scholarly journals Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth

2007 ◽  
Vol 23 (2) ◽  
pp. 66-71 ◽  
Author(s):  
Marie Therese Flores ◽  
Lars Andersson ◽  
Jens Ove Andreasen ◽  
Leif K. Bakland ◽  
Barbro Malmgren ◽  
...  
2017 ◽  
Vol 158 (33) ◽  
pp. 1314-1318
Author(s):  
Katalin Vajda ◽  
Gergő Fekecs ◽  
Zsófia Muzsek

Abstract: Avulsion of the permanent teeth is one of the most serious forms of traumatic dental injuries, which endangers the patients’ quality of life. Therefore, the fast and proper treatment is crucial. In this case report we will discuss the supportive and definitive functional treatment and correct rehabilitation. The traumatic force can cause complex oral and maxillofacial injuries, which comprehensive treatment constitutes a major challenge for the dentist. Here we review functional restoration of dental injuries and their definitive aesthetic solution. Orv Hetil. 2017; 158(33): 1314–1318.


2020 ◽  
Vol 9 (12) ◽  
pp. 3877
Author(s):  
Lokeshwaran Manoharan ◽  
Malin Brundin ◽  
Olena Rakhimova ◽  
Luis Chávez de Paz ◽  
Nelly Romani Vestman

Traumatic dental injuries in young individuals are often exposed to the invasion of oral microorganisms that leads to pulp necrosis. Infective necrosis in permanent teeth not-fully-developed causes aberrant root formation. Regeneration endodontic treatments (RETs) have shown promising results by promoting continued root development by stem cells. Critical to the success of RET is the thorough disinfection of the pulpal space. To establish effective antimicrobial protocols for root canal disinfection, the invading microorganisms need to be identified. In the present study, we use a combination of culture-based and high-throughput molecular sequencing techniques to investigate the microbial profiles from traumatized teeth (30 cases) and controls, i.e., teeth with pulp infections not caused by trauma (32 cases). Overall, a high microbial diversity in traumatized necrotic teeth was observed. Eubacterium yurii subsps. yurii and margaretiae, as well as key ‘bridging oral species’ F. nucleatum sp., Polymorphum and Corynebacterium matruchotti, were highly associated with traumatized teeth. The microbial compositions of traumatized teeth differed considerably from those of infected teeth not caused by trauma. Age and tooth position also influence microbial compositions. In conclusion, we show that the root canal microflora of traumatized teeth is highly diverse, and it differs from root canal infections not caused by trauma.


2021 ◽  
Vol 15 (9) ◽  
pp. 3020-3023
Author(s):  
Amina Ghaffar ◽  
Zubair Ahmed ◽  
Maliha Munir ◽  
Alia Saeed ◽  
Naghma Parveen ◽  
...  

Objective The purpose of this study is to identify the prevalence of uncomplicated and complicated crown fracture in permanent teeth. Study Design: Cross-Sectional Place and Duration: Nishter Institute of Dentistry, Multan between 2018-2020. Methods: There were 359 patients of both genders were presented with 525 permanent teeth. Patients were aged between 7–12 years. Patients detailed demographics age, sex, type of damage sustained, presence or absence of class II Div 1 were recorded after taking informed written consent from the authority. CPI probe was used to measure the degree of overjet as described by the 1997 WHO Basic Oral Health Survey Guidelines. Prevalence of complicated and uncomplicated crown fracture was calculated among traumatic dental injuries. Complete data was analyzed by SPSS 24.0 version. Results: Majority of the patient was male 200 (55.7%) were males and 159 (46.3%) were females. Mean age of the patients were 8.64 ±12.37 years. Falling was the most common cause of injury found in 195 (54.3%) cases followed by sports 110 (31.6%), RTA was found in 30 (8.4%) and physical violence in 24 (6.7%). Class II div 1 was present among 149 (34.2%) cases. Frequency of crown fracture was found among 43 (11.98%) cases in which complicated crown fractures were 16 (4.5%) cases and the rest 27 (7.5%) were uncomplicated crown fractures. Among 43 cases of crown fractures majority of the cases were males 27 (62.8%). Conclusion: We concluded in this study that the prevalence of crown fracture among TDI was 11.98% and majority among them was uncomplicated crown fractures. Preventive interventions are needed because of the high incidence of oral trauma. There needs to be a greater awareness among parents and children about the dangers of mouth trauma. Key Words: TDI (Traumatic Dental Injuries), Crown fracture, Complicated, Uncomplicated


2007 ◽  
Vol 23 (3) ◽  
pp. 130-136 ◽  
Author(s):  
Marie Therese Flores ◽  
Lars Andersson ◽  
Jens Ove Andreasen ◽  
Leif K. Bakland ◽  
Barbro Malmgren ◽  
...  

2006 ◽  
Vol 14 (1) ◽  
pp. 110-118 ◽  
Author(s):  
MT FLORES ◽  
L ANDERSSON ◽  
JO ANDREASEN ◽  
LK BAKLAND ◽  
B MALMGREN ◽  
...  

2021 ◽  
Vol 76 (1) ◽  
pp. 14-21
Author(s):  
Harpreet Singh ◽  
Meenu Mittal ◽  
Poonam Sharma ◽  
Ashok Kumar ◽  
Pranav Kapoor

Intrusive luxation of permanent teeth is one of the most serious traumatic dental injuries involving damage to the gingival tissue, periodontal ligament, cementum, bone and to the neurovascular supply of the pulp. In addition to disruption of normal tooth development and eruption, it can also lead to pulpal necrosis, root resorption and marginal bone loss. Based on the extent/severity, intrusion maybe classified into mild (<3 mm), moderate (3-6mm) and severe (>6mm). Available techniques for managing intrusive luxation include a wait-and-watch approach to allow for spontaneous re-eruption, orthodontic traction and surgical repositioning. The type of treatment approach employed depends upon the stage of root development, severity of intrusive luxation and the presence or absence of alveolar fractures. It is difficult to predict reliable outcomes with these approaches, since the presence of variables such as the severity of intrusion, associated crown/root fracture, stage of root development and presence of alveolar fractures may alter the prognosis. The present article presents a series of three cases with intrusive luxation of permanent incisors successfully treated using an interdisciplinary approach involving orthodontic traction along with endodontic rehabilitation.


2021 ◽  
Vol 14 (10) ◽  
pp. e244818
Author(s):  
Vivek Mehta ◽  
Anupma Raheja ◽  
Rajeev Kumar Singh

Traumatic dental injuries result in damage to many dental and periradicular structures. They can be conservatively managed depending on the extent of the injury. Maxillary central incisors are most commonly involved in traumatic dental injuries mainly because of their anterior and protrusive positioning. The treatment of immature permanent teeth with severe internal resorption poses a lot of challenges to the clinician. The objective of the present article is to report successful management of traumatised maxillary central incisor with incomplete root formation and severe internal resorption in a 10-year-old boy using triple antibiotic paste, mineral trioxide aggregate and fibre-reinforced composite.


2016 ◽  
Vol 4 (2) ◽  
pp. 21
Author(s):  
Malavika Singh ◽  
Abhay Mani Tripathi ◽  
Gunjan Yadav ◽  
Sonali Saha ◽  
Kavita Dhinsa

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Sanjeeb Chaudhary ◽  
Harender Singh ◽  
Archana Gharti ◽  
Bhawana Adhikari

Background. Time elapsed between trauma and treatment greatly influences the prognosis of traumatic dental injuries (TDIs). The aim of this study was to analyze clinical and radiographic findings related to complications of TDIs among patients seeking delayed treatment of such injuries. Materials and Methods. 123 permanent teeth with a history of previous TDIs were included in the study. Clinical findings analyzed were the type of fracture, type and number of injured teeth, crown discoloration, and pulpal status of the injured tooth (pulpal diagnosis). The radiographic findings analyzed included pulp canal obliteration (PCO), root resorption (RR), and periapical radiolucency (PR). Statistical analysis included descriptive analysis. Results. Tooth discoloration was the most common presenting complaint (53.65%), while fall (48.78%) was the most frequent cause of trauma. The range of time duration between trauma and presentation for treatment was 5 months to 30 years (average time 12.82 years). Pulp necrosis (PN) was the most common complication (90.24%). Almost half of the teeth with PN had fracture injury and discoloration along with a high frequency of PR (78.37%). Even teeth with a normal appearance were found to have a high incidence of PN (76.92%) and PR (53.84%). The crown discoloration was the second most frequent finding (48.78%). Many teeth (41.66%) with vital pulp were also discolored. Most of the teeth (79.31%) with yellowish discoloration and all teeth with brownish discoloration were nonvital. A high frequency of PN (90%) and PR (78.33%) was found in teeth with discoloration. PR was the most common radiographic finding (69.10%), while PCO and RR were observed in 17.88% and 21.13% of teeth, respectively. Conclusion. The findings of this study support the fact that delayed treatment of TDIs leads to increased complications. PN was the most common complication followed by tooth discoloration, RR, and PCO among patients seeking delayed treatment after TDIs.


Sign in / Sign up

Export Citation Format

Share Document