scholarly journals Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study

2016 ◽  
Vol 30 (1) ◽  
Author(s):  
Vanessa Polina Pereira Costa ◽  
Marilia Leão Goettems ◽  
Elaine Zanchin Baldissera ◽  
Andréa Dâmaso Bertoldi ◽  
Dione Dias Torriani
Keyword(s):  
Retrospective Study ◽  
Primary Teeth ◽  
Dental Trauma

scholarly journals Frequency of pulp canal obliteration in primary teeth after traumatic dental injury and its association with related variables

2021 ◽  
Vol 69 ◽  
Author(s):  
Samantha Alves do Nascimento MOURA ◽  
Keilla Couto MACHADO ◽  
Michele Machado LENZI ◽  
Marcia Rejane Thomas Canabarro ANDRADE ◽  
Mirian de Waele Souchois de MARSILLAC ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Primary Teeth ◽  
Dental Trauma ◽  
Dental Injury ◽  
Anterior Teeth ◽  
Dental Records

ABSTRACT Objective The aim of this study was to determine the frequency of pulp canal obliteration (PCO) after traumatic dental injury (TDI) of primary anterior teeth and to investigate its relation with the related variables. Methods This retrospective study has been done with dental records of patients selected from the Paediatric Dental Trauma Clinic between 2006 and 2016. Those who had PCO in the primary anterior teeth and were aged 0-108 months at the time of trauma were considered eligible. Data related to patients and TDI, such as sex, the child’s age at the time of trauma, aetiology, affected teeth, the child’s age at the time of the eruption of the permanent successor as well as the presence of crown discoloration were extracted from the dental records. Results Among the 483 children with traumatised teeth, 14.9% had PCO and the most of them exhibited crown discoloration. The average age of the children at the time of the trauma was 38 months and the most common aetiology of the TDI was falls. The average time for the beginning of the PCO process was 13.5 months. There was no statistically significant association between the child’s age at the time of trauma and the types of TDI, PCO and the presence of crown discoloration. Conclusions The frequency of PCO was relatively low though the presence of crown discoloration was considerable. There was no association between the child’s age at the time of trauma and the studied variable.

Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture

2021 ◽  
Vol 33 (2) ◽  
pp. 16-20
Author(s):  
Muna S Khalaf ◽  
Bayan S Khalaf ◽  
Shorouq M Abass
Keyword(s):  
Soft Tissue ◽  
Primary Teeth ◽  
Alveolar Bone ◽  
Anterior Segment ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Position ◽  
Anterior Teeth ◽  
The Impact

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root

Dental trauma on primary teeth at different root resorption stages-A dynamic finite element impact analysis of the effect on the permanent tooth germ

2019 ◽  
Vol 35 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Andomar B. F. Vilela ◽  
Priscilla B. F. Soares ◽  
Fabiana S. de Oliveira ◽  
Tales C. Garcia-Silva ◽  
Carlos Estrela ◽  
...  
Keyword(s):  
Finite Element ◽  
Impact Analysis ◽  
Primary Teeth ◽  
Root Resorption ◽  
Dental Trauma ◽  
Tooth Germ ◽  
Permanent Tooth ◽  
Dynamic Finite Element

Profiles of Trauma in Primary and Permanent Teeth of Children and Adolescents

2019 ◽  
Vol 43 (1) ◽  
pp. 5-10
Author(s):  
Jackeline Nogueira de Paula Barros ◽  
Thayssa Augusto Assis de Araújo ◽  
Thais Rodrigues Campos Soares ◽  
Michele Machado Lenzi ◽  
Patrícia de Andrade Risso ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Therapeutic Approaches ◽  
Tooth Type ◽  
The Mean ◽  
Dental Records ◽  
Gingival Mucosa ◽  
Tissue Trauma ◽  
Type Of Fracture

This retrospective study aimed to evaluate the dental trauma profile in primary and permanent teeth from patients between 0 and 15 years old who attended the Faculty of Dentistry of the Federal University of Rio de Janeiro. Data regarding gender, age, trauma classification, tooth type, and affected tissues were obtained from dental records. The data were analyzed descriptively and by the χ2 test (p < 0.05). Data associated with 333 traumatized teeth (70% primary and 30% permanent teeth) were included. The mean ages of children with affected primary and permanent teeth were 3.35 ± 2.02 and 9.09 ± 2.43 years, respectively. Males presented more permanent teeth with trauma (64.4%) than primary ones (55.6%; p = 0.085). The upper central incisors, both primary (68.9%) and permanent (69.4%), were the teeth most commonly affected. Primary teeth showed a higher frequency (p < 0.001) of supportive tissue trauma (73.3%) and lower frequency (p = 0.001) of hard tissue trauma (40.7%) than those in permanent ones (51.5% and 60.6%, respectively). The most frequent trauma in the supportive tissue was subluxation (27.2%) and permanent lateral luxation (42.0%). In the hard tissues, permanent teeth presented a higher prevalence of trauma than primary ones (p = 0.001), however this difference was not statistical significant when each type of fracture injury was evaluated individually (p > 0.005). With affected primary teeth, there was a greater frequency of trauma in the gingival mucosa (31.0%; p = 0.022); in the permanent ones, traumatic lesions in the chin region were the most prevalent (20.8%; p = 0.009). Trauma was recurrent in 26.3% of primary teeth and in 20.2% permanent teeth. Therefore, primary and permanent teeth showed distinct trauma profiles, suggesting that distinct preventive and therapeutic approaches are needed for these two groups.

Survival and Associated Risk Factors of Selective Caries Removal Treatments in Primary Teeth: A Retrospective Study in a High Caries Risk Population

2017 ◽  
Vol 51 (5) ◽  
pp. 466-474 ◽  
Author(s):  
Ximena C. Melgar ◽  
Niek J.M. Opdam ◽  
Marcos Britto Correa ◽  
Renata Franzon ◽  
Flávio Fernando Demarco ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Primary Teeth ◽  
Hazard Ratio ◽  
Caries Experience ◽  
Rapid Progression ◽  
Posterior Teeth ◽  
High Caries Risk ◽  
Caries Removal ◽  
Selective Caries Removal

Objective: The aim of this retrospective study was to analyze the survival probability of selective caries removal (SCR) treatments in the primary teeth of children with high caries experience and factors potentially associated with treatment failure. Methods: The sample included SCR treatments conducted in anterior and posterior teeth without sedation or general anesthesia among children attending a university dental service. Kaplan-Meier survival analysis was used to estimate the longevity of restorations and multivariate Cox regression with shared frailty was used to assess risk factors. Results: A total of 284 SCR treatments in 88 children (aged 5.2 ± 1.91 years) with high caries experience (mean dmft/DMFT = 11.1 ± 5.04) were analyzed. The 3-year survival reached 48.8%, with an annual failure rate of 21.2%. Restorative failures (n = 60) were found more frequently compared to pulp complications (n = 12). SCR performed in anterior primary teeth were more prone to failure (hazard ratio = 3.6, 95% CI: 1.94; 6.71). Patients with a higher amount of visible plaque experienced more failures in SCR treatments (hazard ratio 3.0, 95% CI:1.27; 7.07). Conclusions: In this retrospective study, SCR showed restricted survival when compared to other prospective clinical trials. Patient-related factors, especially the young age and high caries experience of the children, may represent a challenge for restoration survival. Regardless of the caries removal technique or restorative material, cariogenic biofilm has a negative effect on the survival of restorations, probably by acting directly on material deterioration and, particularly, on the development of new caries lesions of rapid progression.

Evaluation The Effects of Home Accidents to The Traumatic Dental Injuries of Primary Teeth

2021 ◽  
Vol 15 (11) ◽  
pp. 3240-3243
Author(s):  
Yildirim Erdoğan ◽  
Z.Zahit Çiftçi ◽  
Özge Erken Güngör ◽  
Huseyin Karayilmaz ◽  
Zuhal Kirzioğlu
Keyword(s):  
Primary Teeth ◽  
Dental Trauma ◽  
Safe Environment ◽  
Traumatized Children ◽  
Common Causes ◽  
Traumatic Dental Injuries ◽  
Home Accidents ◽  
Age Range ◽  
Dental Injuries ◽  
Type Of Injury

Objective:The primary aim of this study was to retrospectively evaluate the effects of home accidents(HAs) on the traumatic dental injuries(TDIs) of primary teeth. Furthermore, the secondary aim was to bring attention to the importance of preventive measures for HAs, especially in this pandemic period where children all over the world spend most of their time in their homes due to coronavirus(COVID-19) disease. Material and Methods:The records of the patients with TDIs of the primary teeth, aged 6 months-8 years, who applied to the xxxxxxxxxUniversity, Faculty of Dentistry, Department of Pedodontics, between the years 2000¬2010 and yyyyyyyyUniversity, Faculty of Dentistry, Department of Pedodontics, between the years 2012–2019 were investigated. Results:The sample consisted of 504 children that had TDIs to the primary teeth. The age range of the children was 1–8 years(3.5±1.8years old) and 37.3%(n=188) of the patients were girls and 62.7%(n=316) boys. The prevalence of the TDIs due to HAs was found to be 43.25%(n=218). A total of 380 teeth in the 218 patients who were found to have TDIs due to HAs were examined. The highest prevalence of traumatized children was in the age range 2-4 years(63.3%). Collisions with objects(45%) were found to be most common causes of dental trauma and the most common type of injury was found to be lateral luxation(35.8%). Conclusions:Measures to prevent HAs should primarily target preschool children, the riskiest group. Accidents can be largely prevented by taking simple precautions such as providing a safe environment for children's healthy mental and physical development at home. Key words: Home accidents, Dental trauma, Primary teeth,

Caries Progression Rate in Primary Teeth: A Retrospective Study

2017 ◽  
Vol 41 (5) ◽  
pp. 358-361 ◽  
Author(s):  
Nili Tickotsky ◽  
Roy Petel ◽  
Rabi Araki ◽  
Moti Moskovitz
Keyword(s):  
Retrospective Study ◽  
Primary Teeth ◽  
Economic Status ◽  
Progression Rate ◽  
Occlusal Caries ◽  
Kaplan Meier ◽  
Carious Lesions ◽  
Tooth Surfaces ◽  
Caries Progression ◽  
And Behavior

Objectives: The rate of caries progression in primary teeth has rarely been studied, with most studies on early childhood caries reporting the percentage of lesions that remain at a certain stage of disease over a period of time. The aim of the present study was to examine the prevalence and behavior of proximal and occlusal carious lesions in primary teeth among children from low socio-economic status. Study design: This retrospective study was based on bite-wing radiographs of 95 children aged 5–12 taken at 6–12 months intervals, with a follow-up period of at least three years. One hundred thirty-five teeth and 141 tooth surfaces were examined. The degree of proximal surfaces and occlusal caries advancement was scored and statistical analyses (Mann-Whitney, Kruskal–Wallis and Kaplan-Meier analysis) were performed to evaluate caries progression rate. Results: The results revealed that approximately 0.8 years were required for a carious lesion to progress from the outer enamel to the dentino-enamel junction, and an additional 1.4 years for it to reach the inner part of the dentin. Conclusions: The caries progression rate found in the present study is more rapid than previously found and affects more the lower socio economic population.

scholarly journals Tooth Loss and Survival Analysis after Traumatic Injuries in Primary Dentition

2017 ◽  
Vol 21 (3) ◽  
pp. 146-151
Author(s):  
Jelena Galovic ◽  
Tatjana Vukojevic ◽  
Jelena Nikolic Ivosevic ◽  
Mirjana Perin ◽  
Kristina Vicko ◽  
...  
Keyword(s):  
Survival Rate ◽  
Primary Teeth ◽  
Treatment Options ◽  
Dental Trauma ◽  
Time Interval ◽  
Male Patients ◽  
One Year ◽  
The Moment ◽  
Novi Sad ◽  
Trauma Type

SummaryBackground/Aim: The aim of the present study was to investigate the treatment options, survival rate of traumatized primary teeth and evaluate the factors influencing the outcome. Material and Methods: The sample consisted of all dental trauma cases treated over a 14 years period at the Department of Pediatric and Preventive Dentistry, Dental Clinic of Vojvodina, Novi Sad. Criteria for inclusion in this study were: dental trauma to primary teeth and age in the moment of injury up to seven years. Dental trauma records were analyzed in order to obtain the following: gender and age of the child at the time of trauma, type of trauma, as well as the type and timing of treatment received. After data analysis a survival rate of traumatized primary teeth was evaluated. Results: The study was designed as retrospective and it included 225 children, with 346 traumatized primary teeth. The occurrence of trauma was higher in male patients (60,4%) and in children up to 4 years of age. Luxations were more frequent (72.8%) compared to isolated teeth fractures (20.8%), while the two types of injury combined were rare (6,3%). One year following dental trauma 231 teeth (0.67%) developed complications. Falls were the main cause of trauma (68.9%) and the presence of more than one traumatized tooth was frequent. A percentage of 48.8 children received dental care during first 24 h after the injury. Conclusions: Survival of injured primary teeth is relatively low, regardless of trauma type, time interval between injury and treatment and the type of provided treatment.

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