scholarly journals Traumatic Dental Injuries: Clinical Case Presentation and a 10-Year Epidemiological Investigation in an Italian Dental Emergency Service

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Alberto Murri Dello Diago ◽  
Luigi Generali ◽  
Roberto Apponi ◽  
Vittorio Colombini ◽  
Vittorio Checchi

Traumatic dental injuries (TDIs) are very common in the world population, and international literature reports several studies which helped in the definition of international guidelines. The aim of this study is to present two clinical cases of TDI and to investigate epidemiological and etiological aspects of TDIs in patients treated in Modena, Italy, between January 2010 and December 2020. The presented case reports are two explicative clinical cases of successful TDI management with a long-term follow-up. The epidemiological analysis was performed on patients who visited the Dental Emergency Service of the Dentistry and Oral-Maxillo-Facial Surgery Unit of Modena (Italy) over a period of 10 years. Data relating to age, gender, type of trauma, and place of accident were collected. Five-hundred-sixty-five TDIs that occurred to patients from 1 to 68 years old were reported, with a total of 860 injured teeth. The peak age at which TDIs are most represented varies between 2 and 3 years old, and they occurred frequently from 1 up to 7 years old. 57.5% were male, while 42.5% were female. The most common trauma resulted to be the uncomplicated crown fracture (20%), immediately followed by lateral luxation (19%), intrusive luxation (18%), avulsion (17%), and complicated crown fracture (15%). TDIs occurred at home in 44% of cases. The need for more prevention training must be highlighted, due to the fact that many TDIs occur at home and in a preschool age.

2019 ◽  
Vol 5 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Catherine D. Born ◽  
Tate H. Jackson ◽  
Lorne D. Koroluk ◽  
Kimon Divaris

2017 ◽  
Vol 21 (3) ◽  
pp. e179-e191
Author(s):  
Johann Vladimir Uzcátegui Quintero ◽  
Alinne Hernández Ayala ◽  
Ricardo González Plata ◽  
Enrique Ríos Szalay

Author(s):  
Ceren Çimen ◽  
Burcu Nihan Yüksel ◽  
Nurhan Özalp

Traumatic dental injuries are particularly common in school-age children and often occur in the anterior region. Process management of cases is possible with alternative treatments according to the root development levels. This case series is aimed to present the treatment and 2-year follow-up of permanent anterior teeth with traumatic dental injuries. Case 1: An 8-year-old patient, who had a bicycle accident 20 days earlier, was diagnosed with extrusion of #31. Due to late admission to the clinic, no repositioning procedure was applied to the tooth. Regenerative endodontic treatment was performed. During the radiological follow-up, the apex was closed in the 12th month; however, it was observed that obliteration started in the root canal at the 24th month. The case is still being followed up at regular intervals. Case 2: A 13-year-old patient, who had a traffic accident 3 days prior, was diagnosed with subluxation in #11, and a root fracture was detected in the apical third of #21. In #21, root canal treatment was applied to the coronal part of the fragments. After the diagnosis of pulp necrosis in #11 in the 2nd month of the follow-up period, root canal filling was applied. During the follow-up period, no pathology was detected and no granulation tissue was formed between the fragments in #21. In traumatic dental injuries, long-term follow-up, well-timed endodontic treatments, and material selection play an important role in success. With regenerative endodontic treatment, successful results can be obtained even in treatments applied in late-admitted patients.


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
O. Marouane ◽  
N. Douki ◽  
F. Chtioui

Stained enamel opacities are frequently encountered in dental practice. However, due to the risk of unaesthetic outcome, managing such lesions by resin infiltration techniques alone is not advised. Therefore, performing external bleaching before resin infiltration procedure is mandatory to eliminate stains from the hypomineralized lesions in order to aesthetically infiltrate them. In this work, we describe clinical cases in which external bleaching and resin infiltration techniques were used for managing stained enamel hypomineralized lesions related to traumatic dental injuries and molar incisor hypomineralization. Despite the fact that this approach has some limitations, it could be concluded that external bleaching associated with the resin infiltration technique shows promising results to aesthetically manage stained enamel opacities when the stain is totally removed after bleaching.


2013 ◽  
Vol 141 (11-12) ◽  
pp. 744-749 ◽  
Author(s):  
Ana Vukovic ◽  
Dejan Markovic ◽  
Bojan Petrovic ◽  
Mirjana Apostolovic ◽  
Ranko Golijanin ◽  
...  

Introduction. Comprehensive epidemiological data regarding factors associated with traumatic dental injuries are scarce. Objective. The aim of the present study was to assess the frequency and analyze the factors associated with traumatic dental injuries in Serbian children. Methods. Research included children and adolescents with traumatic dental injury aged 0-19 year during the period from 2003 to 2010, in four University Dental Centres in Serbia: Belgrade, Nis, Novi Sad and Kragujevac. Patient history, demographic, clinical and radiographic data were obtained from dental trauma forms. Results. Total of 2,194 patients (748 girls, 1,446 boys) (?2=222.1; p<0.01) with 3,077 injured teeth in permanent and 953 in primary dentition were observed. Most of patients were aged 7 to 12 years (n=1,191). The most frequent injuries in primary and permanent dentition were dislocations (87.4%) and teeth fractures (50.8%), respectively (?2=706.1; p<0.01). The most frequent mechanism of injury was fall in children aged 0 to 12 years, while the collisions were most frequent in adolescents (53.9%). The most frequent injuries in adolescents were inflicted outdoor (66.8%), while the injuries in children aged 0 to 3 years occurred at home (68.2%), (?2=360.8; p<0.01). The most frequent injuries in girls were accidental (48.3%), and in boys these were sport injuries (20.4%) and violence (10.4%) (?2=79.9; p<0.01). The most frequent cause of injury in children aged 0 to 3 years was accidental (75.6%), while in adolescents it was sport (34.1%) (?2=1102.7; p<0.01). Conclusion. Dental injuries in preschool children most frequently resulted from fall at home. Schoolchildren most frequently injured teeth outdoor during play. Violence and sport injuries were most frequent cause of injury in adolescents.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Shuntaro Oribe ◽  
Takafumi Toyohara ◽  
Eikan Mishima ◽  
Takehiro Suzuki ◽  
Koichi Kikuchi ◽  
...  

Abstract Background Fibromuscular dysplasia (FMD) often causes renal artery stenosis with renovascular hypertension. Recent clinical outcomes encourage percutaneous transluminal renal angioplasty (PTRA) to treat FMD; however, the necessary follow-up period remains unclear. Moreover, previous studies have not revealed the difference in the period until recurrence between two major types of FMD—multifocal and focal. Case presentation We describe two patients with multifocal FMD who developed hypertension during their teenage years and had recurrence of FMD > 10 years after PTRA. We further examined the types of FMD and age of onset in 26 patients who underwent PTRA. The period until recurrence of multifocal FMD was longer than that of focal FMD. Moreover, patients with early-onset multifocal FMD are likely to have a delayed recurrence after PTRA compared to other types. Conclusions Our report suggests that patients with multifocal FMD, especially those with onset at an early age, may need long-term follow-up for at least ≥ 10 years.


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