Assessment of traumatic injuries to primary teeth in general practise and specialized paediatric dentistry

ABSTRACTObjective: The purpose of the present study was to assess the knowledge of General dentist regarding the management of dental traumatic injuries of primary teeth. Materials and Methods: A total of 100 general dentists were selected and a validated questionnaire was distributed among the dentist to assess their knowledge on treatment strategies regarding traumatized primary teeth. Statistical Analysis: Data were entered into SPSS version 20.0 for percentages. The correct answers were tested in relation to the dentists' years of experience using the Chi-square test. Results: Analyzing the questionnaire for knowledge, 49% of dentists answered accurately regarding avulsed primary teeth, 36% of dentists answered appropriately regarding crown and root fractures, and 55% of dentists gave appropriate answers regarding luxation injuries. Chi-square test showed a statistically significant difference only for 2 questions in relation to the dentist's years of experience (P < 0.05). Conclusion: There is a lack of consistency in the knowledge among general dentist regarding traumatic dental injuries of primary teeth. There is a need to create awareness and education regarding traumatic injuries of primary teeth.

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Intrusive Luxation in Primary Teeth: A Case Report

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-39.3.215 ◽

2015 ◽

Vol 39 (3) ◽

pp. 215-218 ◽

Cited By ~ 4

Author(s):

A Mendoza-Mendoza ◽

E González-Mallea ◽

A Iglesias-Linares

Keyword(s):

Primary Teeth ◽

Alveolar Bone ◽

Permanent Tooth ◽

Traumatic Injuries ◽

Apical Direction ◽

Bone Damage ◽

Close Relationship ◽

The Right ◽

Development Methods ◽

Rule Out

Background: Intrusive luxation, also called central dislocation, is often the result of an axial impact in the apical direction, moving the tooth within the alveolar bone. This is possibly one of the most traumatic injuries, since the displacement of a tooth within its socket implies extensive and acute involvement of the periodontal ligament, bone damage and rupture of the neurovascular bundle. The close relationship between the apexes of the primary teeth and the developing permanent successor in turn can lead to multiple complications, which are greater when the permanent tooth is affected in the early stages of development. Methods: The present paper describes a case of intrusion in primary teeth and its evolution following initial diagnosis as avulsion at the time of trauma. Results: The upper right central incisor, initially diagnosed as avulsed, was lodged in the floor of the right nostril, and was surgically extracted through the nose. Conclusions: In cases of intrusion of primary teeth, it is essential to diagnose the direction of the displaced tooth to rule out injury to the successor and thus prevent the occurrence of sequelae in the permanent dentition.

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Prevalence and determining factors of traumatic injuries to primary teeth in preschool children

Dental Traumatology ◽

10.1111/j.1600-9657.2008.00725.x ◽

2009 ◽

Vol 25 (1) ◽

pp. 118-122 ◽

Cited By ~ 61

Author(s):

Flavia Robson ◽

Maria Letícia Ramos-Jorge ◽

Cristiane Baccin Bendo ◽

Miriam Pimenta Vale ◽

Saul Martins Paiva ◽

...

Keyword(s):

Preschool Children ◽

Primary Teeth ◽

Traumatic Injuries ◽

Determining Factors

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The effect of traumatic injuries to primary teeth on their permanent successors.

European Journal Of Oral Sciences ◽

10.1111/j.1600-0722.1971.tb02014.x ◽

1971 ◽

Vol 79 (3) ◽

pp. 284-294 ◽

Cited By ~ 8

Author(s):

J. O. ANDREASEN ◽

J. J. RAVN

Keyword(s):

Primary Teeth ◽

Traumatic Injuries

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Conservative management of root-fractured primary incisor – case report

Nowa Stomatologia ◽

10.25121/ns.2018.23.4.153 ◽

2018 ◽

Vol 23 (4) ◽

Author(s):

Agnieszka Bruzda-Zwiech ◽

Natalia Ciesielska ◽

Joanna Szczepańska

Keyword(s):

Primary Teeth ◽

Alveolar Bone ◽

Root Resorption ◽

Traumatic Injury ◽

Treatment Method ◽

Primary Dentition ◽

Primary Tooth ◽

Traumatic Injuries ◽

The Difference ◽

Foot Fractures

Most frequent trauma to primary dentitions are injures to the supporting tissue i.e. luxations, but root fractures are relatively uncommon. The difference in the trauma pattern favoring luxation rather than fracture has been found to be typical for the primary dentition, since the elasticity of the alveolar bone surrounding the primary teeth is high and primary tooth held in alveolar socket is less strong. Incidence of foot fractures increases at the age of 3-4 years where physiologic root resorption has begun, thereweakening the root. Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. Because of potential sequelae of trauma to primary teeth, a treatment method that minimizes any additional risks of further damage to the permanent successors should be selected. The report presents a case of 3.5 year-old boy after traumatic injury – extrusion of tooth 51, which required surgical treatment, and apical third horizontal root fracture of tooth 61 treated conservatively. Written consent from subject’s parents/subject’s legal guardians was obtained. Root-fractured primary tooth has been followed clinically and radiographically for 3.5 year, till advanced root resorption. Presented case and cases described in cited literature demonstrate that conservative treatment of root-fractured primary teeth is a favorable method of the treatment that allows the teeth to function naturally until the term of physiological resorption and exfoliation.

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Pulp Calcification in Traumatized Primary Teeth: Prevalence and Associated Factors

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.35.4.8065636750168677 ◽

2011 ◽

Vol 35 (4) ◽

pp. 383-388 ◽

Cited By ~ 2

Author(s):

ACV Mello-Moura ◽

GAVC Bonini ◽

CGDC Zardetto ◽

CRMD Rodrigues ◽

MT Wanderley

Keyword(s):

Logistic Regression ◽

Statistical Analysis ◽

Associated Factors ◽

Primary Teeth ◽

Dental Trauma ◽

Dental Tissue ◽

Chi Square ◽

Traumatic Injuries ◽

Clinical Center ◽

Pulp Calcification

Aim: To establish the prevalence of pulp calcifications in 946 patients at the Research and Clinical Center of Dental Trauma in Primary Teeth. Study Design: The clinical and radiographic records of 1,675 traumatized primary teeth were evaluated. Statistical analysis was performed using chi-square and univariate logistic regression. Results: 197 (20.8%) patients showed pulp calcification (PC). A total of 250 (14.9%)calcified teeth were observed. In most teeth, PC appeared within the first 12 months following trauma. PC prevalence was higher in cases of repeated trauma (29.6%) than in single trauma (16.4%), p <0.05, with a 2.14 chance of showing pulp calcification when a child suffered recurrent trauma. Most teeth showing calcified pulp, suffered trauma to the supportive tissue (67.4%), being statistically significant in relation to the trauma to dental tissue (p <0.05). Conclusion: PC is a sequelae in cases of trauma to the primary dentition;teeth that suffered recurrent traumatic injuries show higher risk of presenting.

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