A retrospective study of traumatic dental injuries in primary dentition: treatment outcomes of splinting

Cho, Won Chang; Nam, Ok Hyung; Kim, Mi Sun; Lee, Hyo Seol; Choi, Sung Chul

doi:10.1080/00016357.2017.1414956

Cited by 20 publications

(22 citation statements)

References 16 publications

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“…A study previously described in this review suggested splinting of lateral luxations was associated with a poor prognosis. 39 A retrospective study involving 307 teeth found that there was no significant association between the type of treatment rendered and the occurrence of hypoplasia in the permanent successor in instances of lateral luxation injuries (p=0.13). 19 With the exception of extraction, current guidelines suggest that all luxation injuries should be afforded adequate clinical and radiographic follow-up, as per the recommended schedule, until the eruption of the permanent successor, to detect signs of infection, or dark discolouration .…”

Section: Lateral Luxationmentioning

confidence: 98%

“…19 Another recent retrospective study assessing the outcomes of splinting in primary teeth with root fractures, lateral and extrusive luxations, found that splinting in lateral or extrusive luxations were not associated with a good prognosis. 39 In addition, active repositioning cannot be performed when there is delayed presentation of the injury.…”

Section: Lateral Luxationmentioning

confidence: 99%

“…Of 183 teeth examined, semirigid splints were placed on 80 teeth, and it was found that splinting for extrusive luxations was not associated with favourable prognosis (p<0.05), and this differs from the splinting recommendation in the IADT guideline. 39 An earlier retrospective study followed 26 primary tooth extrusion injuries in 24 patients, where these teeth were repositioned without splinting. Follow-up examinations were performed periodically up to one-year post-injury and also when the patients were six years old.…”

Section: Primary Tooth Extrusion Managementmentioning

confidence: 99%

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Traumatic Dental Injuries in Children: The Controversies of Managing Primary Tooth luxation Injuries

Lai¹

2019

J Pak Dent Assoc

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One of the areas that are most contentious in the diagnosis and management of traumatic dental injuries in children are in the approach toward luxation injuries in the primary dentition. Although the majority of injuries to the primary anterior dentition are luxations, there appears to be little definitive evidence in the dental literature for the management of luxation injuries in primary dentition; namely, intrusive luxations and lateral luxations. Some of the controversies centre on whether particular management approaches are likely to increase likelihood of further damage to the permanent successor, whilst others centre on question of whether certain approaches are likely to increase likelihood of pulpal necrosis or periapical inflammation of the injured primary tooth. There is conflicting published evidence over whether intruded or luxated primary teeth are best extracted, positioned, or monitored for spontaneous repositioning. For intrusion injuries, factors considered in the literature include the degree of intrusion, presence of multiple injuries, and orientation. Many approaches to management of primary tooth luxation focus on the degree of injury or occlusal interference, and novel approaches are described. The controversies are described herein. KEY WORDS: dental trauma, primary tooth, luxation, intrusion, extrusion HOW TO CITE: Lai Y YL. Traumatic dental injuries in children: the controversies of managing primary tooth luxation injuries. J Pak Dent Assoc 2019;28(2):85-91.

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Section: Lateral Luxationmentioning

confidence: 98%

Section: Lateral Luxationmentioning

confidence: 99%

Section: Primary Tooth Extrusion Managementmentioning

confidence: 99%

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Traumatic Dental Injuries in Children: The Controversies of Managing Primary Tooth luxation Injuries

Lai¹

2019

J Pak Dent Assoc

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“…Repositioning is not recommended because there is a risk of infection which could endanger the tooth bud of the permanent tooth. An avulsed milk tooth is not replanted [4,8,9].…”

Section: Introductionmentioning

confidence: 99%

The Basics of Splinting in Dentoalveolar Traumatology

Hadziabdic¹

2020

Maxillofacial Surgery and Craniofacial Deformity - Practices and Updates

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Dentoalveolar trauma is considered an emergency condition and is challenging for every dentist. As primary and permanent teeth may suffer repercussions from an injury, a therapist must be mindful of which situations the use of splinting methods is required. In dentistry, a splint is a rigid or flexible device with the function of supporting, protecting, and immobilizing teeth that have been weakened (endodontically, periodontally), traumatically injured, replanted, or fractured. Generally, splinting is not recommended for primary teeth injuries such as luxation and avulsion. In permanent dentition, splint appliances are indicated for periodontal injuries, such as subluxation, luxation and avulsion, and hard tissue injuries such as class IV root fractures. Nowadays, there are many appliances that may be used for immobilization of traumatized teeth. Since this issue may sometimes be confusing for dental practitioners, this chapter deals with splint classification (rigid and flexible), the basic characteristics of splints, the indications, and methods of application.

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“…Ao contrário do que ocorre na dentição permanente em que a contenção é geralmente preconizada Heithersay, 2008;Hinckfuss;Messer, 2009), na dentição decídua, poucos estudos abordam seu uso (Cho et al, 2018), sendo seu uso apenas citado no guideline para casos de fraturas radiculares ou fraturas alveolares (Malmgren et al, 2012). Vale ressaltar que essas diretrizes foram baseadas em um consenso, tendo forte peso da opinião de especialistas em sua elaboração.…”

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Uso e prognóstico de contenção em dente decíduo traumatizado: revisão sistemática e estudo de coorte histórico

Menezes¹

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Ao Prof. Fausto Mendes, lembro com muita ternura da época de graduação que ele fez florescer meu amor à pediatria. Talvez ele não saiba, mas é uma das pessoas que mais me incentiva e motiva a estudar, crescer e me desenvolver. Também tenho forte na lembrança o dia que liguei na pós-graduação para saber se havia sido aprovada e ele fez questão de vir ao telefone me dar a notícia. Ah, como é bom ser bem recebida e se sentir acolhida. Saiba que é recíproco todo o carinho que tens por mim. Minha gratidão a todos os professores do departamento. Prof. Marcelo Bönecker, guardo comigo todo apoio que veio de você na entrevista da pós. Obrigada por sempre me tratar com tanto carinho. Prof. Ana Estela Haddad, por quem me apaixonei e admiro muito. Sua dedicação inspira! Obrigada por ser exemplo. Prof. Mariana Braga, obrigada pela grandeza em compartilhar tanto ensinamento que tens. Prof. José Carlos Imparato, agradeço a confiança e por abrir as portas de sua casa. Tenho ótimas lembranças dos projetos sociais. Quanta generosidade cabe em você. Profa. Ana Lídia Ciamponi, obrigada pela convivência e palavras de incentivo. Prof. Daniela Raggio, pela alegria constante e trocas de sorrisos. Prof. Salete Nahás, por transbordar amor ao atender e ao ensinar. Que maravilha ter a oportunidade de ter por perto. Prof. Antonio Carlos Guedes-Pinto (in memoriam) pelo legado e ensinamentos deixados. Ao Prof. Fernando Ribeiro, a quem tenho como um pai. Me faltam palavras pra expressar toda admiração e amor que tenho por você. Sem dúvida um dos meus grandes mestres. Obrigada por toda confiança em mim depositada e por me motivar sempre. Sou grata pelos ensinamentos, conselhos, conversas, risadas, acolhimento e proteção. Agradeço aos demais professores presentes na minha formação como pediatra. Prof. Cristina Zardetto, sempre me encantou seu modo de atender os pacientes, trago tanto de você em mim. Muito obrigada. Prof. Ricardo Fonoff, Isa Gontijo, Selma Sano, Márcia Batista, Ana Carolina "Babou", vocês enriqueceram essa minha trajetória. Obrigada pelos ensinamentos e motivação. Prof. Sandra Kalil, enorme gratidão por toda confiança que deposita em mim. Sou muito grata por todo acolhimento e carinho. Meu carinho aos professores que compartilham comigo a arte de ensinar na Universidade de Guarulhos: Camilla Galatti, Felipe Bonacina, Levy Anderson, Michele Oliveira, Mayara Patel, Aldo Junior. Com vocês tudo fica mais divertido. Obrigada. Agradeço às lindezas que o traumatismo me trouxe. Bianca Del Negro, obrigada por ser minha companheira nessa jornada da pós. Serei eternamente grata pela amizade, cumplicidade e parceria. Admiro demais sua determinação, foco e coragem. Conte sempre comigo. Juliana Kimura, você fez história e me inspira a ser melhor a cada dia. Acho admirável todo seu empenho. Todo meu carinho às minhas queridas alunas de iniciação científica. Mariana Gasperini, desejo a você um mundo de possibilidades, de doçura e sorrisos. Andreza Godoi, companheira de clínica e de vida. Que seus sonhos sejam grandes, mas sua vontade, força e cor...

show abstract

A retrospective study of traumatic dental injuries in primary dentition: treatment outcomes of splinting

Abstract: Depending on the type of luxation, splint therapy results in acceptable outcomes and may be a feasible treatment option.

Cited by 20 publications

References 16 publications

Traumatic Dental Injuries in Children: The Controversies of Managing Primary Tooth luxation Injuries

Traumatic Dental Injuries in Children: The Controversies of Managing Primary Tooth luxation Injuries

The Basics of Splinting in Dentoalveolar Traumatology

Uso e prognóstico de contenção em dente decíduo traumatizado: revisão sistemática e estudo de coorte histórico

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