Permanent Tooth Avulsion Injuries

Author(s):  
Rebecca L. Slayton ◽  
Elizabeth A. Palmer
Dental Cadmos ◽  
2021 ◽  
Vol 89 (07) ◽  
pp. 554
Author(s):  
Antonio Gracco ◽  
Edoardo Conte ◽  
Alessandro Frezza ◽  
Sabina Saccomanno ◽  
Alessandro De Stefani

2020 ◽  
Vol 29 (3) ◽  
pp. 390
Author(s):  
NnekaKate Onyejaka ◽  
EmmanuelObiajulu Amobi ◽  
ChidozieIfechi Onwuka ◽  
LindaOge Okoye

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Yousra Hussain AlJazairy ◽  
Hassan Suliman Halawany ◽  
Nassr AlMaflehi ◽  
Nawaf Sulaiman Alhussainan ◽  
Nimmi Biju Abraham ◽  
...  

Avulsion of teeth is defined as total displacement of the tooth out of its socket. Incidence of avulsion constitutes 0.5 to 16 % of all traumatic injuries in the permanent dentition. Avulsion is more commonly seen in children and young adults, at an age when the alveolar bone is resilient and provides only minimal resistance to extrusive forces The maxillary central incisors are the teeth most commonly affected. Teeth can be avulsed in many trauma situations. Sports and automobile accidents are the most frequent causes. The incidence of avulsion is reported to be less than 3% of all dental injuries. Tooth avulsion is a true dental emergency since timely attention to replantation could save many teeth. Unfortunately, avulsed teeth are usually lost at the accident scene, and both accident victims and those attending them may neglect to consider the value of finding and saving the teeth. This may gradually change as the public continues to become aware of the possibilities that avulsed teeth can be saved. Discussion: Avulsion of permanent teeth is serious problems of dental injuries. The prognosis depends on the measures taken at the place of accident or the time immediately after the avulsions. Treatment for the avulsion teeth is replantation, but it’s not suggested for primary teeth avulsion. It will give a high risk for underlying permanent tooth germs. Replantation is directed at avoiding or minimizing the resultant inflammation which occurs as a direct result of the two main consequences, attachment damage and pulpal infection. Attachment damage may cause by drying, can additionally occur to the periodontal membrane when tooth is out of the mouth. Drying can cause loss of normal physiologic metabolism and morphology of the periodontal ligament cells. The treatment should minimize this damage so that the fewest possible complication result. Conclusion: Clinical success rate of replanted avulsed teeth based on media and time for replantation. Careful examination regardless including radiographs and clinical examination are necessary to help detect possible alveolar fractures or complication. Such fractures of the tooth socket may reduce the prognosis but are not always a contraindication.


2018 ◽  
Vol 23 (3) ◽  
Author(s):  
Aleksandra Malinowska

Complete permanent tooth avulsion is trauma relating both to teeth not fully developed and the mature ones. The aetiology may vary, but usually it does not determine the choice of treatment method. The current concept of avulsed permanent teeth is based entirely on the decision on the expediency of tooth replantation and its possibly swift performance, as long as there are indications for it. This is aimed at maintaining the tooth in the oral cavity for as long as possible, or as long as it takes to start the further stages of the treatment. It is important to determine the exact time of injury and to establish whether any first-aid operations in the mouth were performed and what they were. The course of action in the dental office depends on the time the tooth spent outside the socket, its maturity and the environment in which the tooth was stored. The role of the dental practitioner, in addition to the professional treatment of the injuries which have already occurred, consists in the prevention, education and the promotion of appropriate attitudes in the patients. In complete avulsion, the prognosis is strictly dependent on these factors and the occurrence of complications is often associated with late treatment initiation or lack of knowledge among the persons present at the injury with respect to the way in which an avulsed tooth should be handled. In order to promote the appropriate behaviour in the society, the International Association of Dental Traumatology (IADT) provides recommendations for patients concerning trauma to the teeth via its website, posters and a mobile application.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Nima Moradi Majd ◽  
Heidar Zohrehei ◽  
Alireza Darvish ◽  
Hamed Homayouni ◽  
Mamak Adel

Introduction.Tooth avulsion in the young permanent dentition is a frequent finding, and its prognosis depends on the treatment of the avulsed tooth before replantation, the extra-alveolar time, the storage medium, and the patient’s general health. The present report describes management of an immature avulsed lower central incisor 90 minutes after the accident.Methods.A right lower central incisor of a 7-year-old girl was avulsed, and it was soaked in a glass of milk. 90 minutes after avulsion, replantation was performed, and the tooth was splinted; but after two weeks the replanted tooth’s pulp was necrotic. Thus, endodontic treatment was performed and root canal was filled using a calcium hydroxide and iodoform paste (Metapex). Three months later, the intracanal medication was washed out and the canal was sealed using an apical plug of calcium enriched mixture (CEM) cement.Results.20 months after replantation the tooth was completely asymptomatic, with physiologic mobility. Also, continued root formation including an apical segment beyond the artificial apical plug was observed.Conclusion.Creation of an appropriate apical barrier following the disinfection of root canal system promoted continued root-end growth in a replanted immature permanent tooth.


2020 ◽  
Vol 19 ◽  
pp. e206950
Author(s):  
Afraa Hussain ◽  
Raghad Hashim ◽  
Aisha Khamees

Aim: This study aimed to evaluate the knowledge of parents visiting a specialized dental center in Ajman on permanent tooth avulsion and the required first aid procedure to achieve better prognoses. Methods: A cross-sectional study was conducted in Ajman Emirate, UAE. Three hundred eighty-eight parents from three nationalities (Emirati, Egyptian and Indian) residing in UAE answered a constructed questionnaire that included demographic information related to the participants and questions related to permanent tooth avulsion and the required first steps for its management. Results: Study findings reflect deficiencies in the following areas. Of the 388 parents, (236, 60.8%) had poor knowledge about permanent tooth avulsion. Parents who had previous knowledge obtained information from unsupported sources, such as friends (145, 37.4%). Out of 388 parents, (324, and 83.5%) would not replant the tooth. Finally, the majority of the participants did not know the proper media to store the avulsed permanent tooth with one-third of parents choosing cotton or water (142, 36.6%). Conclusion: This study showed a lack of knowledge regarding permanent tooth avulsion among parents from the major nationalities residing in UAE. However, the respondents represent major differences regarding related to knowledge, replant, and storage of avulsed permanent teeth.


2020 ◽  
Vol 10 (10) ◽  
pp. 3551
Author(s):  
Marta Mazur ◽  
Roberto Marasca ◽  
Livia Ottolenghi ◽  
Iole Vozza ◽  
Francesco Covello ◽  
...  

Dental trauma resulting in permanent tooth avulsion commonly affects the young population. The prognosis of replantation after avulsion depends on the natural history of inflammatory and replacement resorption. Several risk factors for type and onset of external resorption have been defined. This case study describes different resorptive patterns observed in two upper central incisors belonging to a single individual, avulsed in the same moment, and replanted after thirty-six hours of dry storage. The roots were analyzed by scanning electron microscopy and stereomicroscope imaging, to obtain an in-depth analysis of the resorptive pattern. The aim of this report is to: (i) underline the high variability in the incidence of root resorption after replantation across and within types of teeth and resorption; and (ii) underline the possible concurrence of different factors affecting the onset and type of resorptive pattern. In conclusion, an unpredictable pattern of resorption may account for the poor prognosis when teeth are replanted outside the current recommendations.


2021 ◽  
Author(s):  
Léa Silva ◽  
Daniele Longo ◽  
Fernanda Maria Oliveira ◽  
Raquel Segato ◽  
João Barbizam ◽  
...  

Abstract Inflammatory and replacement tooth resorption are common outcomes following tooth replantation, biological mediators involved in these processes are widely unknown. The aim study was to investigate molecules involved in tooth resorption following permanent tooth avulsion and delayed replantation. Dog premolars were extracted and kept dry for 20, 60 and 90 minutes (n= 30). The teeth were replanted, splinted. After 120 days, the animals were euthanized and tissues were removed for histological processing. Slides were stained for microscopic analysis, submitted to tartrate resistant acid phosphatase (TRAP) histoenzymology and immunostained for RANK, RANKL, OPG, alkaline phosphatase and periostin. Data obtained were submitted to statistical analysis using the chi-square, Fisher and one-way ANOVA tests (alpha= 0.05). In inflammatory resorption areas, TRAP + and RANK + osteoclasts surrounding the replanted teeth were identified, regardless of the extra-alveolar time. RANKL synthesis in this region was higher in longer extra-alveolar times and was more intense after keeping the tooth dry for 90 minutes compared to other periods. In the replacement reabsorption area, there was lower synthesis of periostin and higher alkaline phosphatase production. Inflammatory resorption was characterized by osteoclast recruitment and RANKL synthesis and replacement resorption was characterized by inhibition of periostin and alkaline phosphatase syntheses.


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