00950.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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Garattini G, Armienti P, Porcari S, Vizzari A. Reimpianto dentario post-traumatico: stabilizzazione con metodica ortodontica e presentazione di un caso clinico a 27 anni di distanza. DENTAL CADMOS 2011. [DOI: 10.1016/j.cadmos.2010.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Andreasen JO, Ahrensburg SS, Tendal B. Inappropriate use of meta-analysis in an evidence-based assessment of the clinical guidelines for replanted avulsed teeth. Timing of pulp extirpation, splinting periods and prescription of systemic antibiotics. Dent Traumatol 2010; 26:451-2. [DOI: 10.1111/j.1600-9657.2010.00911.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Use of Evidence-Based Decision-Making in Private Practice for Emergency Treatment of Dental Trauma: EB Case Report. J Evid Based Dent Pract 2010; 10:135-46. [DOI: 10.1016/j.jebdp.2009.12.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Emerich K, Wyszkowski J. Clinical practice: dental trauma. Eur J Pediatr 2010; 169:1045-50. [PMID: 20058022 DOI: 10.1007/s00431-009-1130-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2009] [Accepted: 12/08/2009] [Indexed: 10/20/2022]
Abstract
Approximately 50% of children under the age of 15 are victims of various kinds of injuries in the orofacial region. Post-traumatic complications may occur, including crown discolouration, cervical root fracture, ankylosis, root resorption and tooth loss. The most severe complication after dental injury in primary dentition can affect the developing permanent tooth germ, and various consequences may be seen several years later when the permanent tooth erupts. In the permanent dentition, the most severe dental injury affects the surrounding alveolar bone structure and will lead to loss of the tooth. Current literature emphasises that awareness of appropriate triage procedures following dental trauma is unsatisfactory and that delay in treatment is the single most influential factor affecting prognosis. What should a paediatrician know, and more importantly, how should he/she advise parents and caretakers? In an emergency situation such as tooth avulsion, reimplantation within 30 min is the best treatment option at the site of the accident. If reimplantation of the tooth is impossible, milk, saline or even saliva are the preferred transport media. The prognosis for an avulsed tooth depends upon prompt care, which is a determinant factor for successful treatment of the traumatised tooth. In all other dental trauma cases, it is important to refer the child to a paediatric dentist, to follow up the healing process and reduce late post-traumatic complications. With timely interventions and appropriate treatment, the prognosis for healing following most dental injuries is good. In conclusion, it is important that paediatricians are able to inform parents and caretakers about all possible and long-lasting consequences of different dental injuries.
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Affiliation(s)
- Katarzyna Emerich
- Department of Paediatric Dentistry, Medical University of Gdansk, ul Orzeszkowej 18, 80-208 Gdansk, Poland.
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Splinting duration and periodontal outcomes for replanted avulsed teeth: a systematic review. Br Dent J 2009. [DOI: 10.1038/sj.bdj.2009.567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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