scholarly journals The Incidence of Complications of Dental Trauma and Associated Factors: A Retrospective Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Ines Kallel ◽  
Nabiha Douki ◽  
Syrine Amaidi ◽  
Faten Ben Amor
Keyword(s):  
Retrospective Study ◽  
Root Resorption ◽  
Dental Trauma ◽  
External Root Resorption ◽  
Pulp Exposure ◽  
Long Term Prognosis ◽  
One Year ◽  
Dental Injuries

Objective. The aim of this work was to study the incidence of complications of dental traumatisms and look for associations between factors related to trauma and the occurrence of complications. Materials and Methods. It is a longitudinal retrospective study on a sample of 125 traumatized teeth. The sample is taken from patients consulting the dentistry service at the hospital Sahloul Sousse between 2014 and 2017. Criteria for including a patient were presence of a permanent incisor affected by a subluxation, intrusion, lateral luxation, extrusion, or avulsion injuries associated or not with concomitant dentoalveolar injuries. Data were collected using a questionnaire. The information about etiology of trauma, delay of consultation, orientation of the patient, kind of injury, and emergency treatment and complications were obtained from the patients’ records. Results. The incidence of complications was 8%: external root resorption was present in 70% of cases, surface resorption was observed in 10% of cases, and replacement resorption in 10%, ankylosis in 10%. About pulpal complications, pulp necrosis was found after 4 weeks of follow-up, as well as the internal root resorption after one year. The most common cause of the trauma was the fall (40%). The majority of patients came for emergency consultation within “1 to 3 days,” and the coronary fracture without pulp exposure was the first diagnosis (20.60%). Statistical analysis showed no significant relationship between the cause of the trauma and the complication (P=0.577) and between the delay of consultation and complication (P=0.143). However, an association between consultation time and patient orientation was found (P=0.009). Conclusion. Treatment of dental injuries is usually delayed and not given as much attention as general medical treatment that can explain the occurrence of pulpal and periodontal complications. Immediate consultation and treatment could improve long-term prognosis of the injured tooth.

scholarly journals Root Resorption a 6-Year Follow-up Case Report

2015 ◽  
Vol 9 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Caroline Dias ◽  
Luciane Closs ◽  
Fernando Barletta ◽  
Eduardo Reston ◽  
Maximiano F Tovo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Clinical Course ◽  
Dental Trauma ◽  
Central Incisor ◽  
External Root Resorption ◽  
Dental Practitioners ◽  
Pulp Exposure ◽  
Natural Dentition

This paper describes the clinical course of a pediatric patient developing cervical external root resorption (CERR). An 11-year old male patient had sustained dental trauma and was diagnosed with crown fracture affecting the incisal and middle thirds of the maxillary right permanent central incisor and the maxillary right permanent lateral incisor with pulp exposure and CERR after 24 months. Diagnosis and treatment of CERR are a challenge for dental practitioners. In this case, preservation of natural dentition is shown as a successful treatment in a 6-year follow-up.

scholarly journals Management of Inflammatory Root Resorption of Maxillary Central Incisors following Traumatic Avulsion

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Seyed Mohsen Sadeghi ◽  
Samaneh Moradi ◽  
Samaneh Soltani
Keyword(s):  
Periodontal Ligament ◽  
Clinical Evidence ◽  
Root Resorption ◽  
Dental Trauma ◽  
Root Canal Therapy ◽  
Appropriate Treatment ◽  
Tissue Healing ◽  
Long Term Prognosis

Background. Avulsion is among the most severe types of dental trauma, which often occurs at young ages and can compromise the long-term prognosis of the traumatized tooth. Case Report. Herein, we report replantation of two avulsed teeth. Our patient was an 11-year-old boy with two avulsed maxillary central incisors due to a bicycle fall 2 months earlier. The patient was referred to us after rigid splinting of his teeth by a surgeon. Long-term calcium hydroxide (CH) therapy was performed for the patient, and after healing of periodontal ligament (PDL), apexification was performed for both teeth followed by root canal therapy. During the 2-year follow-up, both teeth were functional and had no radiographic or clinical evidence of resorption or ankylosis. Conclusion. The reported case highlights the favorably high tissue healing potential following severe dental trauma, given that appropriate treatment is performed. Correct endodontic management can guarantee the long-term prognosis of teeth following severe dental trauma.

Treatment of Traumatic Dental Injuries: Shift in Strategy

1990 ◽  
Vol 6 (4) ◽  
pp. 588-602 ◽  
Author(s):  
Frances M. Andreasen ◽  
Jens O. Andreasen
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Third Party ◽  
Restorative Dentistry ◽  
The Public ◽  
Bonding System ◽  
External Root Resorption ◽  
Accepted Part ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

AbsractA more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogensis of external root resorption, increased knowledge about wound healing processes in the pulp and periodintium, as well as by advances in restorative dentistry (reattachment of crown fragments with a dentin bonding system, the use of adhesive bridges, and advances in autotransplantation and implantation). However, a rethinking by the public, clinicians, and third-party payers is necessary for these procedures to gain wider acceptance. The present article describes the state of the art of treating dental trauma in the hope that these advances cam become an accepted part of the dental trauma armamentarium and not merely scientific curiosities.

Healing of root resorption: a case report

2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Central Incisor ◽  
Large Area ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Periodontal Membrane ◽  
Dental Injuries

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.

scholarly journals Immediately Restored Fixed Full-arch Prosthesis on Implants Placed in Both Fresh and Healed Sockets by Means of Flat-one-bridge Technique. A 7-year Retrospective Study. Running Head: Prosthetic Passivation of Implants in Full-arch Bridges

2021 ◽  
Author(s):  
Enrica Giammarinaro ◽  
Simone Marconcini ◽  
Ugo Covani ◽  
Andrea Mascolo ◽  
Marco Del corso ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Success ◽  
Implant Survival ◽  
Long Term Outcomes ◽  
Arch Bridges ◽  
One Year ◽  
Provisional Restoration ◽  
Running Head

Abstract Background: Aim of this retrospective study was to document the long-term clinical efficacy of a surgical-prosthetic technique (Flat-one-Bridge) involving immediate restoration of both post-extractive and non-post-extractive implants supporting full-arch restorations. Methods: Implants were placed adapting the axis to the available bone. Flat definitive abutments were connected at surgery and never disconnected in order to compensate for eventual implants dis-parallelism. Bone grafting was performed when needed. Patients received a screw-retained provisional restoration within 48 hours of surgery and a final screw-retained prosthesis within one year. Results: Sixty-six patients received 494 implants distributed in 75 prosthesis. The median follow-up was 86 months (range 82-168 months). Only three implants failed at the last follow-up. Implant survival was 99.6%. Conclusion: The Flat-one-Bridge prosthetic protocol is a viable procedure with excellent long-term outcomes. No difference could be observed between post-extractive and non post-extractive implants in terms of clinical success.

scholarly journals Microapical surgery management of root resorption in anterior teeth caused by dental trauma: case report

STEMedicine ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. e115
Author(s):  
Jiang Wang ◽  
Yang Yang ◽  
Yingjie Wang ◽  
Yanli Liu ◽  
Yongjin Chen ◽  
...  
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Complete Healing ◽  
Root Canal Therapy ◽  
Anterior Teeth ◽  
Root Absorption ◽  
Trauma Case ◽  
History Of ◽  
Dental Injuries

Root resorption (RR) is a common complication of traumatic dental injuries (TDIs), which could result in tooth loss and affect life in severe cases. The management of a traumatized tooth with RR remains a challenge for clinicians. In our presented cases, the impacted teeth had a history of trauma and underwent thorough non-surgical endodontic treatment; however, RR still occurred months later and could be observed through a periapical radiograph. Therefore, root canal therapy was performed under a dental microscope with a quick-setting calcium silicate cement to repair the RR site. After a long follow-up, the affected teeth showed almost complete healing of the periradicular tissues without sign of RR. This report demonstrates that external root absorption is typically a consequence of traumatized teeth. However, to date, there is still no effective method for its treatment. Here, we successfully applied microscopical surgery to the traumatized teeth experiencing root absorption and provided them with a new healing opportunity.

scholarly journals Ten-year follow-up after immediate management of multiple sports‐related dental injuries: a case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Carmen Buck ◽  
◽  
Alfredo Buck ◽  
Walbert Vieira ◽  
Adriana Soares ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Periapical Lesion ◽  
Root Fracture ◽  
Long Term Follow Up ◽  
Dental Injuries ◽  
Horizontal Root Fracture ◽  
Chlorhexidine Gel

This case report aims to describe a long-term follow-up after the immediate treatment of multiple dental injuries. A 15-year-old female patient was admitted to a private clinic 30 minutes after an accident at school. After clinical and radiographic examinations, tooth 21 was diagnosed with enamel fracture and horizontal root fracture, tooth 22 was diagnosed with lateral luxation, and teeth 12, 11, and 23 were diagnosed with subluxation. Teeth 21 and 22 presented pulp necrosis resulting in root canal treatment. Moreover, tooth 21 was filled with a paste composed of calcium hydroxide, 2% chlorhexidine gel, and zinc oxide, and tooth 22 was filled conventionally. After a 10-year follow-up, her teeth 21 and 22 showed no root resorption or periapical lesion, while her teeth 12, 11, and 23 still presented pulpal vitality

scholarly journals Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

scholarly journals Management and Follow-Up of Complicated Crown Fractures with Intrusive Luxation of Maxillary Incisors in an 8-Year-Old Boy

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Niusha Abazarian ◽  
Shabnam Milani ◽  
Moahammad Hassan Hamrah ◽  
Marzieh Salehi Shahrabi
Keyword(s):  
Root Resorption ◽  
Medical Science ◽  
Severe Form ◽  
Central Incisor ◽  
Dental Injury ◽  
External Root Resorption ◽  
Pulp Exposure ◽  
Maxillary Incisors ◽  
The Right

Intrusive luxation is a severe form of dental injury which causes damage to the pulp and supporting structures of a tooth because of its dislocation into the alveolar process. This paper shows the case of the reeruption of maxillary incisors accompanied by complicated crown fractures after 3 months. An 8-year-old boy patient was referred to the Department of Pedodontic Dentistry of Tehran University of Medical Science, Tehran, Iran, 18 hours after a fall at school. Clinical and radiographic examinations revealed intrusive luxation of both incisors with complicated crown fractures. Cervical pulpotomy is the treatment of choice for traumatized immature intruded teeth with pulp exposure. Two months later, the right central incisor teeth reerupted to a normal position and the final aesthetic restorations were done. The left central incisor was spontaneously repositioned with external root resorption, and the team decided to use interim medication (calcium hydroxide) in the root canal for stopping the process of resorption, and by the 9-month follow-up, the process of resorption had been stopped. An MTA plug was placed into the canal, and the final esthetic restorations were done.

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