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O'Connell AC, Olegário IC. International teaching practices in dental trauma education. Dent Traumatol 2024; 40:152-160. [PMID: 37915297 DOI: 10.1111/edt.12906] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 10/13/2023] [Accepted: 10/16/2023] [Indexed: 11/03/2023]
Abstract
BACKGROUND/AIM Several publications highlight the insufficient knowledge possessed by dentists and dental students regarding the management of traumatic dental injuries (TDIs). A lack of clinical experience during Undergraduate (UG) education could explain the reported deficits in managing dental trauma post-graduation. Despite its importance in dentistry, there are very few reports on how, where and who teaches Dental Traumatology (DT) in the UG curriculum. The aim of this study was to investigate teaching practices in DT around the world in UG education. MATERIALS AND METHODS UG educators involved in DT teaching activities were invited to complete an online questionnaire hosted on Qualtrics®. The survey consisted of close-ended and open-ended questions on their teaching practices in DT. Only one answer per institution was included in the final descriptive analysis. RESULTS A total of 203 responses from 164 institutions were obtained from 69 countries. All institutions reported that DT is included in their UG curriculum, and is mainly taught within Paediatric Dentistry and Endodontics. Most teaching and evaluation was delivered in traditional format. The number of contact hours dedicated to DT teaching activities ranged from 2 to 185 h (median = 10). Only 35% of institutions had a unified approach across disciplines. DT was taught as a separate course/module in 23% of the universities. Insufficient exposure to emergency care and the lack of formal clinical exposure to TDI was highlighted by many institutions. The need for a core curriculum was supported by 84% of the institutions with agreement on essential topics required at UG level. CONCLUSIONS Teaching practices in DT varied internationally. Very few teaching hours were devoted to DT and many institutions identified a need for increased clinical exposure. There was a desire for a standardised coherent approach to DT in the UG education with suggestions to improve educational resources.
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Affiliation(s)
- Anne C O'Connell
- Dublin Dental University Hospital, School of Dental Science, Trinity College Dublin, Dublin, Ireland
| | - Isabel C Olegário
- Dublin Dental University Hospital, School of Dental Science, Trinity College Dublin, Dublin, Ireland
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2
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Ravi M, Tewari N, Atif M, Srivastav S, Shrivastava N, Rahul M. Comparative assessment of scientific reach and utilization of the International Association of Dental Traumatology 2020 guidelines: An altmetric and citation analysis. Dent Traumatol 2024; 40:229-237. [PMID: 37775956 DOI: 10.1111/edt.12893] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 09/14/2023] [Accepted: 09/14/2023] [Indexed: 10/01/2023]
Abstract
BACKGROUND/AIM The updated version of the International Association of Dental Traumatology (IADT) guidelines was published online in May 2020 in the form of four papers. They are extensively used in dental trauma education in textbooks, undergraduate and postgraduate programs, and clinical workshops. Hence, this study aimed to assess the impact, global scientific reach, and utilization of these guidelines through altmetric and citation analysis. MATERIAL AND METHODS The protocol was prepared after an expert group discussion. Dimensions database was used to derive the altmetric and citation data on April 10th, 2023. The data was extracted by using a self-designed pre-piloted form by two authors independently. The citing articles were further categorized into the type of study and the domains and subdomains of dental traumatology. The VOSviewer program was utilized to explore the correlation between the subdomains and the overlap of citations was assessed by creating a citation matrix. RESULTS A total of 552 citations had been collectively received by the four papers. The highest was seen for the guidelines for fracture and luxation in permanent teeth (FL), avulsion in permanent teeth (AV), general introduction (GI), and primary teeth (PT). Dental Traumatology had the maximum number of citing papers for each guideline. They were from 52 countries with English being the commonest language. Overall, the maximum number of citations had been received in narrative reviews (n = 104) and the majority of cited papers were categorized in the therapeutic domains. The most common subdomain for the papers that cited GI, FL, and AV was "treatment protocols in permanent teeth", while it was "awareness of prevention and emergency management of traumatic dental injuries" for the papers that had cited PT. CONCLUSIONS This analysis highlighted that the IADT 2020 guidelines are globally popular resources, which are widely used by the researchers across specialities and are intended towards clinical application.
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Affiliation(s)
- Mugilan Ravi
- Department of Paediatric Dentistry, All India Institute of Medical Sciences, Raipur, India
| | - Nitesh Tewari
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Atif
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Sukeshana Srivastav
- Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Nikhil Shrivastava
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Morankar Rahul
- Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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D'Amico C, Fiorillo L, Cervino G, Cicciù M, Laino L. Dental trauma and prevention guidelines: a narrative review. Minerva Dent Oral Sci 2023; 72:332-341. [PMID: 37310194 DOI: 10.23736/s2724-6329.23.04802-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Dental injuries affect different patients every day in conditions that can range from domestic, work, or road accidents. As for traumas in the age of development, the field is restricted to domestic, sports, and school environments. The purpose of this study was to clarify the current protocols in the literature to limit and manage this type of pathology. This narrative review considers the literature of the last 20 years on this topic in different ways. The literature is in agreement with dividing the treatments into primary and secondary and also according to what is the place where the trauma occurred to evaluate the type of intervention. However, all protocols are aimed at implementing efficient preventive strategies rather than having to solve a problem subsequently, certainly, new protocols and protection systems can limit this problem which leads not only to more or less complex problems related to oral health and aesthetics but also possible subsequent psychological problems.
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Affiliation(s)
- Cesare D'Amico
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy -
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
- Department of Prosthodontics, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Marco Cicciù
- School of Dentistry, Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | - Luigi Laino
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
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Beyene MMR, Bårdsen A, Klock KS, Sulo G, Thelen DS. Orthodontic management of traumatic dental injuries in Norway and orthodontists' perceptions of referral routines: A quality assurance survey. Dent Traumatol 2023; 39:469-477. [PMID: 37254307 DOI: 10.1111/edt.12854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 04/28/2023] [Accepted: 05/02/2023] [Indexed: 06/01/2023]
Abstract
BACKGROUND/AIM Orthodontic treatment of patients with traumatic dental injuries is challenging, with limited evidence of routines and outcomes. The aims of this study were: (i) to describe how orthodontists perceive the information on traumatic dental injuries received by referral from the Public Dental Health Service before orthodontic treatment and (ii) to assess orthodontists' knowledge and working routines in managing traumatic dental injuries. MATERIALS AND METHODS Data were obtained through a survey of all practicing orthodontists registered as members of the Norwegian Association of Orthodontists (n = 203). RESULTS Eighty-three orthodontists were enrolled, most of whom had received their dental degree (73.0%) and specialist orthodontic training (88.5%) in Norway. They reported examining patients with a history of traumatic dental injury at weekly (34.2%) or monthly (38.0%) basis. In 85.5% of cases, they obtained a history of traumatic dental injury from patients. Half of the respondents (51.3%) favoured two-phase early orthodontic treatment for patients with an overjet ≥6 mm. The observation time and treatment strategy showed considerable discrepancies across traumatic dental injury diagnoses. Most (59.1%) orthodontists considered the information on previous traumatic dental injuries provided by the Public Dental Health Services referral 'inadequate', more commonly in cases of mild (83.5%) than severe (57.5%) traumatic dental injuries. CONCLUSIONS Orthodontic management of patients with traumatic dental injuries was characterised by lack of uniformity in both recommended observation time before orthodontic treatment and management strategy. The referral routines by the Public Dental Health Services for patients with traumatic dental injuries were perceived as 'inadequate' in terms of frequency and quality. The results indicate the requirement of standardisation of routines related to orthodontic management of traumatic dental injuries and referral routines by the Public Dental Health Services.
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Affiliation(s)
| | - Asgeir Bårdsen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Kristin Solveig Klock
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Gerhard Sulo
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Oral Health Center of Expertise in Western Norway, Bergen, Norway
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Firmiano TC, de Morais GRS, Oliveira AA, Arruda KEM, Silva MAGS, Veríssimo C. The effect of pulp volume and impact direction on the stress and strain distribution during an impact. Dent Traumatol 2023; 39:214-222. [PMID: 36688517 DOI: 10.1111/edt.12818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 01/02/2023] [Accepted: 01/03/2023] [Indexed: 01/24/2023]
Abstract
BACKGROUND/AIM Dentoalveolar trauma has a high incidence in different age groups, including the extremes, children, and older people. Mouth aging leads to some changes, one of them being the pulp volume reduction. The aim of this study was to evaluate the influence of different pulp cavity volumes and the impact direction on the stress and strain distribution of a maxillary central incisor. MATERIAL AND METHODS Twenty cone beam computed tomography sets of images were selected and the pulp cavity volume was measured by ITK-SNAP software. The mean pulp cavity volume for age group of 10- to 12-year-olds was calculated to obtain the largest one. Subsequent reductions (25%, 50%, 75% and 100%) in the pulp volume values were made to simulate the aging process. The maxilla anterior segment was modeled in the Rhinoceros 5.0 software. The three-dimensional volumetric mesh was generated using the Patran software (MSC. Software), with isoparametrics, 4-noded tetrahedral elements, and exported to Marc/Mentat (MSC. Software) as element number 134. A non-linear dynamic impact analysis was performed in which a steel ball reached the central incisor at a speed of 5 m/s in the horizontal or vertical direction. The stresses were evaluated by modified von Mises stresses. The strains and the total displacement were also recorded. RESULTS The pulp volume mean value for the age group of 10- to 12-year-olds was 65.05 mm3 . Stress concentrations were slightly different for the different pulp volumes. Impact directions resulted in different stress distribution. Higher stress values were present with the horizontal impact (range between 25.18 MPa and 24.08 MPa for enamel and 38.89 MPa and 37.03 for dentin) when compared to vertical impact (range between 15.30 MPa and 14.58 for enamel and 24.77 to 22.03 MPa for dentin). Total displacement was different for the two impact directions and higher for the horizontal impact. CONCLUSION Pulp volume did not significantly affect the stress, strain, and total displacement during the impact but the impact direction did affect the evaluated parameters during impact.
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Affiliation(s)
| | | | | | | | | | - Crisnicaw Veríssimo
- Department of Oral Rehabilitation, Federal University of Goiás, Goiânia, Brazil
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Bulut E, Güçlü ZA. Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, part 2: dental injury types, treatment strategies, and complications. Clin Oral Investig 2023; 27:727-737. [PMID: 36502510 DOI: 10.1007/s00784-022-04820-3] [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: 03/11/2022] [Accepted: 11/26/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES This article focuses on treatments and complications in patients presenting dental trauma in primary teeth. Treatment alternatives begin with the decision of performing a procedure under clinical settings or pharmacological techniques (PC) in young children. Correct diagnosis and treatment are crucial to maximize the chances of a favorable outcome. MATERIALS AND METHODS The files of 320 patients aged 0-9 years who presented to the Erciyes University Faculty of Dentistry Department for dental trauma management in primary teeth were evaluated in between 2018 and 2021 for 3-year period. The following information were extracted from patients' records: injury type, affected teeth, caries condition of the teeth, treatment preferences of the dentists. Additionally postoperative complications and their management were evaluated. RESULTS While 63.1% of the traumatized teeth were caries-free, 35.8% of the teeth had caries. The most frequent dental injuries was simple crown fractures (42.9%), followed by complicated crown fractures (38.5%). Treatments were mostly done in clinical conditions (67.9%) and mostly patients attend regularly to follow-up visits (85.6%). Clinicians prefer more radical treatments under sedation or GA (92.4% extraction of injured tooth). Coronal discoloration was the most common complication, and 35.3% had pulp necrosis for longer term results. CONCLUSION Follow-up decisions made after concussion in the primary teeth might be appropriate for the patient. Examination of the complication status of primary teeth with simple crown fracture injury revealed that 59.5% of patients did not have any complications. Follow-up decisions were found to be appropriate for crowns with coloration alone. CLINICAL RELEVANCE All options should be considered to provide the best care for children after primary tooth trauma; this can be achieved by being informed about the treatment and its consequences, and if necessary, a positive prognosis can be achieved with an interdisciplinary approach.
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Affiliation(s)
- Esra Bulut
- Department of Pediatric Dentistry, Faculty of Dentistry and Hospitals, Erciyes University, Melikgazi, Kayseri, 38039, Turkey
| | - Zeynep Aslı Güçlü
- Department of Pediatric Dentistry, Faculty of Dentistry and Hospitals, Erciyes University, Melikgazi, Kayseri, 38039, Turkey.
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Incisal Interference Correction after Severe Extrusive Luxation Trauma during Orthodontic Treatment. Case Rep Dent 2022; 2022:7181481. [DOI: 10.1155/2022/7181481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/14/2022] [Accepted: 10/31/2022] [Indexed: 11/16/2022] Open
Abstract
This case report presents the treatment of a 12-year-old boy who suffered serious dental trauma, accompanied with buccal alveolar socket wall fractures, during orthodontic treatment. The maxillary right lateral incisor and canine were severely extruded and laterally luxated to the palatal side, resulting in an anterior crossbite and creating an incisal interference that prevented the jaws from closing in normal occlusion. During emergency treatment, the dentist attempted manual repositioning, but both severely extruded teeth were found to be immobile. One day after trauma, orthodontic repositioning was started using full fixed appliances with light 0.012″ nickel–titanium round wires, and this occlusal interference was corrected within 3 weeks. In the various internationally recognized treatment guidelines, the options for orthodontic repositioning for dental luxation trauma are only marginally described. Internationally accepted dental treatment guidelines may include immediate orthodontic repositioning after trauma as a treatment option in the management of dental extrusive and lateral luxation trauma.
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8
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Lin S, Moreinos D, Wisblech D, Rotstein I. Regenerative endodontic therapy for external inflammatory lateral resorption following traumatic dental injuries: Evidence assessment of best practices. Int Endod J 2022; 55:1165-1176. [PMID: 35947093 PMCID: PMC9828210 DOI: 10.1111/iej.13811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND External inflammatory lateral resorption (EILR) following dental trauma is a severe complication that can lead to significant root loss and tooth extraction. OBJECTIVE The aim of this project was to review current evidence in the literature on regenerative endodontic therapy (RET) for EILR following traumatic injuries and assess the best treatment practices. METHODS Publications appearing in PubMed, from January 1, 2001 to January 9, 2022 were studied. Inclusion criteria were: (a) Publications in English; (b) Publications on RET and EILR; (c) Teeth subjected to dental trauma; and (d) Presence of intracanal bleeding and blood clots. Exclusion criteria were: (a) Conference proceedings; (b) Lectures; (c) Abstracts; and (d) Letters to editor; (e) Non-English publications. RESULTS 355 publications were analysed. Nine met all inclusion criteria. In 10 (58.8%) teeth, triple antibiotic paste was used for an average of 26 days. Double antibiotic paste was used in 3 (17.6%) teeth for an average of 14 days. In 3 (17.6%) cases, calcium hydroxide (Ca(OH)2 ) was used for 14 days and negative pressure irrigation was applied once on 1 (6%) tooth. DISCUSSION Using RET to treat EILR has some advantages compared to long term CA(OH)2 dressing. RET requires shorter dressing time compared to CA(OH)2 . This can significantly improve patient compliance. Additionally, in immature teeth, RET helps to arrest root resorption leading to continued root maturogenesis and revascularization. It is recommended that a meticulous follow-up should be conducted when RET is performed to assure early detection of treatment failure. CONCLUSIONS RET appears to be a good treatment modality producing biologic repair and improving prognosis in cases of EILR in post-traumatic tooth/pulp injuries. The key limitation of this study is that all publications included were either case reports or case series that usually tend to report successful outcome.
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Affiliation(s)
- Shaul Lin
- The Israeli National Center for Trauma & Emergency Medicine ResearchGertner InstituteTel HashomerIsrael,Department of EndodonticsRambam Health Care CampusHaifaIsrael,The Ruth and Bruce Rappaport Faculty of MedicineTechnion ‐ Israel Institute of TechnologyHaifaIsrael
| | - Daniel Moreinos
- Endodontic DepartmentOral and Maxillofacial Institute, Galilee Medical CenterNahariyaIsrael,The Azrieli Faculty of MedicineBar‐Ilan UniversitySafedIsrael
| | - Dekel Wisblech
- Department of EndodonticsRambam Health Care CampusHaifaIsrael
| | - Ilan Rotstein
- University of Southern CaliforniaLos AngelesCaliforniaUSA
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Lam R, Naoum S, Abbott P, Goonewardene MS. The impact of mini-implant hybrid hyrax maxillary expansion on pulp blood flow and sensibility in healthy and traumatized teeth: A prospective study. Am J Orthod Dentofacial Orthop 2022; 162:247-256. [PMID: 35534401 DOI: 10.1016/j.ajodo.2021.03.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 03/20/2021] [Accepted: 03/20/2021] [Indexed: 11/01/2022]
Abstract
INTRODUCTION We aimed to assess pulp blood flow (PBF) and pulp sensibility changes in healthy and traumatized teeth undergoing maxillary expansion with a mini-implant hybrid hyrax appliance. METHODS Forty-five patients requiring maxillary expansion either with mini-implant supported hyrax expander (MARME) or tooth-borne hyrax expander (RME) had the pulp status of their maxillary anterior teeth assessed using laser Doppler flowmetry, electric pulp testing, and thermal testing (carbon dioxide snow). The study cohort was divided into 4 groups on the basis of expansion appliance (MARME or RME) and trauma experience (trauma or nontrauma). Each patient was tested before expansion, 2 weeks after expansion, and 3 months after expansion (T3). Relationships between PBF, time interval, and trauma were evaluated using linear mixed modeling. RESULTS Healthy teeth with RME or MARME expansion had reestablished pretreatment PBF at T3 (P >0.05). Traumatized teeth undergoing RME did not reach pretreatment PBF at T3 (P ≤0.05). There were no statistically significant changes in PBF in the MARME+Trauma group at all time intervals (P >0.05). A reduction in pulp blood flow occurred during rapid maxillary expansion from both expansion appliances; however, the relative reduction of PBF in MARME was less than with RME (P ≤0.05) 2 weeks after expansion. Most teeth across all groups (≥85%) maintained pulp sensibility at all time intervals regardless of whether there was a history of trauma. CONCLUSIONS Patients with transverse discrepancies and a history of trauma may benefit from MARME as evidenced by reduced changes in PBF compared with RME without affecting pulp sensibility.
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Affiliation(s)
- Raymond Lam
- From the University of Western Australia Dental School, the University of Western Australia, Nedlands, Western Australia, Australia
| | - Steven Naoum
- From the University of Western Australia Dental School, the University of Western Australia, Nedlands, Western Australia, Australia
| | - Paul Abbott
- From the University of Western Australia Dental School, the University of Western Australia, Nedlands, Western Australia, Australia
| | - Mithran S Goonewardene
- From the University of Western Australia Dental School, the University of Western Australia, Nedlands, Western Australia, Australia.
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10
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Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, Part 1: Epidemiology. Clin Oral Investig 2022; 26:6783-6794. [PMID: 35854135 DOI: 10.1007/s00784-022-04638-z] [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: 03/04/2022] [Accepted: 07/12/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES The retrospective study reported herein was the first of three that investigated dental trauma in primary teeth. This article discusses the study that aimed to reveal the epidemiology of trauma with data such as prevalence, risk factors, and types of injuries, and to highlight prevention. MATERIALS AND METHODS The records of 320 patients aged 0-9 years who visited the Erciyes University Faculty of Dentistry Pedodontics Department due to dental trauma were evaluated according to the age, gender, medical condition, season, oral habits, trauma environment/type/cause, personal characteristics, and number of siblings. The chi-square test was used to compare the categorical variables by group. RESULTS Of the patients, 25.9% were aged 24-35 months at the time of study, 62.8% were male, 38.1% had two siblings, 37.2% had a sucking habit, 93.4% had a healthy medical condition, 41.3% experienced the trauma in summer, and 26.3% were aged 30-34 months at the time they incurred the trauma. Of the traumas, 54.1% were caused by falling, 60% occurred at home, 23% pertained to lateral luxation, and 70% were incurred when the patients were with their mother. CONCLUSION Given the results of this study, mothers with low education levels should be informed about their children's risk of incurring injuries from falling at home, especially in summer. Parents should also be warned that their children's oral habits increase their risk of trauma. CLINICAL RELEVANCE This study can help increase the knowledge level of clinicians, can raise social awareness, and can guide plan formulation for preventing risks.
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Lin S, Moreinos D, Kaufman AY, Abbott PV. Tooth Resorption - Part 1: The evolvement, rationales and controversies of tooth resorption. Dent Traumatol 2022; 38:253-266. [PMID: 35559593 PMCID: PMC9546147 DOI: 10.1111/edt.12757] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/18/2022] [Accepted: 04/19/2022] [Indexed: 12/27/2022]
Abstract
In 1966, Andreasen and Hjørting‐Hansen were the first to describe a relationship between tooth resorption and dental trauma. However, Andreasen's original classification did not include other resorptive processes which have since been identified. Numerous articles have been published suggesting new terminology and definitions for tooth resorption. A uniform language with universally accepted terminology is crucial to eliminate the multiplicity of terms and definitions which only cause confusion within the profession. An electronic literature search was carried out in the PubMed database using the following keywords for articles published in English: “root resorption,” “inflammatory root resorption,” “replacement resorption,” “cervical resorption,” “trauma,” “ankylosis,” “surface resorption,” and “internal resorption.” The search also included textbooks and glossaries that may not have surfaced in the online search. This was done to identify articles related to tooth resorption and its etiology in dentistry. The aim of this review was to present the history that has led to the variety of terms and definitions for resorption. This review emphasizes the need for a clearer, simpler, and more comprehensive nomenclature for the various types of tooth resorption which are presented in Part 2 of this series.
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Affiliation(s)
- Shaul Lin
- Department of Endodontic and Dental Trauma, Rambam Health Care Campus, Haifa, Israel.,The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.,The Gertner Institute Emergency Management and Disaster Medicine, Sheba Medical Center, Tel Hashomer, Israel
| | - Daniel Moreinos
- Endodontics Department, Galilee Medical Center, Nahariya, Israel.,The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
| | - Arieh Y Kaufman
- Department of Endodontic and Dental Trauma, Rambam Health Care Campus, Haifa, Israel
| | - Paul V Abbott
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
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12
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Tian J, Lim JJJ, Moh FKC, Siddiqi A, Zachar J, Zafar S. Parental and training coaches' knowledge and attitude towards dental trauma management of children. Aust Dent J 2022; 67 Suppl 1:S31-S40. [PMID: 35510930 PMCID: PMC9790494 DOI: 10.1111/adj.12913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND The aim of this study was to evaluate parental and training coaches' knowledge and attitude towards traumatic dental injuries (TDIs) among children. MATERIAL AND METHODS A 31-item questionnaire was distributed to the parents and training coaches attending local sporting clubs in Brisbane region, Australia. The questionnaire consisted of five parts (i) demographic and professional information; (ii) TDIs in the primary dentition; (iii) fractures and subluxation of permanent teeth (iv) avulsion of permanent teeth, and (v) information and knowledge related to the management of traumatized teeth. The jamovi (Version 1.6.3) and GraphPad Prism were used for data analysis. RESULTS A total of 233 participants were surveyed, 211 parents and 22 coaches. Of all types of injuries, parental knowledge of managing avulsion to permanent teeth was poorest (9.5%), followed by management of injuries of primary teeth (17.5%) and management of fractures or subluxation of permanent teeth (29.4%). Parents in health care occupations had higher satisfaction on self-knowledge in managing TDIs however there was no significant difference in knowledge levels between health care personnel and other professions (P = 0.128). There was a discrepancy between the lack of knowledge and willingness to further self-educate with online platforms being the preferred medium. CONCLUSION The study showed a gap in parents' and training coaches' knowledge regarding the management of TDIs among children.
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Affiliation(s)
- J Tian
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia
| | - JJJ Lim
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia
| | - FKC Moh
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia
| | - A Siddiqi
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia,School of Dentistry and Oral HealthGriffith UniversitySouthportQueenslandAustralia
| | - J Zachar
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia
| | - S Zafar
- School of DentistryThe University of QueenslandBrisbaneQueenslandAustralia
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Wimalarathna AAAK, Herath EMUCK, Senarath NH, Fonseka MCN, Manathunga MMKM, Nawarathna LS, Andersson L. Introduction of an interactive tool (the Dental Trauma Guide) in the undergraduate dental teaching to manage traumatic dental injuries. Dent Traumatol 2021; 37:717-724. [PMID: 34120401 DOI: 10.1111/edt.12687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 05/03/2021] [Accepted: 05/03/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries (TDI) are complex problems where lack of proper care may result in serious complications. The need to improve the management of TDI is a frequently addressed concern. Methods of improvement in their diagnosis and management are continuously evolving. The interactive Internet tool, the Dental Trauma Guide (DTG), helps to simplify diagnostic and management dilemmas. However, it is not a freely available tool. The aim of the current study was to assess the knowledge and diagnostic skills of undergraduate dental students with access to the DTG compared with students without such access, in order to validate and promote this tool in dental education. MATERIALS AND METHODS Two groups of students were randomly selected where one group of final year dental undergraduate students were exposed to lectures, demonstrations, discussions and tutorials on the management of TDI according to the standard undergraduate curriculum in Sri Lanka. Another test group of 21 students were provided with access to DTG during their training in paediatric dentistry. At the end of the study period, students were assessed on their knowledge of TDI using MCQs (Multiple Choice Questions) and OSCEs (Objective Structured Clinical Examination), based on the DTG. RESULTS The students with access to the DTG were more knowledgeable in providing the correct answers to three out of the seven OSCE questions. Evaluation based on the MCQs did not reveal a significant difference (p = .913). However, users of the DTG showed a statistically significant difference with better overall knowledge based on their answers (p = .028). Following this period of evaluation, all of the students were provided with access to the DTG to supplement their learning experience. CONCLUSION The Dental Trauma Guide is a useful supplementary tool for undergraduate students to arrive at a correct diagnosis and treatment plan for TDI.
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Affiliation(s)
- A A A K Wimalarathna
- Department of Prosthetic Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - E M U C K Herath
- Division of Paedodontics, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - N H Senarath
- Division of Paedodontics, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - M C N Fonseka
- Department of Restorative Dentistry, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - M M K M Manathunga
- Technical Officer, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka
| | - L S Nawarathna
- Department of Statistics & Computer Science, Faculty of Science, University of Peradeniya, Peradeniya, Sri Lanka
| | - L Andersson
- Oral & Maxillofacial Surgery, Faculty of Odontology, Malmö University, Malmo, Sweden
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Patel S, Puri T, Mannocci F, Navai A. Diagnosis and Management of Traumatic Dental Injuries Using Intraoral Radiography and Cone-beam Computed Tomography: An In Vivo Investigation. J Endod 2021; 47:914-923. [PMID: 33705831 DOI: 10.1016/j.joen.2021.02.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 02/28/2021] [Accepted: 02/28/2021] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The aim of this study was to compare periapical radiographs (PRs) and upper standard occlusal (USO) radiographs with cone-beam computed tomographic (CBCT) imaging on clinicians' confidence in the diagnosis and management of traumatic dental injuries (TDIs). METHODS This study included 35 maxillary anterior teeth from 25 patients with at least 1 PR (parallax view) and a CBCT scan. Fourteen patients also had a USO radiograph. Ten examiners selected a diagnosis and treatment plan, which were compared with a reference standard. Sensitivity, specificity, positive and negative predictor values, and receiver operating characteristic analysis were used to determine the diagnostic accuracy. RESULTS CBCT imaging exhibited significantly higher sensitivity than both conventional radiographic techniques combined (PRs and PRs + USO radiographs) for all diagnoses (TDI: 99% vs 84%, lateral luxation: 80% vs 34%, extrusions: 92% vs 42%, and cortical plate fracture: 58% vs 1%) other than horizontal root fractures in which the results were close to statistical significance (88% vs 69%). CBCT imaging was significantly more accurate for all diagnoses (TDI: 91% vs 70%, lateral luxations: 83% vs 61%, extrusive luxations: 92% vs 68%, alveolar cortical plate fractures: 78% vs 48%, and horizontal root fractures: 93% vs 82%). Examiners had the most confidence with CBCT imaging and the least confidence in diagnosing using PRs + USO radiographs than with PRs alone. Agreement with management plans was significantly better using CBCT imaging compared with PRs and PRs + USO radiographs. CONCLUSIONS CBCT imaging improved the clinical diagnosis of TDIs. The addition of USO radiographs to PRs did not improve the diagnosis of TDIs in this investigation. CBCT imaging improved confidence in the diagnosis of TDI cases and treatment planning compared with conventional radiography.
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Affiliation(s)
- Shanon Patel
- Centre for Oral, Clinical and Translational Science, King's College London Dental Institute, London, United Kingdom; Specialist Practice, London, United Kingdom.
| | - Taranpreet Puri
- Centre for Oral, Clinical and Translational Science, King's College London Dental Institute, London, United Kingdom
| | - Francesco Mannocci
- Centre for Oral, Clinical and Translational Science, King's College London Dental Institute, London, United Kingdom
| | - Aram Navai
- Centre for Oral, Clinical and Translational Science, King's College London Dental Institute, London, United Kingdom
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Eden E, Buldur B, Duruk G, Ezberci S. Web-based dental trauma database using Eden Baysal dental trauma index: a turkish multicenter study. Eur Oral Res 2021; 55:21-27. [PMID: 33937758 PMCID: PMC8055256 DOI: 10.26650/eor.20210077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Purpose To describe the prevalence and pattern of traumatic dental injuries (TDIs) among Turkish children in a web-based and multicenter design using Eden Baysal Dental Trauma Index (EBDTI). Materials and methods The study sample consisted dental trauma patients aging 1-15 years and a webbased form was developed and used to record the information of the patients' clinical and radiographic findings including EBDTI. The obtained data also included patient gender, age at the initial date of trauma, date of trauma, cause of injury and emergency treatment. Data were analyzed using Pearson Chi-square and Fisher's exact tests. Results A total of 280 traumatized teeth in 252 patients were evaluated. Dental trauma was seen more in boys and 7-10 years age group (p<0.05). There were significant differences between permanent and deciduous teeth with regard to uncomplicated and complicated crown fracture rate (p<0.05). The root fractures were mostly located at the apical third of the root in both dentitions. Conclusion TDI was associated with age, gender, and type of dental trauma. EDBTI provided easy and proper recording of multiple dental injuries and maturity of the apex and it was found to be a very useful tool to facilitate online recordings of dental injuries.
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Affiliation(s)
- Ece Eden
- Department of Pediatric Dentistry, Faculty of Dentistry,Ege University, İzmir, Turkey
| | - Burak Buldur
- Department of Pediatric Dentistry, Faculty of Dentistry,Cumhuriyet University, Sivas,Turkey
| | - Gulsum Duruk
- Department of Pediatric Dentistry, Faculty of Dentistry,Inonu University, Malatya,Turkey
| | - Sibel Ezberci
- Department of Pediatric Dentistry, Faculty of Dentistry,Uşak University, Uşak,Turkey
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CİFTCİ V, SERİN B. Dentists’ Knowledge about Management of Traumatic Dental Injuries in Turkey: A Cross-Sectional Study. CUMHURIYET DENTAL JOURNAL 2021. [DOI: 10.7126/cumudj.824880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Bissinger R, Müller DD, Hickel R, Kühnisch J. Survival analysis of adhesive reattachments in permanent teeth with crown fractures after dental trauma. Dent Traumatol 2020; 37:208-214. [PMID: 33180986 DOI: 10.1111/edt.12613] [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: 02/17/2020] [Revised: 09/23/2020] [Accepted: 09/25/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM When patients have saved tooth fragments in case of crown fractures, reattachment is considered as the treatment of choice. With respect to the need to provide clinical outcome data regarding adhesively reattached fragments, the aim of this practice-based clinical study was to evaluate the survival of reattached fragments after crown fractures in permanent teeth. MATERIALS AND METHODS Records from patients treated at Ludwig-Maximilians-University between 2004 and 2017 were analyzed to collect clinical and radiographic data regarding the management of fractured teeth that were treated with an adhesive reattachment. The study population consisted of 109 patients comprising 135 reattached fragments divided into uncomplicated (N = 84/135) and complicated (N = 51/135) crown fractures. The Kaplan-Meier Survival estimator was used to estimate the survival probability of primary reattachments after uncomplicated and complicated crown fractures. RESULTS Overall, 77.4% (N = 65/84) and 66.6% (N = 34/51) of the primarily applied reattachments in uncomplicated fractured teeth and complicated fractured teeth, respectively, survived over the period of observation. The survival rate for adhesive reattachment in all teeth was 84.4% (N = 114/135) after 608.2 days (±983.1 days). The data further suggest that in the case of a detachment, repeated reattachment might be a valuable restoration strategy. CONCLUSIONS Adhesive reattachment is a good first-choice treatment option in cases of crown fractures when the fractured fragment has been saved.
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Affiliation(s)
- Ricarda Bissinger
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Daniel David Müller
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Jan Kühnisch
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany
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Complex Dentoalveolar Fractures: Main Clinical Variables Description and Analysis. J Craniofac Surg 2020; 31:e761-e765. [PMID: 33136904 DOI: 10.1097/scs.0000000000006711] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
AIMS AND OBJECTIVES To analyze and evaluate clinical features that define complex dentoalveolar trauma. MATERIALS AND METHODS Forty-five patients, with a mean age of 36.1 years, were included in the study; most patients were male (82.2%). The main clinical features defining dentoalveolar fractures were evaluated, including the status of the tooth, alveolar socket and adjacent soft tissues and their relationships with tooth loss. The relationship between splinting and tooth loss was also studied. The data were analyzed using descriptive and statistical methods. RESULTS A significant relationship was observed between the different clinical variables and tooth loss, in particular the status of the alveolar socket as the most relevant clinical factor; there was also a significant relationship between splinting and tooth loss, as this was the main protective factor. CONCLUSIONS Tooth loss prognosis following complex dentoalveolar trauma is related to the clinical features of the fracture, particularly the status of the alveolar socket and the possibility of using splinting as treatment.
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Yuan JX, Yang KY, Ma J, Wang ZZ, Guo QY, Liu F. Step-by-step teaching method: improving learning outcomes of undergraduate dental students in layering techniques for direct composite resin restorations. BMC MEDICAL EDUCATION 2020; 20:300. [PMID: 32917189 PMCID: PMC7488449 DOI: 10.1186/s12909-020-02230-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 09/07/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Layering techniques for direct composite resin restorations might be complicated for inexperienced learners, as a number of materials and instruments are required at each step. The present study aimed to compare and assess the teaching effect of step-by-step and all-in-one teaching methods in layering techniques for direct composite resin restorations among undergraduate dental students. METHODS A total of 68 junior dental students participated in this study, which was a prospective and single-blind trial. The students were randomly divided into a step-by-step group (experimental group, n = 34) and all-in-one group (control group, n = 34). The same teacher taught the two groups, ensuring a comparable teaching effect. The final score of each student was an average of scores by two experts who were blinded to the grouping. The scoring system was consisted by five parts. Each part was assigned scores of 3.0, 1.5, or 0. The total maximum score was 15 and minimum was 0. The total time taken by each group was also calculated. RESULTS The values of the quality of tooth restorations evaluated by experts for step-by-step and all-in-one groups were 11.29 ± 2.13 from 15 and 9.00 ± 2.71 from 15 (t = 3.88, P < 0.001), respectively. In addition, the time spent by the experimental group was significantly lesser than that spent by the control group, which was 122.47 ± 2.82 and 137.18 ± 6.75 min, respectively (t = 11.72, p < 0.001). CONCLUSION With regard to the layering techniques for direct composite resin restorations, the outcomes were better in the step-by-step group than in the all-in-one group.
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Affiliation(s)
- Jia-Xue Yuan
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China
- Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi Wu Road No.98, Xi'an, 710004, PR China
| | - Ke-Yu Yang
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China
- Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi Wu Road No.98, Xi'an, 710004, PR China
| | - Jing Ma
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China
- Department of Endodontics, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, 710004, PR China
| | - Zhen-Zhen Wang
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China
- Department of Prosthodontics, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, 710004, PR China
| | - Qing-Yu Guo
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China
- Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi Wu Road No.98, Xi'an, 710004, PR China
| | - Fei Liu
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, PR China.
- Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi Wu Road No.98, Xi'an, 710004, PR China.
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Lam R, Goonewardene MS, Naoum S. Pulp blood flow and sensibility in patients with a history of dental trauma undergoing maxillary expansion. Angle Orthod 2020; 90:695-701. [PMID: 33378486 DOI: 10.2319/022520-129.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 05/01/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To assess changes in pulp blood flow (PBF) and pulp sensibility (PS) in teeth of patients with a history of dental trauma undergoing maxillary expansion. MATERIALS AND METHODS Twenty-five patients requiring rapid maxillary expansion (RME) had the pulp status of their maxillary anterior teeth assessed using laser Doppler flowmetry, electric pulp testing, and thermal testing (CO2 snow). Each patient was tested at T1 (prior to expansion), T2 (2 weeks after rapid expansion), and T3 (3 months after expansion). Relationships between PBF, time interval, and history of trauma were evaluated using linear mixed modelling. RESULTS Within the Trauma group, PBF was significantly lower (P ≤ .05) at T2 and T3 in comparison to T1 and significantly lower (P ≤ .05) at T2 in comparison to T3. In the Non-trauma group, PBF at T2 was significantly lower (P ≤ .05) than PBF at T1 and T3; however, no significant difference (P > .05) in PBF was observed when comparing PBF at T1 and T3. In both groups, PS was maintained in almost all teeth (>90%). CONCLUSIONS RME in healthy teeth causes reduction of PBF before reestablishment of pretreatment values. RME in traumatized teeth causes reduction of PBF without PBF being reestablished to pretreatment levels. Teeth with a history of compromise may have reduced adaptive capacity under insults such as RME, which should be appreciated during the informed consent process.
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Galvão AK, Cabral GM, Miranda AF, Baeder FM, Santos MT. Tooth avulsion accidents due to urgent and emergency orotracheal intubation. Med Oral Patol Oral Cir Bucal 2020; 25:e353-e358. [PMID: 32040466 PMCID: PMC7211367 DOI: 10.4317/medoral.23375] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 10/14/2019] [Indexed: 11/16/2022] Open
Abstract
Background Intubation is necessary during critical situations to reduce the risk of death. In Brazil, a need exists to determine the prevalence of tooth avulsions in emergency and urgent care. The objective of this study was to identify the causes of orotracheal intubation (OTI), the number of tooth avulsions, and the avulsed teeth that result from urgent and emergency intubation.
Material and Methods The sample consisted of 116 patients (total group) in intensive care units (ICUs) distributed across Group 1 (G1), which was composed of 71 patients from an urgent-care hospital, and Group 2 (G2), which was composed of 45 patients from an emergency hospital. Clinical examinations showed dental alveolus with signs of recent exodontia in the upper and lower anterior regions. Sociodemographic data and the reason for intubation were evaluated. The Shapiro-Wilk normality test, chi-square test, Fisher’s exact test, Mann-Whitney U test, and univariate logistic regression were performed with a significance level of 5%.
Results The avulsion prevalence was 4.3%, with more cases receiving emergency intubation (n=4). All avulsions occurred in adults, and a significant difference (p=0.011) was observed with regard to the elderly. A 1-year reduction in age increased the chance of tooth avulsion during intubation by 1.09 times; being female increased the chance by 2.88 times.
Conclusions Pulmonary problems were the major causes of intubation, with the highest tooth avulsion prevalence observed during emergency intubation. The avulsed teeth were 11, 12, 13, 22, 32, and 33 across all cases. Key words:Tooth avulsion, tooth injuries, intubation, intensive care units, emergencies.
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Affiliation(s)
- A-K Galvão
- Universidade Cruzeiro do Sul Rua Constantino de Sousa, 454, apto 141 zip code: 04605-001, São Paulo - SP, Brazil
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Lisboa SO, Assunção CM, Junkes MC, Yokoyama MF, Couto ACF, Fraiz FC, Paiva SM, Ferreira FM. Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries? PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Lessa SV, Silva AMPD, Santos LAD, Vieira MS, Seabra LMAD, Ferreira DDC. Trauma in Primary Teeth at a Specialized Service Center: Retrospective Cohort. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Eden E, Baysal M, Andersson L. Eden Baysal Dental Trauma Index: Face and content validation. Dent Traumatol 2019; 36:117-123. [PMID: 31705735 DOI: 10.1111/edt.12525] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 11/04/2019] [Accepted: 11/04/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND/AIM Recording of traumatic dental injuries in the emergency situation with a simple and easily recordable index that will also enable computer registration is advantageous. The aim of this paper is to present a new index to facilitate recording traumatic dental injuries and assess its face and content validity. MATERIALS AND METHODS The index included information on the type of injury related to the affected structures (enamel, dentin, cement, pulp, periodontal ligament, and alveolar bone) in accordance with Andreasen's classification. In addition, injuries to the alveolar bone and the maturity of the root were included. Fifteen dental trauma experts from 11 different countries rated the codes and content of the "Eden Baysal Dental Trauma Index" using the RAND modified e-Delphi consensus method. A statement was considered valid after reaching 75% consensus among panel members. Two rounds were necessary for reaching consensus on seven statements and the definition. The last version of the index was then presented online to a feedback group that included 10 experts from five countries to determine the external validity by representative cases. RESULTS The wording of the definition showed 92.8% agreement in the first round. Statements 1 and 2 gave information about the structure of the index and both reached 90% agreement in the first round. Definition and statements from 1 to 7 reached agreement as 93.3%, 93.3%, 100%, 93.3%, 80%, 93.3%, 80%, and 93.3%, respectively, in the second round. Most of the experts in the feedback group reported that the index was useful and user-friendly. CONCLUSION After a total of two rounds with the panel members and one round with the feedback group, the "Eden Baysal Dental Trauma Index" was approved for face and content validity and external validity was obtained.
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Affiliation(s)
- Ece Eden
- Department of Pedodontics, School of Dentistry, Ege University, İzmir, Turkey
| | | | - Lars Andersson
- Department Oral and Maxillofacial Surgery and Medicine, Faculty of Odontology, Malmö University, Malmö, Sweden
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Cagetti MG, Marcoli PA, Berengo M, Cascone P, Cordone L, Defabianis P, De Giglio O, Esposito N, Federici A, Laino A, Majorana A, Nardone M, Pinchi V, Pizzi S, Polimeni A, Privitera MG, Talarico V, Zampogna S. Italian guidelines for the prevention and management of dental trauma in children. Ital J Pediatr 2019; 45:157. [PMID: 31801589 PMCID: PMC6894327 DOI: 10.1186/s13052-019-0734-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 10/14/2019] [Indexed: 11/10/2022] Open
Abstract
Dental trauma is a frequent occurrence in children and adolescent and a correct diagnosis and treatment are essential for a favourable long-term prognosis. The present Guidelines aim to formulate evidence-based recommendations to assist dentists, paediatricians, surgeons, teachers, school and sport staff, parents in the prevention and first aid of dental trauma in children and to provide a careful assessment of the medico-legal implications, reviewing the first draft of the guidelines published in 2012. A multidisciplinary panel on the behalf of the Italian Ministry of Health and in collaboration with the WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, developed this document. The following four queries were postulated: 1) Which kind of precautions the health personnel, parents, sports and educational personnel must activate in order to prevent the dental trauma damage? 2) How an orofacial trauma in paediatric patients should be managed either in the Emergency Care Unit and/or in private dental office? 3) What criteria should be adopted by a dentist private practitioner to fill in a certificate in cases of dental and/or tempomandibular joint trauma occurring in children and adolescents? 4) What are the elements that should lead clinicians to suspect a non-accidental dental trauma? A systematic review and analysis of the scientific literature published in English, Italian and French from 2007 to 2017 regarding dental trauma in children and adolescents aged 0-18 years was performed, and about 100 papers were analysed and included. The following four domains were analysed and discussed: Dental Trauma Prevention Strategies and Health Education, First aid in orofacial and dental trauma, Certificate of the dental trauma, Oral and dental signs of child abuse and neglect. Twenty-eight recommendations were draw up and codified by the panel according to the Methodological handbook, produced by the Istituto Superiore di Sanità, in order to guide physicians in the prevention and first aid of dental trauma in children and adolescents. In addition, a careful assessment of the medico-legal implications is reported in this document.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, Milan, IT-20142 Italy
| | | | - Mario Berengo
- Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
| | - Piero Cascone
- Department of Oral and Maxillo Facial Science, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, Italy
| | - Livio Cordone
- ASST Spedali Civili, Piazzale Spedali Civili 1, 25123 Brescia, Italy
| | - Patrizia Defabianis
- Department of Surgical Sciences, University of Turin, Via Nizza 230, 10126 Turin, Italy
| | - Osvalda De Giglio
- Department of Biomedical Sciences and Human Oncology, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy
| | - Nicola Esposito
- Associazione Nazionale Dentisti Italiani, Lungotevere Raffaello Sanzio, 9, 00153 Rome, Italy
| | - Antonio Federici
- Unit 2, General Secretariat, Ministry of Health, Lungotevere Ripa, 1, 00153 Rome, Italy
| | - Alberto Laino
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, “Federico II” University, Via Giosuè Carducci, 42 Naples, Italy
| | - Alessandra Majorana
- Department of Pediatric Dentistry, University of Brescia, P. le Spedali Civili 1, 25123 Brescia, Italy
| | - Michele Nardone
- Unit 2, General Secretariat, Ministry of Health, Lungotevere Ripa, 1, 00153 Rome, Italy
| | - Vilma Pinchi
- Department of Health Sciences, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy
| | - Silvia Pizzi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy
| | - Antonella Polimeni
- Department Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
| | - Maria Grazia Privitera
- Health prevention, Italian Ministry of Health, Viale Giorgio Ribotta, 5 -, 00144 Rome, Italy
| | - Valentina Talarico
- Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Viale Papa Pio X, 83, 88100 Catanzaro, Italy
| | - Stefania Zampogna
- Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Viale Papa Pio X, 83, 88100 Catanzaro, Italy
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Van Gorp G, Bormans N, Vanham I, Willems G, Declerck D. Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists. Dent Traumatol 2019; 35:233-240. [PMID: 30963684 DOI: 10.1111/edt.12474] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIM Traumatized teeth are more susceptible to complications during orthodontic tooth movement. The aim of this study was to explore current practices among Belgian dental practitioners regarding orthodontic treatment of children with a history of dental trauma. MATERIAL AND METHODS A questionnaire survey was organized among general dentists, pediatric dentists, and orthodontists in Flanders (Belgium). Questionnaires were distributed at the occasions of annual meetings or symposia. They consisted of questions regarding exposure to dental trauma and orthodontic treatment approach for patients with a dental trauma history. RESULTS The questionnaire was completed by 121 general dentists, 47 pediatric dentists, and 99 orthodontists. A history of dental trauma influenced referral for orthodontic treatment by general dentists and pediatric dentists moderately (median VAS scores of 5 and 6, respectively, on a scale of 0 (not at all) to 10 (utmost)), indicating uncertainty and doubt. Additional checkups during tooth movement were usually not organized by general dentists in 33.6% and by pediatric dentists in 19.1% of cases (P = 0.006). One-third of the orthodontists (33.3%) experienced tooth loss linked to orthodontic movement of a tooth with dental trauma history in at least one patient. Only a minority of the practitioners knew of the existence of specific guidelines (7.6%, 15.6% and 22.7%, respectively, of general dentists, pediatric dentists, and orthodontists) (P = 0.007). The Dental Trauma Guide was the guideline mentioned most frequently, although this tool does not contain recommendations regarding orthodontic treatment after trauma. CONCLUSION In the group of Belgian general dental, pediatric and orthodontists surveyed, there was uncertainty regarding the orthodontic management of patients with a history of dental trauma especially among general practitioners. Further educational training is recommended.
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Affiliation(s)
- Gertrude Van Gorp
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Leuven, Belgium
| | | | | | - Guy Willems
- KU Leuven Department of Oral Health Sciences Orthodontics, KULeuven and Dentistry, UHLeuven, Leuven, Belgium
| | - Dominique Declerck
- KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Leuven, Belgium
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Mohan A, Agarwal T, Cherian TS, Muthu MS, Balasubramanian S, Subbalekshmi N, Saikia A, Goswami M, Sharma A, Subramanian P, Johar S, Bazaz N. Diagnostic ability of a smart phone app (injured tooth) in diagnosing traumatic injuries to the teeth - a multicentre analysis. Int J Paediatr Dent 2018; 28:561-569. [PMID: 29992696 DOI: 10.1111/ipd.12411] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND Dental trauma is not uncommon. The initial management provided at the time of injury is critical in predicting prognosis. However, initial management depends on correct diagnosis. Recently an App named 'Injured Tooth' was made available to diagnose traumatic injuries to the teeth and supporting structures. AIM To test the diagnostic ability of the Injured Tooth App compared with the conventional method of diagnosing traumatic injuries to the teeth. DESIGN A cross-sectional study was conducted at three different centres with 176 patients aged 0-15 years, having 201 injured teeth. Diagnosis of the injured teeth in these children at every centre was done independently by one experienced faculty using the traditional method and by a student using the Injured Tooth App. RESULTS Injured Tooth App gave a correct diagnosis for 197 teeth included in the study. Statistical analysis showed that there was good agreement (Kappa = 0.973) between the diagnosis given by the App and the experienced faculty. CONCLUSIONS The study found that the diagnosis given by the Injured Tooth App was in good agreement with the diagnosis given by an experienced faculty. Hence, the App can be successfully used by dental students to arrive at diagnosis.
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Affiliation(s)
- Anusha Mohan
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Tanvi Agarwal
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Theresa Sam Cherian
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Murugan Satta Muthu
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Suganya Balasubramanian
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Natesh Subbalekshmi
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Ankita Saikia
- Pedo Planet - Children Dental Center, Chennai, India
| | - Mridula Goswami
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Akhilesh Sharma
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Priya Subramanian
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
| | - Smriti Johar
- Department of Pedodontics and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Negar Bazaz
- Department of Pedodontics and Preventive Dentistry, Oxford Dental College and Hospital, Bengaluru, India
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Oner Ozdas D, Zorlu S, Karataban PK. Traumatic dental injury incidence of unseen children. Dent Traumatol 2018; 35:15-19. [DOI: 10.1111/edt.12443] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 09/16/2018] [Accepted: 09/17/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Didem Oner Ozdas
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
| | - Sevgi Zorlu
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
| | - Pinar K. Karataban
- Department of Pediatric Dentistry; Dentistry Faculty; Istanbul Aydin University; Istanbul Turkey
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Scholtes E, Suttorp CM, Loomans BA, Van Elsas P, Schols JG. Combined orthodontic, surgical, and restorative approach to treat a complicated crown-root fracture in a maxillary central incisor. Am J Orthod Dentofacial Orthop 2018; 154:570-582. [PMID: 30268267 DOI: 10.1016/j.ajodo.2017.08.029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 08/01/2017] [Accepted: 08/01/2017] [Indexed: 11/29/2022]
Abstract
This case report shows the treatment of a severe traumatic tooth injury. For the maxillary right central incisor, the trauma was considered a complicated crown-root fracture. The level of the fracture line, the length of the remaining root segment, and the presence and condition of the tooth fragment determined the type of therapy. Traumatized teeth with fractures below the alveolar crest are often considered hopeless. As this report shows, the treatment of a complicated crown-root fracture in the esthetic region can be challenging. Orthodontic extrusion and crown-length surgery were performed to bring the fracture line above the alveolar bone crest. A multidisciplinary approach was required for complete rehabilitation of the traumatized maxillary incisor. Suggestions are made to improve treatment planning of complicated crown-root fractures.
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Affiliation(s)
- Eva Scholtes
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Christiaan M Suttorp
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Bas A Loomans
- Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Pieter Van Elsas
- Private practice, Bloemendaal, The Netherlands; Department of Oral Implantology and Prosthetic Dentistry, Academic Center for Dentistry, Amsterdam, The Netherlands
| | - Jan G Schols
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands.
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Fagundes NCF, Bittencourt LO, Magno MB, Marques MM, Maia LC, Lima RR. Efficacy of Hank's balanced salt solution compared to other solutions in the preservation of the periodontal ligament. A systematic review and meta-analysis. PLoS One 2018; 13:e0200467. [PMID: 30005079 PMCID: PMC6044542 DOI: 10.1371/journal.pone.0200467] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 06/27/2018] [Indexed: 02/02/2023] Open
Abstract
This systematic review and meta-analysis (MA) aimed to verify the capacity of different storage media to preserve viability of periodontal ligament cells in comparison to Hank’s Balanced Salt Solution. The searches, selection process, data extraction and Risk of Bias control were conducted according to Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Five MA were conducted to compare the cell viability between milk versus Hank's balanced salt solution (HBSS) in a dichotomous (1) or continuous (2) data model; tap water versus HBSS (3); medicinal herbals versus HBSS (4); and saline solution versus HBSS (5). 693 potentially studies were identified, with 18 studies included in the qualitative and 8 studies included in the quantitative analysis. Most of the articles presented a low risk of bias. HBSS medium showed a superior ratio of cell viability compared to tap water (RR 0.26; 95% CI [0.21, 0.32]; p < 0.00001; I2 = 96%) and saline solution (RR 0.76; 95% CI [0.69, 0.84]; p < 0.0001; I2 = 99%). Herbal medicines showed a similar ratio of cell viability when compared to HBSS (RR 0.97; 95% CI [0.94, 1.00]; p = 0.08; I2 = 50%). Mixed results were observed between milk and HBSS: a superior ratio of HBSS was observed in an overall evaluation (RR 0.26; 95% CI [0.21, 0.32]; p < 0.00001; I2 = 96%), and a similar ratio was achieved when periodontal ligament (PDL) cells were removed prior to immersion in the solution (RR 0.94; 95% CI [0.87, 1.01]; p = 0.10; I2 = 0%) or rinsed in tap water or maintained in open air prior to immersion (RR 0.63; 95% CI [0.35, 1.12]; p = 0.11; I2 = not applicable). This systematic review and MA suggests that milk and herbal medicines could represent an alternative to HBSS. However, more studies are necessary to obtain a reliable conclusion.
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Affiliation(s)
- Nathalia Carolina Fernandes Fagundes
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belém-Pará, Brazil.,School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada
| | - Leonardo Oliveira Bittencourt
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belém-Pará, Brazil
| | - Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Márcia Martins Marques
- Department of Restorative Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, Brazil
| | - Lucianne Cople Maia
- School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada
| | - Rafael Rodrigues Lima
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belém-Pará, Brazil
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Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3-5 Years in Khartoum City, Sudan. Int J Dent 2018; 2018:2135381. [PMID: 29977294 PMCID: PMC5994279 DOI: 10.1155/2018/2135381] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2018] [Revised: 03/01/2018] [Accepted: 04/19/2018] [Indexed: 11/25/2022] Open
Abstract
Background Traumatic dental injury (TDI) is a challenging public health problem. Its incidence and prevalence vary within countries, states, and different social groups. Aim The purpose of this study was to determine the prevalence of traumatic dental injuries in primary incisors among 3–5-year-old Sudanese preschool children and associated factors such as age, sex, and size of overjet and anterior open bite. Materials and Methods Descriptive cross-sectional study was carried out among 600 preschool children (3–5 years old) selected by multistage cluster technique from preschools located in Khartoum city, Sudan. The data regarding age, sex, causes, and treatment of TDI were collected from the mothers through structured interview questionnaire. Children were examined in an upright position, using mouth mirror and torch. A single examiner assessed the type of trauma, the tooth involved, and overbite/overjet. The data were analyzed statistically through descriptive analysis, and the chi-square test was used to compare between different variables with P < 0.05. Results The prevalence of traumatic dental injuries (TDIs) was 18.5%. Enamel fractures were the most common type (74.8%), followed by enamel and dentin (11.7%). The maxillary central incisors were the most commonly affected teeth, and the home was most common place for TDI. The prevalence rate was 45% in boys and 55% in girls with a statistically significant difference (P=0.02). Conclusions The prevalence of traumatic dental injuries to the primary anterior teeth among the Sudanese preschool children was relatively high (18.5%). Factors such as overjet size, overbite size, and lip competency were not significantly correlated with dental trauma among the studied population.
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Reymus M, Fotiadou C, Hickel R, Diegritz C. 3D-printed model for hands-on training in dental traumatology. Int Endod J 2018; 51:1313-1319. [PMID: 29729097 DOI: 10.1111/iej.12947] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 04/30/2018] [Indexed: 11/28/2022]
Abstract
AIM To assess the feasibility of creating a realistic model for hands-on training in dental traumatology using 3D printing technology, and then to investigate the added value of working with the website dentaltraumaguide.org. METHODOLOGY With the use of special software applications, a model was designed based on the CBCT of the maxilla of a real patient that imitated several traumatic dental injuries. The model was reproduced using a stereolithographic printer to use the specimens in a hands-on training course on dental traumatology for undergraduate students in their final year in the Department of Conservative Dentistry and Periodontology in Munich, Germany. During the course, half of the participants had access to dentaltraumaguide.org, whereas the others did not. The students were then assessed according to their theoretical knowledge and practical performance in simulated treatment. These data were analysed by Kolmogorov-Smirnov test, unpaired t-test and Mann-Whitney U test. Subsequently, the participants were asked to evaluate the model. RESULTS The workflow for manufacturing a model of dental traumatology for training purposes was practical and relatively inexpensive. In the evaluation process, the model was considered to be highly realistic and useful during an instructive hands-on training course. There were significant differences between the two groups in favour of using the dentaltraumaguide.org website. CONCLUSIONS 3D printing technology offers new possibilities for training specific dental treatments that are currently difficult to imitate. The online platform dentaltraumaguide.org assisted students in correctly managing traumatic dental injuries.
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Affiliation(s)
- M Reymus
- Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University, Munich, Germany
| | - C Fotiadou
- Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University, Munich, Germany
| | - R Hickel
- Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University, Munich, Germany
| | - C Diegritz
- Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University, Munich, Germany
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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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Chalissery VP, Marwah N, Jafer M, Chalisserry EP, Bhatt T, Anil S. Prevalence of anterior dental trauma and its associated factors among children aged 3-5 years in Jaipur City, India - A cross sectional study. J Int Soc Prev Community Dent 2016; 6:S35-40. [PMID: 27195225 PMCID: PMC4863481 DOI: 10.4103/2231-0762.181165] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objective: To study the prevalence of anterior dental trauma and its associated factors among 800 preschool children aged 3 to 5 years in Jaipur City, Rajasthan, India. Materials and Methods: A cross-sectional survey was conducted among children aged 3-5 years, who were enrolled in various private and public schools in Jaipur. Parents were asked to fill a form addressing socio-demographic data and clinical examinations were performed by a single dentist. Traumatic dental injuries (TDI) were assessed and recorded based on Andreasen's classification. Associated factors such as sex, socioeconomic status (SES), and the type of injury were also analyzed. The data were analyzed statistically using Statistical Package for the Social Sciences software (version 20). Results: An overall 10.2% prevalence of TDI was observed among the study population. TDI were reported to be more among male children (11.87%) compared to female children (8.14%). Enamel fractures (69%) were the most prevalent type of anterior dental trauma. Upper central incisors were the most frequently affected. The SES of the parents had little influence on the prevalence of TDI. Conclusions: The prevalence rate of dental trauma among children aged 3-5 years was 10.2%. Associated factors, such as SES, were observed to be not significantly correlated to dental trauma among the studied preschoolers.
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Affiliation(s)
- Vemina P Chalissery
- Department of Pedodontics and Preventive Dentistry, Mahatma Gandhi Dental College, Jaipur, India
| | - Nikhil Marwah
- Department of Pedodontics and Preventive Dentistry, Mahatma Gandhi Dental College, Jaipur, India
| | - Mohammed Jafer
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Elna P Chalisserry
- Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Tanmay Bhatt
- Department of Pedodontics and Preventive Dentistry, Mahatma Gandhi Dental College, Jaipur, India
| | - Sukumaran Anil
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Lexomboon D, Carlson C, Andersson R, von Bultzingslowen I, Mensah T. Incidence and causes of dental trauma in children living in the county of Värmland, Sweden. Dent Traumatol 2015; 32:58-64. [DOI: 10.1111/edt.12218] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2015] [Indexed: 11/26/2022]
Affiliation(s)
| | - Christina Carlson
- Department of Preventive Dentistry; Värmland Public Dental Health; Karlstad Sweden
| | - Ragnar Andersson
- Department of Environmental and Life Sciences; Karlstad University; Karlstad Sweden
| | - Inger von Bultzingslowen
- Department of Preventive Dentistry; Värmland Public Dental Health; Karlstad Sweden
- Department of Oral Microbiology and Immunology; University of Gothenburg; Gothenburg Sweden
| | - Tita Mensah
- The Clinic of Paediatric Dentistry; Karlstad Sweden
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Di lorio E, Berardini M. Traumatologia dentale: lussazione laterale ed estrusiva di incisivo centrale mascellare in una giovane paziente. DENTAL CADMOS 2015. [DOI: 10.1016/s0011-8524(15)30066-0] [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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Faria LPD, Almeida MMD, Amaral MF, Pellizzer EP, Okamoto R, Mendonça MR. Orthodontic Extrusion as Treatment Option for Crown- Root Fracture: Literature Review with Systematic Criteria. J Contemp Dent Pract 2015; 16:758-62. [PMID: 26522603 DOI: 10.5005/jp-journals-10024-1753] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
ABSTRACT
Objective
To review the literature searching for a consensus for the choice of orthodontic extrusion as treatment for crownroot fracture.
Materials and methods
An electronic search was performed in the databases PubMed, Cochrane Central Register of Controlled Trials and Scopus and a manual search of the Journal Dental Traumatology.
Results
Forty articles were found in PubMed and 38 in Scopus and after removal of duplicate sample 51 contained articles. Of these, 48 were excluded for not having orthodontic treatment, no follow-up or follow-up less than 6 months, or not report the presence of crown-root fracture. In manual search in Dental Traumatology 20 articles were found, but none of them met the prerequisites established. So, three articles formed the basis of the study.
Conclusion
The choice of how to treat orthodontic extrusion of crown-root fracture was effective and stable, without root and periodontal changes. Factors, such as root formation and presence of pulp vitality were decisive for determining the stages of treatment, however, there is no consensus based on scientific evidence about these protocols.
How to cite this article
de Faria LP, de Almeida MM, Amaral MF, Pellizzer EP, Okamoto R, Mendonça MR. Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literature Review with Systematic Criteria. J Contemp Dent Pract 2015;16(9):758-762.
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Affiliation(s)
- Lorraine Perciliano de Faria
- Masters Student, Department of Pediatric and Community Dentistry, Dentistry School of Aragatuba-UNESP, Aragatuba, Sao Paulo, Brazil, Phone: +551836363236, e-mail:
| | - Melyna Marques de Almeida
- Department of Surgery and Integrated Clinic, School Dentistry of Aracatuba-UNESP, Aracatuba, Sao Paulo, Brazil
| | - Marina Fuzette Amaral
- Department of Surgery and Integrated Clinic, School Dentistry of Aracatuba-UNESP, Aracatuba, Sao Paulo, Brazil
| | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, School Dentistry of Aracatuba-UNESP, Aracatuba, Sao Paulo, Brazil
| | - Roberta Okamoto
- Department of Surgery and Integrated Clinic, School Dentistry of Aracatuba-UNESP, Aracatuba, Sao Paulo, Brazil
| | - Marcos Rogério Mendonça
- Department of Pediatric and Community Dentistry, Dentistry School of Aragatuba-UNESP, Aragatuba, Sao Paulo, Brazil
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Perazzo MDF, da Silva BRC, Neves ÉTB, Firmino RT, Ribeiro GL, Granville-Garcia AF. Effect of dental health education on the management of avulsed teeth by firefighters. J Public Health (Oxf) 2014. [DOI: 10.1007/s10389-014-0650-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Costa LED, Queiroz FDS, Nóbrega CBC, Leite MS, Nóbrega WFS, Almeida ERD. Trauma dentário na infância: avaliação da conduta dos educadores de creches públicas de Patos-PB. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/1807-2577.1053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introdução O trauma dental na infância ocorre em locais de assistência a essa fase e a conduta tomada pelos cuidadores, após o acidente, influencia diretamente no prognóstico. Objetivo: Avaliar o conhecimento dos Educadores de creches públicas sobre que condutas tomariam frente ao trauma dentário na infância. Metodologia: Por meio de estudo descritivo transversal, foi aplicado um questionário a 23 Educadores das creches públicas do Município de Patos-PB, para avaliar o perfil dos sujeitos e a conduta frente a situações emergenciais de trauma dentário nosescolares. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa do Centro de Saúde e Tecnologia Rural – UFCG, sob protocolo n.º 056/2011. Para análise e tabulação dos dados, foi utilizado o programa estatístico SPSS versão 18.0. Resultado: Observou-se que a maioria dos Educadores (91,3%) nunca foi capacitada, não estando estes aptos a realizar o primeiro atendimento em caso de trauma dentário. Com relação ao tema avulsão dentária, 60,9% dos Educadores não saberiam o que fazer em caso de avulsão do dente permanente e 40,3%, do decíduo. Diante do dente avulsionado, 26,1% lavariam o dente rapidamente com água corrente, o armazenaria em um guardanapo, lenço ou algodão (21,7%) e levaria a criança ao Cirurgião-Dentista. Diante de fratura coronária de dente, 34,8% guardariam o pedaço fraturado, enquanto que 39,1% não saberiam como proceder. Todos os entrevistados julgaram ser muito importante uma capacitação com os docentes, para realizar as primeiras medidas emergenciais frente ao trauma dentário. Conclusão: A maioria dos Educadores não está preparada para lidar com trauma dentário na infância, apresentando pouco ou nenhum conhecimento sobre o tema em questão, sendo necessária a inserção de programas que visem à capacitação docente em saúde bucal.
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Wang Y, Yan M, Wang Z, Wu J, Wang Z, Zheng Y, Yu J. Dental pulp stem cells from traumatically exposed pulps exhibited an enhanced osteogenic potential and weakened odontogenic capacity. Arch Oral Biol 2013; 58:1709-17. [PMID: 24112738 DOI: 10.1016/j.archoralbio.2013.09.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2012] [Revised: 08/22/2013] [Accepted: 09/02/2013] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Traumatic pulp exposure can bring about some permanent damages to tooth tissues including dental pulps. This study was designed to evaluate the effects of traumatic pulp exposure on the osteo/odontogenic capacity of dental pulp stem cells (DPSCs). METHODS Rat incisors were artificially fractured and dental pulps were exposed to the oral environment for 48 h. Then, multi-colony-derived DPSCs from the injured pulps (iDPSCs) were isolated. Their osteo/odontogenic differentiation and the involvement of NF-κB pathway were subsequently investigated. RESULTS iDPSCs presented a lower proliferative capacity than normal DPSCs (nDPSCs), as indicated by MTT and FCM assay. ALP levels in iDPSCs were significantly higher (P<0.01) than those in nDPSCs. Alizarin red staining revealed that iDPSCs exhibited an increased capacity of calcium deposition. Moreover, iDPSCs expressed stronger osteogenic markers (Runx2/RUNX2 and Ocn/OCN) and less odontogenic gene/protein (Dspp/DSP) than nDPSCs in vitro. In vivo transplantation showed that nDPSCs implants generated the typical dentine-pulp complex while all iDPSCs pellets formed the osteodentin-like tissues which were immunopositive for OCN. Mechanistically, iDPSCs expressed the higher levels of cytoplasmic phosphorylated IκBα/P65 and nuclear P65 than nDPSCs, indicating an active cellular NF-κB pathway in iDPSCs. After the inhibition of NF-κB pathway, the osteogenic potential in iDPSCs was significantly down-regulated while odontogenic differentiation was up-regulated, as indicated by the decreased Alp/Runx2/Ocn and uprised Dspp expression. CONCLUSIONS Pulp exposure for 48 h decreased the odontogenic capacity and enhanced the osteogenic potential of DPSCs via the NF-κB signalling pathway.
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Affiliation(s)
- Yanping Wang
- Institute of Stomatology, Nanjing Medical University, 140 Hanzhong Road, Nanjing, Jiangsu 210029, China; Endodontic Department, The Affiliated Stomatological Hospital of Soochow University, Suzhou Stomatological Hospital, 1505 Renmin Road, Suzhou, Jiangsu 215005, China
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