Development Dental Defects in Permanent Teeth Resulting From Primary Tooth Trauma. A Systematic Review.

2020 ◽  
Author(s):  
Lucía Caeiro Villasenín ◽  
Clara Serna Muñoz ◽  
Amparo Pérez Silva ◽  
Ascensión Vicente ◽  
Andrea Poza Pascual ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Teeth ◽  
Tooth Enamel ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Development Phase ◽  
Made In

Abstract Children are vulnerable to dental trauma, especially in the first two year of life.The objective was to determine whether trauma in temporary teething causes alterations in the development of permanent teething. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year of publication, were included. The quality of the studies was analyzed using the NOS Scale.The search retrieved 537 references, and 7 studies were included for a qualitative analysis. The results showed that trauma to a deciduous tooth can damage the bud of the permanent tooth. Enamel discoloration and/or hypoplasia were the most common sequelae in the permanent teeth after trauma to the primary predecessor. The type and severity of sequelae in the permanent tooth are associated with the development phase of the bud. Children with trauma of their primary teeth should receive check-ups until the eruption of the permanent teeth for the early diagnosis and treatment of possible sequelae. Intrusion of the primary tooth was the trauma that caused the most damage and enamel alterations the most frequent sequelae.

scholarly journals Developmental Dental Defects in Permanent Teeth Resulting from Trauma in Primary Dentition. A Systematic Review

2022 ◽  
Vol 19 (2) ◽  
pp. 754
Author(s):  
Lucía Caeiro-Villasenín ◽  
Clara Serna-Muñoz ◽  
Amparo Pérez-Silva ◽  
Ascensión Vicente-Hernández ◽  
Andrea Poza-Pascual ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Teeth ◽  
Tooth Enamel ◽  
Permanent Tooth ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Development Phase ◽  
Made In

The objective was to determine whether trauma in primary dentition causes alterations in the development of permanent dentition. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year of publication, were included. The quality of the studies was analyzed using the NOS Scale. The search retrieved 537 references, and seven studies were included for a qualitative analysis. The results showed that trauma to a deciduous tooth can damage the bud of the permanent tooth. Enamel discoloration and/or hypoplasia were the most common sequelae in the permanent teeth after trauma to the primary predecessor. The type and severity of sequelae in the permanent tooth are associated with the development phase of the bud. Children with trauma of their primary teeth should receive checkups until the eruption of the permanent teeth for the early diagnosis and treatment of possible sequelae. Intrusion of the primary tooth was the trauma that caused the most damage and enamel alterations the most frequent sequelae.

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

scholarly journals Avulsion and Replantation in Primary Dentition - A Review

2021 ◽  
Vol 10 (9) ◽  
pp. 619-623
Author(s):  
Viddyasagar Prabhakar Mopagar ◽  
Meghana Vasant Phadnis ◽  
Sourabh Ramesh Joshi ◽  
Vikranth Shetty ◽  
Gowri Swaminatham Pendyala
Keyword(s):  
Primary Teeth ◽  
Root Resorption ◽  
Case Reports ◽  
Traumatic Injury ◽  
Primary Root ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Successful Outcome ◽  
Primary Tooth ◽  
Stage Of Development

Avulsion of a primary tooth is a disturbing type of traumatic injury occurring in children. Paediatric dentists are likely to encounter a child with an avulsed primary tooth routinely in their clinical practice. Tooth avulsions are common in permanent teeth. However, avulsions can be seen even in primary teeth. The question of replantation of the avulsed tooth has been a focus of debate and controversy since years. The primary and most important factor in these injuries is to calculate the riskbenefit ratio keeping the underlying permanent tooth in mind. Utmost importance has to be given on the care of development and normal eruptive movements of the succedaneous tooth. This is mandatory if any treatment like replantation is to be done. The amount of primary root resorption, stage of development of the underlying permanent tooth, type of splinting to be done etc. needs a lot of attention. Many authors have given their opinions regarding the replantation of primary teeth based on the type of tooth avulsed. Moreover, the evidence might differ as to whether or not replantation might alter the difficulty levels for the eruption process of succedaneous tooth. There is not much evidence regarding the benefits and risks of replantation post avulsion of primary teeth. However, individual authors have reported a successful outcome in their case reports. This article reports a review on avulsed primary teeth replantation. This would enable the dentists to analyze the risks and benefits associated with replantation, thereby guiding them to arrive at the best clinical decision. KEY WORDS Primary Tooth, Avulsion, Replantation.

scholarly journals Retained primary teeth in STAT3 hyper-IgE syndrome: early intervention in childhood is essential

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Iris Meixner ◽  
Beate Hagl ◽  
Carolin I. Kröner ◽  
Benedikt D. Spielberger ◽  
Ekaterini Paschos ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Dental Treatment ◽  
Elevated Serum ◽  
Permanent Tooth ◽  
Tooth Eruption ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Hyper Ige Syndrome ◽  
Tooth Roots ◽  
Midline Defects

Abstract Background STAT3 hyper-IgE syndrome (STAT3-HIES) is a rare primary immunodeficiency that clinically overlaps with atopic dermatitis. In addition to eczema, elevated serum-IgE, and recurrent infections, STAT3-HIES patients suffer from characteristic facies, midline defects, and retained primary teeth. To optimize dental management we assessed the development of dentition and the long-term outcomes of dental treatment in 13 molecularly defined STAT3-HIES patients using questionnaires, radiographs, and dental investigations. Results Primary tooth eruption was unremarkable in all STAT3-HIES patients evaluated. Primary tooth exfoliation and permanent tooth eruption was delayed in 83% of patients due to unresorbed tooth roots. A complex orthodontic treatment was needed for one patient receiving delayed extraction of primary molars and canines. Permanent teeth erupted spontaneously in all patients receiving primary teeth extraction of retained primary teeth during average physiologic exfoliation time. Conclusions The association of STAT3-HIES with retained primary teeth is important knowledge for dentists and physicians as timely extraction of retained primary teeth prevents dental complications. To enable spontaneous eruption of permanent teeth in children with STAT3-HIES, we recommend extracting retained primary incisors when the patient is not older than 9 years of age and retained primary canines and molars when the patient is not older than 13 years of age, after having confirmed the presence of the permanent successor teeth by radiograph.

scholarly journals Treatment of a Patient with Multiple Impacted Teeth

2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Primary Teeth ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Treatment Sequence ◽  
Impacted Teeth ◽  
Case Complexity ◽  
Multiple Primary

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.

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.

scholarly journals Evaluation and Comparison of Formocresol and Sodium Hypochlorite as Pulpotomy Medicaments in Treatment of Mandibular Primary Molars - A Randomized Controlled Study

2021 ◽  
Vol 6 (4) ◽  
pp. 105-110
Author(s):  
Nadia Irshad Wani ◽  
Navneet Kour ◽  
Manju Verma
Keyword(s):  
Sodium Hypochlorite ◽  
Primary Teeth ◽  
Main Idea ◽  
Permanent Teeth ◽  
Controlled Study ◽  
Primary Tooth ◽  
Second Molar ◽  
Randomized Controlled ◽  
Group I ◽  
Group Ii

Background: the main idea behind the pulpotomy of a primary tooth is to remove the infected or inflamed coronal pulp tissues and cover the pulp with a suitable medicament or dressing which promotes healing and preserve the vitality of the teeth especially in young permanent teeth. A medicament should be biologically compatible, have healing capabilities, should be non cytotoxic, or mutagenic and with no carcinogenic potential. Aim: the main aim of the study was to compare and evaluate the efficacy of commonly used two medicaments i.e. formocresol and sodium hypochlorite in pulpotomy of mandibular primary teeth. Material and methodology: a randomized controlled single blinded clinical trial was done on 50 subjects of age ranging from 3 to 6 years with bilateral mandibular first or second molar requiring pulpotomy. The subjects were randomly divided into two groups with 25 subjects in each. Group I, consisted of subjects on which formocresol medicament was used after extirpation of coronal pulp while in Group II, 3% sodium hypochlorite was used. Clinical along with the radiographic signs and symptoms were blindly recorded at an interval of 1, 3, 6 and 12 months respectively. Results: Statistically significant results were obtained in group II, when patients treated with 3% sodium hypochlorite. There was no major difference between the two medicaments used, but to the various adverse effects of formocresol, its usage has been limited. Conclusion: within the limitation of the study, it was concluded that sodium hypochlorite medicament proved to have better prognosis and can be suggested as a pulpotomy agent for primary teeth. Although formocresol was found to have similar significant results can also be used as a medicament. Keywords: Formocresol, Pulpotomy, Primary Teeth, Sodium Hypochlorite

Custo-efetividade da telemedicina no acompanhamento de asmáticos: revisão sistemática

2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Marcela Da Silva Souza ◽  
Carolina Barbosa Souza Santos ◽  
Raimeyre Marques Torres ◽  
Mayara Sousa Silva ◽  
Ana Carla Carvalho Coelho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cost Effectiveness ◽  
Asthma Management ◽  
Review Of The Literature ◽  
Eligibility Criteria ◽  
The Cost ◽  
Made In

Aim: systematic review of the literature on the cost-effectiveness of telemedicine in the follow-up of asthmatics. Method: Systematic review of the PUBMED / MEDLINE, LILACS and Cochrane Central databases. Articles published in English, Portuguese or Spanish were considered in the period from 2005 to 2018 according to the PRISMA guidelines. Results: A total of 1363 articles were identified, of which 59 were read in their entirety. Only five met the eligibility criteria, and all were made in European countries and totaled 2,497 participants. The interventions were performed by nurses (4 of 5 studies), remaining from 16 weeks to 12 months. Telemedicine costs were similar or slightly lower compared to usual treatments. Telemedicine had a beneficial effect on asthma control (1 of 5 studies), quality of life (3 out of 5 studies) and hospitalizations (1 of 5 studies). Conclusion: Telemedicine slightly reduces costs with asthma management and may have an impact on morbidity indicators

scholarly journals Turner’s Tooth: A Rare Case with Review of Literature

2021 ◽  
pp. 480-484
Author(s):  
Asha Karadwal ◽  
Sushruth Nayak ◽  
Prachi Nayak ◽  
Kush Pathak
Keyword(s):  
Rare Case ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Review Of Literature ◽  
Enamel Hypoplasia ◽  
Tooth Color ◽  
Brown Discoloration ◽  
Main Culprit

Turner’s tooth is a form of enamel hypoplasia. Periapical pathology of the primary tooth is the main culprit behind the enamel deficiency in the permanent tooth. The altered tooth is called a Turner’s tooth. Color of the affected tooth varies from focal areas of white, yellow, or brown discoloration to extensive hypoplasia which can involve the entire crown. The crown of the permanent teeth develops mainly from six months and extends upto fifteen years. The part of the crown which gets damaged is directly related to the location of the ameloblastic activity at the time of damage. Therefore, we are here discussing the case of a seven year old boy which was reported to be the case of turner’s tooth hypoplasia.

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