scholarly journals Orthodontic Forced Eruption of Permanent Anterior Teeth with Subgingival Fractures: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12580
Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Statistical Significance ◽  
Case Series ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
Forced Eruption

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.

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 Appraisal of Awareness and Attitude of School Teachers towards Emergency Management of Dental Trauma and Tooth Avulsion Replantation

2020 ◽  
Vol 9 (40) ◽  
pp. 2951-2954
Author(s):  
Shivani Kharpate ◽  
Nilesh Rathi ◽  
Pooja Vilas Gomase ◽  
Sudhindra Baliga ◽  
Nilima Thosar
Keyword(s):  
Emergency Management ◽  
Alveolar Bone ◽  
Dental Trauma ◽  
School Teachers ◽  
Staff Members ◽  
Tooth Avulsion ◽  
Anterior Teeth ◽  
Test Study ◽  
Post Test ◽  
Knowledge And Attitude

BACKGROUND Health education is an essential aspect for prevention of oral health problems in school children. Dental trauma can result in damaging the tooth, periodontal ligaments, and sometimes even alveolar bone and gingiva. These traumatic injuries to the anterior teeth in young children are tragic but are an ignored problem. They can result in aesthetic and functional problem with possible impact on child’s quality of life as anterior teeth are essential for phonetics, mastication, integrity of supporting tissue and also mental and psychological wellbeing of children. This dental emergency can be best handled by the school teachers and the staff members when it happens in a school. So, the study was conducted to assess the knowledge and attitude of the school teachers regarding the emergency management of dental trauma and sensitize them on the subject. METHODS This is a pre- and post-test study performed using self - designed questionnaire provided to the school-teachers of Wardha district. RESULTS Knowledge of 98 % teachers increased after the activity whereas knowledge of 2 % of school teachers was the same as earlier. CONCLUSIONS Sensitization of the school teachers improved their awareness and attitude to manage the dental trauma and avulsion injury of teeth in school. KEY WORDS Tooth Avulsion, Emergency Dental Traumatic Care, School Teachers

scholarly journals Dental trauma and itssequelae in deciduous and permanent teeth - Longitudinal study

2019 ◽  
Vol 41 (1) ◽  
pp. 34030
Author(s):  
Graziele Martioli ◽  
Helena Sandrini Venante ◽  
Gabriela Cristina Santin ◽  
Carlos Luiz Fernandes de Salles ◽  
Sandra Mara Maciel ◽  
...  
Keyword(s):  
Root Resorption ◽  
Tissue Injury ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Chi Square ◽  
Elapsed Time ◽  
Chi Square Test ◽  
Type Of Injury

Objective: This study evaluated the prevalence, clinical management and sequelae in deciduous teeth involved and permanent successors in 150 children (256 deciduous teeth. Of these, 63.3% were male, 24-35 months of age at the time of the trauma (37.9%) and the falls (78.1%) represented the major etiological factor. In relation to the type of injury, 24.6% was enamel fracture; 62.5% showed support tissue injury (lateral luxation, 22.3%). In the first and second assessments (T1 and T2), the average follow-up time was 14.5 and 26 months (256 and 131 teeth).We diagnosed clinical and radiographic sequels including discoloration of the crown (T1-15.6; T2-13.7%), inflammatory root resorption (T1-7.0; T2-8.4%); and in permanent successors, enamel hypoplasia (T1-1.2; T2-2.3%), eruption disturbances (T1-2.0; T2-1.5%).The chi-square test evidenced association, in T1, between injuries to the supporting tissues and clinical (p = 0.003) and radiographic (p = 0.004) sequelae in permanent successors; and between clinical sequelae and age at the time of trauma (p = 0.005). In T2, radiological sequelae in deciduous teeth with injuries to the tooth and supporting tissue (p = 0.035); as well as clinical sequelae with elapsed time of trauma in permanent teeth (p = 0.005). It is concluded that the follow-up of traumatized deciduous teeth is essential to prevent sequelae.

scholarly journals Quantitative Analysis of the Relationship between Maxillary Incisors and the Incisive Canal by Cone-Beam Computed Tomography in an Adult Population of Mangaluru

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Vaishnavi D ◽  
◽  
Harshitha V ◽  
Kishore K ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Interindividual Variation ◽  
Cone Beam ◽  
Maxillary Incisor ◽  
Incisive Canal ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Maxillary Incisors

Background: Maxillary anterior teeth play a crucial role in aesthetics, phonetics, and mastication. For successful orthodontic treatment evaluating the morphology of the alveolar bone and incisive canal would help in avoiding root resorption, dehiscence, and fenestration. This study is aimed to research the configurational relationships among maxillary incisors, alveolar bone, and incisive canal through Cone Beam Computerated Tomography (CBCT). Methods: CBCT images of 35 orthodontic patients were evaluated for length of the canal (L); angles between the palatal plane and the maxillary alveolar border (01),the incisive canal (02), and maxillary incisor (03); distance from the right maxillary incisor to the incisive canal (D). All the measurements were performed on sagittal plane with the exception of (D) which was made on axial plane. Statistical analysis was performed on the above parameters using two sample test and Pearson’s correlation analysis. Results: There was no statistically significant difference between males and females for all the variables although there were large interindividual variation. There was a positive moderate correlation between 01 and 02 (0.480), 01 and 03 (0.487), 02 and 03 (0.345). The mean value for L and D were 10.38mm and 4.14mm respectively. Conclusion: There exists a large interindividual variability for incisive canal, proximity of incisors with that of incisive canal which could not be precisely predicted by the conventional cephalograms. The results of the study could be helpful clinically in planning orthodontic treatment for significant intrusion and retraction of maxillary incisors

Dental Injuries and Management

2019 ◽  
Vol 35 (06) ◽  
pp. 607-613 ◽  
Author(s):  
Likith V. Reddy ◽  
Ritesh Bhattacharjee ◽  
Emily Misch ◽  
Mofiyinfolu Sokoya ◽  
Yadranko Ducic
Keyword(s):  
Clinical Examination ◽  
Alveolar Bone ◽  
Dental Trauma ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Radiographic Evaluation ◽  
Hard Tissue ◽  
Tissue Injuries ◽  
Dental Injuries ◽  
Type Of Injury

AbstractTraumatic dental injuries affect 1 to 3% of the population, and disproportionately affect children and adolescents. The management of these injuries incorporates the age of patients, as children between 6 and 13 years of age have a mixed dentition. This helps to preserve the vitality of teeth that may be salvaged after a traumatic event. The clinical examination of these cases involves a thorough examination of the maxilla and mandible for associated fractures and any lodged debris and dislodged teeth or tooth fragments. The objective is to rule out any accidental aspiration or displacement into the nose, sinuses, or soft tissue. After ruling out any complications, the focus is on determining the type of injury to the tooth or teeth involved. These include clinical examination for any color change in the teeth, mobility testing, and testing for pulp vitality. Radiographic evaluation using periapical, occlusal, panoramic radiographs, and cone beam computed tomography is performed to view the effect of trauma on the tooth, root, periodontal ligament, and adjoining bone. The most commonly used classification system for dental trauma is Andreasen's classification and is applied to both deciduous and permanent teeth. Managing dental trauma is based on the type of injury, such as hard tissue and pulp injuries, injuries to periodontal tissue, injuries of the supporting bone, and injuries of the gingiva and oral mucosa. Hard-tissue injuries without the involvement of the pulp typically require restoration only. Any pulp involvement may require endodontic treatment. Fractures involving the alveolar bone or luxation of the tooth require stabilization which is typically achieved with flexible splints. The most common procedures employed in managing dental injuries include root canal/endodontics, surgical tooth repositioning, and flexible splinting. Recognition and treatment of these injuries are necessary to facilitate proper healing and salvage of a patient's natural dentition, reducing future complications to patients.

scholarly journals Posttraumatic Displacement Management: Lateral Luxation and Alveolar Bone Fracture in Young Permanent Teeth with 5 Years of Follow-Up

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Heitor Marques Honório ◽  
Catarina Ribeiro Barros de Alencar ◽  
Edmer Silvestre Pereira Júnior ◽  
Daniela Silva Barroso de Oliveira ◽  
Gabriela Cristina de Oliveira ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Alveolar Bone ◽  
Treatment Success ◽  
Dental Trauma ◽  
Public Health Problem ◽  
Permanent Teeth ◽  
Important Public Health Problem ◽  
Radiographic Findings ◽  
External Impact

Dental trauma is an important public health problem due to high prevalence and associated limitations. The external impact accounting for trauma may result in different injury types to teeth and supporting structures. This paper describes a clinical case of tooth trauma in an 8-year-old patient exhibiting the displacement of three permanent teeth with open root apexes. Although the traumatic impact resulted in two injury types to teeth and supporting tissues (lateral luxation and alveolar bone fracture), the therapeutic approach was the same in both situations. The bone and teeth were repositioned by digital pressure, stabilized by semirigid splint, and followed up at every week. After six weeks, the splint was removed. At that moment, the clinical and radiographic findings indicated normal soft/hard tissues and absence of pulp/periodontal pathologies. At the fifth year of follow-up, the treatment success of the case was confirmed, although it has been observed that all lower incisors exhibited pulp obliteration as a consequence of the dental trauma.

scholarly journals Reattachment of Fractured Tooth Fragment with Fiber Post: A Case Series with 1-Year Followup

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
C. M. Sapna ◽  
R. Priya ◽  
N. B. Sreedevi ◽  
Rakesh R. Rajan ◽  
Renjith Kumar
Keyword(s):  
Surface Texture ◽  
Root Canal ◽  
Case Series ◽  
Dental Trauma ◽  
Root Canal Treatment ◽  
Tooth Root ◽  
Fiber Post ◽  
Close Approximation ◽  
Anterior Teeth ◽  
Feasible Option

Coronal fractures of the anterior teeth are common sequelae of dental trauma. In case of complex fractures, where the fractured segment is available and there is close approximation of the segment to the remaining tooth, root canal treatment followed by reattachment of the fractured segment with fiber post reinforcement is a feasible option. The procedure is simple and economic and needs less chair-side time as compared to many conventional methods. In addition, the procedure provides good and long-lasting esthetics, because the original morphology, color, and surface texture are maintained. This paper reports three cases of complex coronal tooth fracture successfully managed using tooth fragment reattachment.

scholarly journals Accuracy of Different Apex Locators in Teeth with Simulated Apical Root Resorption: an In Vitro Study

Folia Medica ◽  
2018 ◽  
Vol 60 (4) ◽  
pp. 624-631
Author(s):  
Ganesh Ranganath Jadhav ◽  
Priya Mittal ◽  
Vishal Patil ◽  
Prashant Kandekar ◽  
Anish Kulkarni ◽  
...  
Keyword(s):  
Root Resorption ◽  
In Vitro Study ◽  
Permanent Teeth ◽  
Fourth Generation ◽  
Apical Root Resorption ◽  
Anterior Teeth ◽  
Group I ◽  
Working Length ◽  
Significant Difference

Abstract Background: Accurate working length (WL) determination is necessary in achieving optimal healing by non-surgical root canal therapy in teeth with inflammatory apical root resorption. Electronic apex locators (EALs) are one of the mainstays in determination of WL of teeth. Aim: This study evaluated the accuracy of three EALs [RootZX (third generation), iPex (fourth generation) and Raypex 6 (modification of a fifth generation)] in determining the WL of teeth with simulated apical root resorption in permanent teeth. Materials and methods: Forty freshly extracted maxillary anterior teeth were collected and a 45° oblique cut was made at the root apex with a disc to simulate apical root resorption. Actual working length (AWL) was determined by direct visual method and was used as a control. Electronic working length (EWL) values were measured by three different apex locators that are RootZX (Group I), iPex (Group II) and Raypex 6 (Group III) at apex, 0.5 mm and 1 mm from apex. All values obtained were tabulated and statistical evaluation was carried out. Results: At apex, EWL obtained using iPex (p=0.05) showed a statistically significant difference from AWL. At 0.5 mm and 1.0 mm tolerance, iPex showed non-acceptability for WL measurement in 67.5% and 17.5% of samples compared to Root ZX (12.5% and 2.5%) and Raypex (7.5% and none) respectively. Conclusion: Within the limitation of this study, it can be concluded that Raypex 6 and RootZX show statistically significant accuracy in WL measurement compared with iPex in teeth with apical root resorption.

scholarly journals Prevalence and Etiological Factors of Dental Trauma among 12- and 15-Year-Old Schoolchildren of Lebanon: A National Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Chirine Abdel Malak ◽  
Carole Chakar ◽  
Alain Romanos ◽  
Samar Rachidi
Keyword(s):  
Dental Trauma ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Predisposing Factors ◽  
Permanent Teeth ◽  
National Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Public And Private ◽  
Anterior Teeth

Background. Traumatic dental injuries represent nearly 5% of children and adolescents’ injuries leading to serious medical and psychological issues. This current study aims to evaluate the prevalence of dental trauma and its potential association with different predisposing factors among 12-and 15-year-old schoolchildren in Lebanon. Materials and Methods. 7902 schoolchildren, 3806 male and 4096 female aged 12 years (n = 3985) and 15 years (n = 3917), were recruited by a stratified multistaged randomized cluster sampling method from public and private schools and were clinically examined in a national cross-sectional study. WHO criteria were used to assess anterior permanent teeth; the nature of trauma, the tooth involved, the size of the incisal overjet, and the type of the lip coverage were furthermore assessed. Data regarding age, sex, and causes of TDI were recorded through a structured questionnaire. Results. The prevalence of dental trauma to anterior teeth was 10.9%. Maxillary central incisors (83.7%) were commonly affected. The most common type of injury was enamel fracture (68.3%), falls being the main reason (52.5%). Increased overjet (OR = 2.32, p  = 0.034), deficient lip coverage (OR = 5.73, p  = 0.019), and gender (OR = 5.36, p  ≤ 0.001) were significant predisposing factors for dental trauma. Conclusion. This research highlighted many predisposing factors for dental trauma that affect commonly the anterior teeth. Based on these results, the implementation of strategic preventive measurements targeting especially the identified risk groups remains crucial.

scholarly journals Microapical surgery management of root resorption in anterior teeth caused by dental trauma: case report

STEMedicine ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. e115
Author(s):  
Jiang Wang ◽  
Yang Yang ◽  
Yingjie Wang ◽  
Yanli Liu ◽  
Yongjin Chen ◽  
...  
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Complete Healing ◽  
Root Canal Therapy ◽  
Anterior Teeth ◽  
Root Absorption ◽  
Trauma Case ◽  
History Of ◽  
Dental Injuries

Root resorption (RR) is a common complication of traumatic dental injuries (TDIs), which could result in tooth loss and affect life in severe cases. The management of a traumatized tooth with RR remains a challenge for clinicians. In our presented cases, the impacted teeth had a history of trauma and underwent thorough non-surgical endodontic treatment; however, RR still occurred months later and could be observed through a periapical radiograph. Therefore, root canal therapy was performed under a dental microscope with a quick-setting calcium silicate cement to repair the RR site. After a long follow-up, the affected teeth showed almost complete healing of the periradicular tissues without sign of RR. This report demonstrates that external root absorption is typically a consequence of traumatized teeth. However, to date, there is still no effective method for its treatment. Here, we successfully applied microscopical surgery to the traumatized teeth experiencing root absorption and provided them with a new healing opportunity.

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