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Rai A, Koirala B, Dali M, Shrestha S. Delayed replantation of avulsed permanent maxillary central incisor: Case report with 6-year follow-up. Clin Case Rep 2024; 12:e8487. [PMID: 38328488 PMCID: PMC10847390 DOI: 10.1002/ccr3.8487] [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: 12/08/2023] [Revised: 01/10/2024] [Accepted: 01/25/2024] [Indexed: 02/09/2024] Open
Abstract
Replantation should be attempted in any case of avulsion, be it immediate or delayed. Retention of the replanted tooth helps in preservation of adjacent alveolar bone. Despite the occurrence of replacement resorption, the tooth can stay healthy and functional in the arch for a longer duration.
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Affiliation(s)
- Amita Rai
- Department of Pediatric and Preventive DentistryPeople's Dental College and HospitalKathmanduNepal
| | - Bandana Koirala
- Department of Pedodontics and Preventive DentistryCollege of Dental Surgery, B.P. Koirala Institute of Health SciencesDharanNepal
| | - Mamta Dali
- Department of Pedodontics and Preventive DentistryCollege of Dental Surgery, B.P. Koirala Institute of Health SciencesDharanNepal
| | - Sneha Shrestha
- Department of Pedodontics and Preventive DentistryCollege of Dental Surgery, B.P. Koirala Institute of Health SciencesDharanNepal
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Huang C, Yang Y, Wang Z, Wang W, Liu Y, Zhang M. A retrospective study of emergent traumatic dental injuries in permanent teeth in Xi'an, China. Medicine (Baltimore) 2022; 101:e32588. [PMID: 36596078 PMCID: PMC9803479 DOI: 10.1097/md.0000000000032588] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Traumatic dental injury is one of the common injuries seen in the emergency department. To determine the distribution features of emergency traumatic dental injuries in Xi'an, China, data from the medical records of 623 patients (aged 6-78 years) were evaluated and analyzed according to age, gender, etiology, factors predisposing teeth to injury, and types of teeth traumatized. The patient records of 397 males (63.7%) and 226 females (36.3%), with a 1.8:1 male-to-female ratio, were included. The total number of traumatized teeth was 1475. The highest frequency of dental trauma was found in the 19- to 30-year age group (30.7%). The greatest frequency of dental trauma injuries was in May (13%). Over one-third of patients with traumatic injuries to permanent teeth (n = 218, 35%) injured 2 permanent teeth. The most commonly affected teeth were the maxillary central incisors (59.3%). The most common type of trauma was concussion (20.4%). There was statistically significant difference among the type composition ratio of age groups (P < .05). The most common causes of dental trauma were falls (50.2%). There was statistically significant difference among the etiological composition ratio of age groups (P < .05). Combined injuries were present in 120 teeth in 103 patients (16.5%). The epidemiological characteristics of dental trauma in Xi'an shows that the occurrence of dental trauma is closely related to the age, sex, time, type of injury, and cause of injury. There exists cross-correlation among the epidemiological factors. The most common type of trauma is concussion and the most common cause of dental trauma is fall. High incidence of combined injuries needs extra attention.
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Affiliation(s)
- Chao Huang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Yang Yang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Ziheng Wang
- School of Computer Science and Engineering, Beihang University, Beijing, China
| | - Wei Wang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Yanli Liu
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
| | - Min Zhang
- State Key Laboratory of Military Stomatology, Department of General Dentistry and Emergency, School of Stomatology, Fourth Military Medical University, Xi’an, China
- * Correspondence: Min Zhang, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi 710032, China (e-mail: )
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Elizabeth S, Garg S, Saraf BG, Sheoran N, Paul S, Chawla M. Impact on Quality of Life and Risk Factors Associated with Visible Maxillary Incisors Trauma among Young Children in Faridabad, Haryana. Int J Clin Pediatr Dent 2022; 15:652-659. [PMID: 36866141 PMCID: PMC9973081 DOI: 10.5005/jp-journals-10005-2433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Aim To assess the impact of upper incisor trauma on the quality of life (QoL) in young children studying between the age group 8 and 13 years in Faridabad, Haryana. Materials and methods A cross-sectional, prospective study was conducted to assess the visible permanent maxillary incisor traumas according to the classification of traumatic dental injuries (TDI) and to determine the predisposing risk factors that affect TDI and their impact on QoL in children aged 8-13 years. Questionnaires were made to gather information on demographic and socioeconomic characteristics like age, gender, and the father's and mother's education. Data on dental caries in anterior teeth were also collected using current World Health Organization criteria. Result There were a total of 66 males and 24 females. The total decayed, missing, and filled permanent teeth (DMFT) prevalence observed was 8.9%. The main reason for trauma was found to be an accident or accidental fall (36.7%). The most common place for trauma followed by road (21.1%). Time lapsed from the injury reported was >1 year in males (34.8%), while it was within 1 year (41.7%) in females (p = 0.014). The most prevalent and impacted performance was smiling (80.0%; m = 8.7778 ± 8.658), and the least affected was speaking (4.4%; m = 0.5111 ± 3.002). Conclusion A number of risk factors need to be considered when assessing TDIs, as TDIs can have a negative impact on the functional, social, and psychological well-being of young children. As they are frequent in children, affecting teeth, their supporting structures, and adjacent soft tissues, they may cause both functional and esthetic problems. Clinical significance When injuries to incisor(s) produce pain, disfigurement, poor aesthetics, or other psychological effects, children may avoid laughing or smiling, and this can affect their social relationships. So, it is important to address the risk factors that predispose upper front teeth to TDIs. How to cite this article Elizabeth S, Garg S, Saraf BG, et al. Impact on Quality of Life and Risk Factors Associated with Visible Maxillary Incisors Trauma among Young Children in Faridabad, Haryana. Int J Clin Pediatr Dent 2022;15(6):652-659.
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Affiliation(s)
- Siji Elizabeth
- Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
| | - Shalini Garg
- Department of Pedodontics & Preventive Dentistry, Faculty of Dental Sciences, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana, India
| | - Bhavna G Saraf
- Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
| | - Neha Sheoran
- Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
| | - Saumya Paul
- Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
| | - Megha Chawla
- Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences & Research, Faridabad, Haryana, India
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Jeyashree T, Gurunathan D, Padmapriya S. Association of malocclusion and trauma in children: A retrospective study. J Adv Pharm Technol Res 2022; 13:S212-S216. [PMID: 36643143 PMCID: PMC9836122 DOI: 10.4103/japtr.japtr_132_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 07/26/2022] [Accepted: 08/05/2022] [Indexed: 01/17/2023] Open
Abstract
Malocclusion is considered one of the most prevalent oral issues and it is considered one of the major risk factors for dental trauma. Dental trauma is a distressing experience for children, and they can have long-term physical, esthetic, and psychological effects. Hence, the main aim of this retrospective study is to evaluate the association between dental trauma and malocclusion in children. Four hundred and fifty patients between the age of 8 and 17 years during March 1, 2020-February 31, 2021, with Ellis classes 1, 2, and 3 were included in the study. Association of type of fracture with gender and malocclusion was calculated using Chi-square test. In case of Ellis class 1 fracture, 9.1% of the patients had no malocclusion, 21.8% of them had crowding, 11% of them had spacing, and 21.8% of them had anterior protrusion. In case of Ellis class 2 fracture, 4.3% of them had no malocclusion, 6.4% of them had crowding, 2.8% of them had spacing, and 3.6% of them had anterior protrusion. In case of Ellis class 3 fracture, 2.7% of them had no malocclusion, 6.4% of them had crowding, 4.6% of them had spacing, and 4.6% had anterior protrusion. The results were not statistically significant. Children with anterior protrusion and anterior crowding are more prone to severe damage during traumatic dental injuries.
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Affiliation(s)
- T. Jeyashree
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Deepa Gurunathan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,Address for correspondence: Dr. Deepa Gurunathan, Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India. E-mail:
| | - S. Padmapriya
- Department of Pedodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Hashim R, Alhammadi H, Varma S, Luke A. Traumatic Dental Injuries among 12-Year-Old Schoolchildren in the United Arab Emirates. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13032. [PMID: 36293604 PMCID: PMC9603412 DOI: 10.3390/ijerph192013032] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/03/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
AIMS This study aimed to evaluate the prevalence of the factors related to traumatic injuries to the permanent incisors of 12-year-old children in the Emirate of Ajman, United Arab Emirates. METHODS A sample of 1008 12-year-old children (510 boys and 498 girls) participated in this study. A multi-stage randomized sampling technique was used to select children from public schools for their inclusion in the sample population. An oral examination was completed by a calibrated examiner after receiving training for traumatic dental injury (TDI) to permanent incisor teeth utilizing a modified version of Ellis's classification. Data that were related to sociodemographic factors, TDI causes, and where the TDI took place were recorded using a structured questionnaire. RESULTS Of all of the children that were examined, 9.8% of them had experienced dental trauma. The difference in TDI prevalence between boys (15.9%) and girls (3.9%) was statistically significant (p < 0.05). The children whose mothers had low levels of education experienced a higher prevalence of TDI (p = 0.001). The children with incisal overjets that were greater than 5 mm or with inadequate lip coverage tended to have experienced dental injuries (p < 0.01). The main causes of injury to permanent incisors were collision against an object or person (53.5%) and falling (42.4%). Most of the accidents happened at home (58.6%) and school (25.3%). The most prevalent injuries were enamel fractures (58.7%) and enamel-dentine fractures (34.3%). CONCLUSIONS This research highlighted many predisposing factors for traumatic dental injuries among children. There is an urgent need to initiate detailed public health policies to decrease the prevalence of dental trauma cases, especially in the identified risk group.
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Affiliation(s)
- Raghad Hashim
- Department of Basic Medical and Dental Sciences, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates
| | | | - Sudhir Varma
- Department of Clinical Sciences, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates
| | - Alexander Luke
- Department of Clinical Sciences, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates
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Radwanski M, Caporossi C, Lukomska-Szymanska M, Luzi A, Sauro S. Complicated Crown Fracture of Permanent Incisors: A Conservative Treatment Case Report and a Narrative Review. BIOENGINEERING (BASEL, SWITZERLAND) 2022; 9:bioengineering9090481. [PMID: 36135027 PMCID: PMC9495796 DOI: 10.3390/bioengineering9090481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 09/04/2022] [Accepted: 09/13/2022] [Indexed: 12/03/2022]
Abstract
Dental trauma may have a severe impact on the social and psychological wellbeing of a patient. Most cases of dental injuries involve anterior teeth, especially the maxillary upper incisors. Crown fractures, with or without pulp exposure, are the most common trauma in permanent dentition. There are many methods of management, in which the initial state of the pulp, the time since the injury, and the presence of an accompanying injury play a key role. This case report aimed at showing a possible conservative treatment after complicated tooth fracture that consisted of partial pulpotomy followed by adhesive reattachment of the tooth fragment using a technique based on heated resin composite. Such a specific procedure represents a conservative approach to traumatic coronal lesions, providing a suitable opportunity to maintain the tooth vitality, aesthetics, and function. Indeed, reattachment of tooth fragment using a composite/adhesive is a simple technique to achieve excellent results in terms of aesthetic and function.
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Affiliation(s)
- Mateusz Radwanski
- Department of Endodontics Chair, Conservative Dentistry, Endodontics Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
| | | | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland
- Correspondence: (M.L.-S.); (S.S.); Tel.: +48-426-757461 (M.L.-S.)
| | - Arlinda Luzi
- Group of Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain
| | - Salvatore Sauro
- Group of Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain
- Department of Therapeutic Dentistry, I. M. Sechenov First Moscow State Medical University, 119146 Moscow, Russia
- Correspondence: (M.L.-S.); (S.S.); Tel.: +48-426-757461 (M.L.-S.)
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Panangipalli SS, Vasepalli M, Punithavathy R, Martha S, Birapu UC, Raparla M. Prevalence of Traumatic Injuries to Permanent Anterior Teeth and Predisposing Risk Factors among Government and Private School Children of Kakinada and Rajanagaram of East Godavari District. Int J Clin Pediatr Dent 2022; 15:596-602. [PMID: 36865730 PMCID: PMC9973121 DOI: 10.5005/jp-journals-10005-2448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Aim To determine the prevalence of traumatic dental injuries (TDI) in permanent anterior teeth and their association with risk factors among children aged 7-13 years of government and private schools in Kakinada and Rajanagaram of East Godavari district, Andhra Pradesh, India. Materials and methods A cross-sectional study was carried out among 2,325 school children aged 7-13 years. Each child was examined for TDI, degree of overjet, molar relation, lip coverage, and facial profile. The results were analyzed by Statistical Package for the Social Sciences (SPSS) software and the Chi-squared test was used to compare qualitative data. Results The results show that the prevalence of trauma was found to be 12.1%, and there was no disparity between government or private schools and urban and rural areas. There was no much sex predilection. High school children are more prone to TDI than primary school children. The most common place was found to be home, and the most common cause is unknown. Maxillary central incisors are the most commonly affected and enamel fracture is the most common fracture. Among the subjects with trauma, only 4.1% sought treatment. Conclusion The subjects with trauma in the present study are found to be having a positive association with risk factors, such as increased overjet, class II division 1 molar relationship, convex facial profile, and inadequate lip coverage. Evidence of a lower rate of treatment outcomes shows the need for increased awareness among parents, teachers, and healthcare providers and the elaboration of prevention strategies for TDI at the population level. How to cite this article Panangipalli SS, Vasepalli M, Punithavathy R, et al. Prevalence of Traumatic Injuries to Permanent Anterior Teeth and Predisposing Risk Factors among Government and Private School Children of Kakinada and Rajanagaram of East Godavari District. Int J Clin Pediatr Dent 2022;15(5):596-602.
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Affiliation(s)
- Sai Sravya Panangipalli
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | - Madhu Vasepalli
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | - Rachuri Punithavathy
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | - Satyam Martha
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | - Uday C Birapu
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
| | - Mythraiye Raparla
- Department of Pedodontics & Preventive Dentistry, KLR's Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh, India
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Kiziltan Eliacik B, Eliacik M. Clarifying the effect of refractive errors and stereopsis on traumatic dental injuries in childhood. Dent Traumatol 2020; 37:108-113. [PMID: 32937007 DOI: 10.1111/edt.12610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 09/04/2020] [Accepted: 09/05/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM Visual acuity and stereopsis both play an important role in developing posture and balance in children. The aim of this study was to investigate whether children with traumatic dental injuries (TDI) have abnormal stereopsis, due to a reduction in visual acuity, compared to children with good dental health. MATERIAL AND METHODS A total of 140 participants (75 with traumatic dental injuries resulting from falls and crashes, and 65 age-matched controls without dental trauma) were enrolled in this prospective, cross-sectional study. The participants underwent complete dental and ophthalmologic examinations. After the ophthalmologic examination, the stereo acuities were assessed by a Titmus stereo test at 40 cm. RESULTS Titmus test scores were significantly worse in the TDI group (mean score 252.46 ± 629.12 seconds of arc) compared to the control group (mean score 56 ± 27.39 seconds of arc) (P < .05). The percentage of subjects with abnormal Titmus test scores was higher in the TDI group (28%) than in the control group (3.1%). The mean anisometropia value was 3.03 ± 2.37 D and 0.55 ± 0.41 D in the TDI group and the control group, respectively (P < .001). The severity of anisometropia correlated with the degree of stereopsis (r = .83, P < .01). CONCLUSIONS The presence of abnormal stereopsis may lead to postural instability which can lead to traumatic dental injuries. The prevalence of abnormal stereopsis in children with TDI was higher than in children with good binocular vision and stereopsis.
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Affiliation(s)
- Basak Kiziltan Eliacik
- Department of Pedodontics, Faculty of Dentistry, Health Sciences University, Istanbul, Turkey
| | - Mustafa Eliacik
- Department of Ophthalmology, Istanbul Medipol University, Istanbul, Turkey
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