Clinical Management of Multiple Traumatic Dental Injuries and Treatment Approaches: 30 Months’ Follow-Up

Dental Injuries ◽

Regenerative Endodontic Treatment

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.

Traumatic Dental Injuries Resulting from Sports Activities; Immediate Treatment and Five Years Follow-Up: An Observational Study

The Open Dentistry Journal ◽

10.2174/1874210601812010001 ◽

2018 ◽

Vol 12 (1) ◽

pp. 1-10 ◽

Cited By ~ 3

Author(s):

Enrico Spinas ◽

Antonello Mameli ◽

Luca Giannetti

Keyword(s):

Recovery Time ◽

Dental Trauma ◽

Sports Events ◽

Sport Activities ◽

Mouth Guards ◽

Precautionary Measures ◽

Tissue Trauma ◽

Background: Traumatic dental injuries (TDIs) represent 18-30% of all oral pathologies and a considerable number of these are sports related. It is very important to treat sports-related injuries and prevent complications. However, very few studies investigate the most expedient therapeutic strategies for the treatment of dental trauma correlated to sports. Objective: The aim of this work was to focus on the average recovery time for different lesions, to assess adequate times for each athlete, to identify any association with complications and to investigate whether or not the use of mouth-guards interfered with a full recovery to normal health. Methods: This study involved a group of 30 athletes (15 male and 15 female) who had dental injuries of varying severity. For the purposes of data collection, two classifications were taken into account: a classification for hard tissue trauma and another for periodontal lesions. The athletes were subdivided in “type of lesion’ groups”.They were then treated depending on their individual lesions and followed up for 5 years. A statistical analysis was carried out to study the association between recovery time, lesion types and occurrence of complications. Results: The time for recovery was different for each type of lesion and ranged from 3-5 days (only uncomplicated fractures) to 14 days (all hard-periodontal tissue traumas). The total number of recorded pulp complications amounted to 6 cases. Among 30 athletes, 20 had begun and maintained, during the five-year follow-up period, the habit of using mouth-guards when practicing their sport activities. Conclusions: Recovery time and the severity of lesions are statistically associated: the more serious the injury, the more time an athlete needs to recover and return to competitive sports events. Furthermore, recovery time and precautionary measures (mouth-guards) did not influence the onset of complications. The subjects’ habit of wearing a mouth guard continued even after the end of the therapy and follow-up periods.

Retrospective evaluation of primary anterior teeth injuries and prevalence of sequelae in their successors

Contemporary Pediatric Dentistry ◽

10.51463/cpd.2021.35 ◽

2021 ◽

pp. 41-49

Author(s):

Ozant Oncag ◽

◽

Candan Gurbuz Sarigol ◽

Sevgi Arabulan ◽

◽

...

Keyword(s):

Deciduous Teeth ◽

Retrospective Evaluation ◽

Enamel Hypoplasia ◽

Mean Values ◽

Anterior Teeth ◽

Short And Long Term ◽

Aim: Traumatic dental injuries occur frequently in children. Treatment and follow ups are important to avoid short and long term complications. The aim of this study was to investigate the prevalence of sequelae in the permanent anterior teeth following the trauma in their predecessors in the period of 2005 to 2011. Methods: This study was performed retrospectively according the data from the records of 79 children (53 boys, 26 girls), who were treated for anterior deciduous tooth trauma. Of the 79 affected children (186 teeth), 35 (91 teeth, 22 boys and13 girls) were available for the follow-up examination. Kappa coefficient was calculated for inter-examiner reliability. Descriptive statistics including percentage and mean values were also calculated. Results: Sequelae were detected on 45(49.5%) of 91 successors of the traumatized deciduous teeth and enamel hypoplasia and/or discoloration was observed in 14 (31.1%) teeth. Eruption was disturbed in 14 (31.1%). In 13 teeth (28.9%) crown and root malformation, in three teeth (6.7%) only crown and in one tooth (2.2%) only root malformation was detected. Most frequent sequela of successors were observed after the intrusive luxation of the deciduous teeth (33%). Crown-root malformations of the successor teeth were most frequently occurred after the trauma at the age of 0 to 2 (61.53%). Conclusions: Early diagnosis and treatment of primary dental injuries and routine clinical and radiological follow up would minimize the sequelae which were observed in permanent successors..

Traumatic dental injuries – follow-up and prognosis

Annals of Japan Prosthodontic Society ◽

10.2186/ajps.6.125 ◽

2014 ◽

Vol 6 (2) ◽

pp. 125-132

Author(s):

Michiyo Miyashin

Keyword(s):

Management of an Extrusive Luxation Concomitant with Subluxation: A Case Report with Ten-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2021/6256894 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Saeedeh Mokhtari ◽

Sepideh Hosseini ◽

Maryam Khosrozadeh

Keyword(s):

Case Report ◽

Incidence Rates ◽

Health Concern ◽

Maxillary Incisor ◽

Public Health Concern ◽

High Prevalence ◽

Periodontal Maintenance ◽

Traumatic dental injuries (TDIs) are a public health concern with high prevalence and incidence rates. Proper intervention can significantly reduce the subsequent complications of these events. This case report describes the clinical interventions to manage a patient with traumatized maxillary incisor with severe extrusive luxation. The procedure was aimed at preserving pulp vitality and providing periodontal maintenance to the highest possible degree. Owing to timely and accurate treatments, ten years of success have been achieved in this patient, as discussed in this case report.

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

Case Reports in Dentistry ◽

10.1155/2020/8855331 ◽

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 ◽

The Right ◽

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.

Traumatic Dental Injuries, Treatment and Complications in Children and Adolescents: A Register-Based Study

European Journal of Dentistry ◽

10.1055/s-0041-1723066 ◽

2021 ◽

Author(s):

Austė Antipovienė ◽

Julija Narbutaitė ◽

Jorma I. Virtanen

Keyword(s):

Dental Care ◽

Tooth Extraction ◽

Primary Teeth ◽

Permanent Teeth ◽

Test Analysis ◽

Dental Injury ◽

Child Patients ◽

Abstract Objective Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications. Materials and Methods We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients’ (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist. Statistical Analysis The χ 2-test, analysis of variance (ANOVA), and Kruskal–Wallis and Mann–Whitney tests served in the statistical analyses. Results A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury. Conclusion The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2015/914846 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

E. Ferrés-Amat ◽

C. Díaz-Martínez ◽

S. Herrera-Martínez ◽

I. Maura-Solivellas ◽

E. Ferrés-Padró

Keyword(s):

Dental Trauma ◽

Primary Diagnosis ◽

Open Bite ◽

Dental Arch ◽

Dental Injury ◽

Root Fracture ◽

Dentoalveolar Trauma ◽

The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

Effects of traumatic dental injuries to primary teeth on permanent teeth - a clinical follow-up study

Dental Traumatology ◽

10.1111/j.1600-9657.2010.00959.x ◽

2010 ◽

Vol 27 (2) ◽

pp. 117-121 ◽

Cited By ~ 27

Author(s):

Lilian de Fátima Guedes de Amorim ◽

Carlos Estrela ◽

Luciane Ribeiro Resende Sucasas da Costa

Keyword(s):

Primary Teeth ◽

Permanent Teeth ◽

Follow Up Study ◽

Complex Implant-Prosthetic Rehabilitation Following Sports Trauma with 14 Years of Follow-Up: Case Report

Dentistry Journal ◽

10.3390/dj9010006 ◽

2021 ◽

Vol 9 (1) ◽

pp. 6

Author(s):

Alberto Murri dello Diago ◽

Roberto Apponi ◽

Vittorio Colombini ◽

Lorenzo Mordini ◽

Francesca Ideo

Keyword(s):

Case Report ◽

Tooth Loss ◽

Treatment Plan ◽

Multidisciplinary Treatment ◽

Complex Case ◽

Mini Implants ◽

Dental Injuries ◽

Alternative Solutions

Tooth loss after traumatic dental injuries (TDI) often requires rehabilitation with a multidisciplinary treatment plan. In growing patients, the therapeutic approach may be different than in adults; the scientific literature offers alternative solutions even if they involve long, complex and uncomfortable treatments. Among the possible therapeutic options, implant-prosthetic treatment through the use of mini-implants is presented in this complex case report with a 14-year follow-up.