Pemanfaatan Platform Video Online Mengenai Penatalaksanaan Kedaruratan Avulsi Gigi Di Masa Pandemi Covid-19

ABSTRAK Avulsi gigi merupakan jenis cedera umum yang mengakibatkan gigi terlepas dari soket alveolar. Jenis trauma dentoalveolar ini menyebabkan ligamen periodontal terputus dengan atau tanpa fraktur tulang alveolus. Meskipun perawatan yang ideal adalah replantasi gigi segera di tempat terjadinya trauma, hal ini mungkin tidak dapat dilakukan secara praktis dalam setiap kasus. Masyarakat masih belum mengetahui upaya pertolongan pertama pada penatalaksanaan avulsi gigi sebelum dilakukan replantasi untuk mempertahankan viabilitas jaringan di sekitar gigi yang lepas. Kegiatan pengabdian kepada masyarakat ini dilaksanakan untuk meningkatkan pengetahuan masyarakat tentang cara membersihkan dan menyimpan gigi dengan tepat yang bertujuan meningkatkan keberhasilan perawatan di masa pandemi Covid-19. Pelaksanaan kegiatan kepada masyarakat ini meliputi pembuatan video animasi edukasi dan pengunggahan video tersebut pada platform video online “Youtube”. Respon yang diperoleh dari masyarakat dilakukan melalui kuesioner. Pengisian kuesioner oleh masyarakat (50 orang) didapatkan hasil yaitu sebanyak 50% sangat puas ; 48% puas ; 2% cukup puas ; 0% tidak puas ; dan 2% sangat tidak puas terhadap video edukasi yang ditayangkan pada platform YouTube tersebut. Tingginya kepuasan masyarakat diharapkan diimbangi dengan peningkatan pengetahuan dan kesadaran masyarakat tentang penatalaksanaan kedaruratan avulsi gigi di masa pandemi Covid-19 yang disajikan dari video animasi edukasi. Kata Kunci: Avulsi gigi, ligamen periodontal, replantasi gigi, trauma dentoalveolar ABSTRACT Dental avulsion is a common type of injury that causes teeth to detach from the alveolar socket. This type of dentoalveolar trauma results in severed periodontal ligaments with or without alveolar bone fracture. Although the ideal treatment is dental replantation immediately at the site of the trauma, this may not be practicable in every case. The community still does not know the first aid efforts in the management of dental avulsion before replanting to maintain the viability of the tissue around the loose tooth. This community service activity is carried out to increase community knowledge about how to clean and store teeth properly with the aim of increasing the success of treatment in the Covid-19 pandemic. The implementation of this activity to the community includes making educational animated videos and uploading them to the online video platform "Youtube". The responses obtained from the community were carried out through a questionnaire. Filling out the questionnaire by the community (48 people) showed that 42% were very satisfied; 48% satisfied; 6% were quite satisfied; 0% dissatisfied, and 4% are very dissatisfied with the educational video shown on the YouTube platform. The high level of community satisfaction is expected to be balanced with an increase in public knowledge and awareness about the emergency management of dental avulsion during the Covid-19 pandemic, which is presented from an educational animated video. Keywords: Dental avulsion, periodontal ligament, dental replantation, dentoalveolar trauma

Knowledge and Attitudes of Preschool, Primaryand Secondary Teachers About Dentoalveolar Trauma

El trauma dentoalveolar es considerado la segunda causa de urgencias odontológicas, siendo los niños y adolescentes los más afectados. La etiología está relacionada a la edad; en niños preescolares, las caídas son una causa muy común de lesiones traumáticas dentales, mientras que en los niños de edad escolar, las lesiones son más frecuentes por actividades deportivas. Suelen suceder en entornos académicos como la escuela, donde el docente es el principal sujeto a quien acuden para la atención preliminar de este tipo de eventos. Por tales argumentos son importantes los conocimientos y actitudes que posean los docentes, debido a que dichas acciones determinarán el pronóstico y tratamiento, más aun, por la relación existente entre el tiempo transcurrido y las acciones realizadas por parte del profesional odontológico. El objetivo de esta revisión sistemática fue describir la existencia de conocimientos y actitudes de docentes de primaria y secundaria sobre el manejo del trauma dentoalveolar; en la cual N=9 publicaciones cumplieron con los criterios de elegibilidad, empleando las bases de datos Pubmed, Scielo y Clinical Keys y descriptores en idioma inglés y español. Se evidencia que existe conocimiento inadecuado, mientras que la actitud del docente frente al trauma dental en la mayoría de los estudios no fue evaluada.

Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.

Biologic restoration: A successful treatment option for immediate esthetics – A case report

Crown fractures mainly in the anterior region are the most common outcome of traumatic injuries. The common cause is ascribed to falls, motor vehicle accidents, and contact sports. Out of all the dental trauma injuries, dentoalveolar trauma contributes to about 25%, which may vary from simple crown fracture of enamel and/or dentin to complicated crown root fractures. In this case report, an undergraduate dental student reported with a fractured crown due to a fall an hour earlier. The clinical and radiographic assessment leads to the diagnosis of an uncomplicated crown fracture. Fracture line was extending obliquely till the middle third of the crown involving enamel and dentin. Tooth segment adaptation was evaluated, and decision was made to attempt for reattachment procedure. The tooth was isolated using rubber dam and tooth fragment was reattached using flowable composite. Follow up period was noted for 6 months. Tooth segment reattachment is a minimally invasive procedure with immediate aesthetic and it is not time consuming. This procedure has a predicable long-term prognosis with minimal complication due to advances in adhesive technique. Various factors should be taken into consideration for maximizing the benefits. Thus, this simple procedure is an alternative to the other complex restorative procedure for restoring tooth function, form, and esthetics. Recent advances in flowable composites can be used for a much more predictable result pertaining to strength and aesthetics.

Prevalence of dentoalveolar trauma in the people of the urban parish San Sebastián, Cuenca (Ecuador), 2019

Objective: To determine the prevalence of dentoalveolartrauma in the urban parish of San Sebastián, Cuenca (Ecuador), in the year 2019. Methods: A descriptive study was carried out retrospectively, 316 people from the San Sebastián parish were included. The lifting of the information was made through a survey. The dependent variable was the prevalence of dentoalveolar trauma. The independent variables wereage, sex, dental arch, teeth affected, etiological agent and avulsion. The Chi square statistic was used with α= 0.05 and used the statistical program SPSS V25. Results: 48.4% were men and 51.6% women, between 1 and 92 years. The prevalence of dentoalveolar trauma was 3.2%, with 10 people dentoalveolar trauma, 7 women and 3 men; 7 people ages 18 and 56years; 5 people with an affected tooth; 3 people with dental avulsion due to trauma. The upper dental arch was the most affected and it was found that the impact with the objects was the main cause. Conclusion: The prevalence of dentoalveolar trauma in the population of San Sebastián was low;there was no significant relationship between sex, age and prevalence. The clash with objects and the upper jaw were the most affected

CHALLENGING AND SUCCESSFUL CONDUCT IN DENTOALVEOLAR TRAUMA: CASE REPORT

O trauma dentoalveolar é uma adversidade frequente para o sistema de saúde e necessita de diagnóstico e intervenção precoce. A gravidade dessas lesões pode variar de acordo com a sua classificação, de simples trincas em esmalte a avulsões do órgão dental e fraturas ósseas. Sendo assim, o objetivo deste trabalho é relatar um caso clínico de trauma dentoalveolar associado a fratura do bloco ósseo em região anterior de maxila, tratado tardiamente por meio de redução bidigital e esplintagem. Paciente do sexo masculino, vítima de acidente automobilístico, compareceu ao serviço de emergência 04 dias após o trauma. Durante o exame físico maxilofacial foi possível observar presença de mobilidade em bloco anterior de maxila e luxação lateral dos dentes anteriores. Na tomografia de face foi possível analisar a presença de linha de fratura em tábua vestibular e palatina da região anterior da maxila, assim como luxação lateral envolvendo as unidades 12, 11, 21 e 22. Apesar do longo período pós-trauma, o tratamento proposto foi a redução fechada, associada a instalação de contenção semirrígida, proporcionando estabilidade ao segmento fraturado e ambiente propício para correta cicatrização óssea. O manejo inicial do trauma dental tem grande influência no prognostico, no entanto, foi possível observar por meio desse caso, que o tratamento tardio apresenta resultados satisfatórios, auxiliando no reestabelecimento da função e estética do paciente de forma menos invasiva.

Management of severe traumatic intrusion in the permanent dentition

Traumatic intrusion is considered one of the most severe luxation injuries to the permanent dentition. There are limited studies based on minimal evidence supporting suggested management protocols, owing to the rare occurrence of intrusion. The following case report details the multidisciplinary management and 18-month follow-up, in line with current UK guidelines, of a 23-year old adult male who sustained severe intrusion injuries to both permanent maxillary central incisor teeth. Timely, accurate diagnosis and subsequent appropriate management correlates with improved outcomes for traumatic injuries and it is therefore imperative those involved with the acute and long-term management of dentoalveolar trauma are aware of current guidelines.

Direct versus Indirect Techniques to Menage Uncomplicated Crown Fractures of Anterior Teeth Following Dentoalveolar Trauma

Dental trauma are the most common reasons for dental fractures in the anterior area, they have an incidence of 5% in the population, and in permanent teeth, they are mainly caused by sports. The most involved teeth are the maxillary anterior teeth. Direct composite restorations and indirect ceramic restorations are the therapy of choice for restoring anterior teeth after fracture when is not possible to reattach the tooth fragment. The treatment options in uncomplicated coronal fractures depend on various factors such as the amount of residual dentinal enamel tissue, the relationship with the gingival profiles, and the age of the patient. The purpose of this article is to discuss the option of using direct or indirect restorative techniques in the treatment of traumatically fractured anterior teeth and to analyze the advantages and disadvantages of the two methods.