Complete permanent tooth avulsion – current therapy concept and prognosis

2018 ◽  
Vol 23 (3) ◽  
Author(s):  
Aleksandra Malinowska
Keyword(s):  
International Association ◽  
Treatment Method ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Current Therapy ◽  
Tooth Avulsion ◽  
Course Of Action ◽  
Choice Of Treatment ◽  
Late Treatment ◽  
Professional Treatment

Complete permanent tooth avulsion is trauma relating both to teeth not fully developed and the mature ones. The aetiology may vary, but usually it does not determine the choice of treatment method. The current concept of avulsed permanent teeth is based entirely on the decision on the expediency of tooth replantation and its possibly swift performance, as long as there are indications for it. This is aimed at maintaining the tooth in the oral cavity for as long as possible, or as long as it takes to start the further stages of the treatment. It is important to determine the exact time of injury and to establish whether any first-aid operations in the mouth were performed and what they were. The course of action in the dental office depends on the time the tooth spent outside the socket, its maturity and the environment in which the tooth was stored. The role of the dental practitioner, in addition to the professional treatment of the injuries which have already occurred, consists in the prevention, education and the promotion of appropriate attitudes in the patients. In complete avulsion, the prognosis is strictly dependent on these factors and the occurrence of complications is often associated with late treatment initiation or lack of knowledge among the persons present at the injury with respect to the way in which an avulsed tooth should be handled. In order to promote the appropriate behaviour in the society, the International Association of Dental Traumatology (IADT) provides recommendations for patients concerning trauma to the teeth via its website, posters and a mobile application.

scholarly journals Tooth Avulsion Replantation Management: A Review Article

2021 ◽  
pp. 1-5
Keyword(s):  
Alveolar Bone ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Careful Examination ◽  
Direct Result ◽  
Periodontal Ligament Cells ◽  
Tooth Avulsion ◽  
Dental Injuries

Avulsion of teeth is defined as total displacement of the tooth out of its socket. Incidence of avulsion constitutes 0.5 to 16 % of all traumatic injuries in the permanent dentition. Avulsion is more commonly seen in children and young adults, at an age when the alveolar bone is resilient and provides only minimal resistance to extrusive forces The maxillary central incisors are the teeth most commonly affected. Teeth can be avulsed in many trauma situations. Sports and automobile accidents are the most frequent causes. The incidence of avulsion is reported to be less than 3% of all dental injuries. Tooth avulsion is a true dental emergency since timely attention to replantation could save many teeth. Unfortunately, avulsed teeth are usually lost at the accident scene, and both accident victims and those attending them may neglect to consider the value of finding and saving the teeth. This may gradually change as the public continues to become aware of the possibilities that avulsed teeth can be saved. Discussion: Avulsion of permanent teeth is serious problems of dental injuries. The prognosis depends on the measures taken at the place of accident or the time immediately after the avulsions. Treatment for the avulsion teeth is replantation, but it’s not suggested for primary teeth avulsion. It will give a high risk for underlying permanent tooth germs. Replantation is directed at avoiding or minimizing the resultant inflammation which occurs as a direct result of the two main consequences, attachment damage and pulpal infection. Attachment damage may cause by drying, can additionally occur to the periodontal membrane when tooth is out of the mouth. Drying can cause loss of normal physiologic metabolism and morphology of the periodontal ligament cells. The treatment should minimize this damage so that the fewest possible complication result. Conclusion: Clinical success rate of replanted avulsed teeth based on media and time for replantation. Careful examination regardless including radiographs and clinical examination are necessary to help detect possible alveolar fractures or complication. Such fractures of the tooth socket may reduce the prognosis but are not always a contraindication.

scholarly journals Use of systemic antibiotic therapy after the replantation of avulsed permanent teeth: a literature review

2017 ◽  
Vol 20 (1) ◽  
pp. 12
Author(s):  
Elizane Ferreira Hamanaka ◽  
Vanessa Ferreira da Silva ◽  
Wilson Roberto Poi ◽  
Daniela Atili Brandini ◽  
Sônia Regina Panzarini
Keyword(s):  
Antibiotic Therapy ◽  
English Language ◽  
Root Resorption ◽  
International Association ◽  
Permanent Teeth ◽  
Original Research ◽  
Systemic Antibiotic ◽  
Tooth Avulsion ◽  
Tooth Replantation ◽  
Systemic Antibiotic Therapy

<p>Dental avulsion is the most severe type of dentoalveolar trauma, and the treatment of choice for this type of injury should be the replantation of the exarticulated tooth. After conducting a review of the literature and holding discussions with experienced researchers and clinical specialists from different areas, the International Association of Dental Traumatology (IADT) proposed a protocol for tooth replantation, including a recommendation for systemic antibiotic therapy (SAT) to reduce the risk of root resorption. Several antibiotics have been tested, but tetracycline and amoxicillin are, by far, the most commonly used drugs for avulsion injuries. This paper reviews the literature on the prescription of SAT in cases of immediate and delayed replantation of accidentally avulsed permanent teeth, based on a critical analysis of full-length papers retrieved from the PubMed/Medline, Bireme and SciELO electronic databases. Original research reports and literature reviews published in English-language journals between 1966 and 2016, and directly or indirectly discussing the relation between antibiotic therapy and the replantation of permanent teeth, were searched using “tooth avulsion,” “systemic antibiotic therapy” and “tooth replantation” as key words. The prescription of antibiotics for tooth replantation was found to be a controversial subject, and randomized clinical studies are needed to determine whether antibiotics for tooth replantation are actual indicated. Until the results of these studies become available, the recommendation is to use SAT for the management of permanent teeth replanted after an accidental avulsion. The best prescription option is tetracycline for 7 days, and the second best prescription option is amoxicillin for 4 to 7 days. </p>

scholarly journals Knowledge of tooth avulsion first aid management among parents residing in UAE

2020 ◽  
Vol 19 ◽  
pp. e206950
Author(s):  
Afraa Hussain ◽  
Raghad Hashim ◽  
Aisha Khamees
Keyword(s):  
First Aid ◽  
Cross Sectional Study ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Previous Knowledge ◽  
Sectional Study ◽  
Demographic Information ◽  
Cross Sectional ◽  
Tooth Avulsion ◽  
And Storage

Aim: This study aimed to evaluate the knowledge of parents visiting a specialized dental center in Ajman on permanent tooth avulsion and the required first aid procedure to achieve better prognoses. Methods: A cross-sectional study was conducted in Ajman Emirate, UAE. Three hundred eighty-eight parents from three nationalities (Emirati, Egyptian and Indian) residing in UAE answered a constructed questionnaire that included demographic information related to the participants and questions related to permanent tooth avulsion and the required first steps for its management. Results: Study findings reflect deficiencies in the following areas. Of the 388 parents, (236, 60.8%) had poor knowledge about permanent tooth avulsion. Parents who had previous knowledge obtained information from unsupported sources, such as friends (145, 37.4%). Out of 388 parents, (324, and 83.5%) would not replant the tooth. Finally, the majority of the participants did not know the proper media to store the avulsed permanent tooth with one-third of parents choosing cotton or water (142, 36.6%). Conclusion: This study showed a lack of knowledge regarding permanent tooth avulsion among parents from the major nationalities residing in UAE. However, the respondents represent major differences regarding related to knowledge, replant, and storage of avulsed permanent teeth.

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.

scholarly journals Pulp Revascularization of Immature Permanent Teeth: A Review of the Literature and a Proposal of a New Clinical Protocol

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Mélanie Namour ◽  
Stephanie Theys
Keyword(s):  
Treatment Method ◽  
Permanent Teeth ◽  
Clinical Protocol ◽  
Therapeutic Success ◽  
Immature Teeth ◽  
Triple Antibiotic Paste ◽  
New Treatment ◽  
Near Future ◽  
Pulp Revascularization ◽  
Stimulation Of

Tissue engineering is a growing field. In the near future, it will probably be possible to generate a complete vital tooth from a single stem cell. Pulp revascularization is dependent on the ability of residual pulp and apical and periodontal stem cells to differentiate. These cells have the ability to generate a highly vascularized and a conjunctive rich living tissue. This one is able to colonize the available pulp space. Revascularization is a new treatment method for immature necrotic permanent teeth. Up to now, apexification procedures were applied for these teeth, using calcium dihydroxide or MTA to produce an artificial apical barrier. However, the pulp revascularization allows the stimulation of the apical development and the root maturation of immature teeth. Two pulp revascularization techniques are used in the literature, one using calcium dihydroxide and the second using a triple antibiotic paste. Based on these two different pulp revascularization protocols, which obtain the desired therapeutic success, the literature will be reviewed and analyzed according to the relevance of their choice of materials. Based on the literature, we propose a new relevant protocol and a new mixture of antibiotics.

A new approach of permanent tooth avulsion in a growing patient

Dental Cadmos ◽  
2021 ◽  
Vol 89 (07) ◽  
pp. 554
Author(s):  
Antonio Gracco ◽  
Edoardo Conte ◽  
Alessandro Frezza ◽  
Sabina Saccomanno ◽  
Alessandro De Stefani
Keyword(s):  
Permanent Tooth ◽  
New Approach ◽  
Tooth Avulsion

MINERALIZATION OF TEETH ENAMEL AFTER ERUPTION

2021 ◽  
Vol 74 (6) ◽  
pp. 1297-1301
Author(s):  
Oleksij P. Kostyrenko ◽  
Nataliia I. Vynnyk ◽  
Mykhailo M. Koptev ◽  
Petro A. Hasiuk ◽  
Maksym I. Skrypnyk ◽  
...  
Keyword(s):  
Light And Electron Microscopy ◽  
Permanent Tooth ◽  
Postnatal Period ◽  
Permanent Teeth ◽  
Tooth Crown ◽  
Electron Microscopic ◽  
Cervical Portion ◽  
Immunohistochemical Methods ◽  
Protein Deposit ◽  
Different Parts

The aim: The paper was aimed at the study of the processes of mineralization of the enamel of the permanent tooth after its eruption. Materials and methods: To study the structure of the enamel of permanent teeth has been carried out using light and electron microscopy. The study of the process of the development of the primordia of the permanent teeth involved 10 culled puppies of 30-40 days of age. Microscopic, electron microscopic, immunohistochemical methods of research have been used to study the processes of histogenesis. Results: The studies show that in the postnatal period, the formation of the crown, externally covered with cuticular epithelium, marks the formation of the primordium of the permanent tooth at the follicle stage. After eruption of a tooth, different parts of its crown have three individual structural and functional barriers to enamel biomineralization. The first one is provided by the cuticular epithelium of the pitted areas of the crown, which ensures filtering of the salivary fluid from the protein deposit in the form of a pellicle. The second barrier is defined on the lateral and cuspidate surfaces of the enamel, where the cuticle is erased or poorly expressed. The third structural and functional barrier of enamel biomineralization is located in the cervical portion of teeth of different classes. Conclusions: Different areas of the enamel in the tooth crown have specific filtration barriers, which can be distinguished as follows: pit-and-fissure-and-groove, cuspidateand-approximal, and cervical barriers. The cuticle is poorly expressed or totally absent on the cusps of the tooth crowns in contrast to pitted areas.

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

Permanent Tooth Avulsion Injuries

2019 ◽  
pp. 127-145
Author(s):  
Rebecca L. Slayton ◽  
Elizabeth A. Palmer
Keyword(s):  
Permanent Tooth ◽  
Tooth Avulsion

scholarly journals Reimplantation of avulsed maxillary central incisors – case report of an 8-year follow-up

2015 ◽  
Vol 26 (1) ◽  
pp. 68-70
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Children And Adolescents ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Tooth Avulsion ◽  
Complete Rupture ◽  
Major Complications ◽  
Dental Injuries

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.

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