Combination injuries 3. The risk of pulp necrosis in permanent teeth with extrusion or lateral luxation and concomitant crown fractures without pulp exposure

Lauridsen, Eva; Hermann, Nuno V.; Gerds, Thomas Alexander; Ahrensburg, Søren Steno; Kreiborg, Sven; Andreasen, Jens Ove

doi:10.1111/j.1600-9657.2011.01100.x

Cited by 71 publications

(71 citation statements)

References 22 publications

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“…The high frequency of necrosis may be related to the extent of root formation of the teeth included in this research. Some studies showed that the chance of necrosis is greater in teeth with a closed apex (8,(15)(16)(17)(20)(21)(22). Among the types of luxation, intrusion is related to the highest prevalence of pulp necrosis, because this type of This study demonstrated that delay in seeking treatment after trauma can impair the prognosis.…”

Section: Discussionmentioning

confidence: 87%

“…The development of external inflammatory resorption is related to the severity of injury, patient age, stage of root formation and the time of pulp extirpation (15)(16)(17)(18)(19). When the endodontic treatment is delayed, pulpal infection associated with periodontal ligament damage may result in the progression of inflammatory external resorption (15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

“…When the endodontic treatment is delayed, pulpal infection associated with periodontal ligament damage may result in the progression of inflammatory external resorption (15)(16)(17)(18)(19). The longer it takes for treatment, the worse the prognosis for the involved teeth.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption

et al. 2017

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This clinical study aimed to evaluate the relationship of the delay between dental trauma and the initial attendance to the development of external inflammatory root resorption in permanent teeth affected by severe luxation. Sixty-seven patients, aged between 11 and 56 years, presenting 133 injured teeth with closed apex (56 extrusive luxation, 69 lateral luxation and 8 intrusive luxation) were followed up for a minimum of 24 months. The time elapsed between dental trauma and the initial attendance was recorded. The presence of necrotic pulp and external inflammatory resorption for each type of trauma was verified. Fisher's exact test was used to verify the influence of the initial attendance date at the Dental Trauma Center and the development of inflammatory resorption (p<0.05). The odds ratio was used to check the risk of developing external inflammatory resorption due to delay in seeking treatment. Pulp necrosis was observed in 105 teeth (78.9%) and external inflammatory resorption was detected in 17.8% cases of extrusive luxation (10 teeth), 15.9% of lateral luxation (11 teeth) and 25% of intrusive luxation (2 teeth). For lateral luxation, extended delay between the date of injury and initial attendance influenced the occurrence of external inflammatory resorption (p=0.0174). Patients who began treatment 45 days after the injury were 3.4 times more likely to develop external inflammatory resorption than patients who sought treatment after the trauma. Treatment late after the occurrence of dental trauma can impair the prognosis and result in the development of external inflammatory resorption in luxated teeth.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption

et al. 2017

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“…Tal fato evidencia--se porque essas lesões de luxação lateral e extrusiva apresentam um envolvimento endodôntico paralelo que requer intervenção imediata, impedindo a manifestação da reabsorção 14 . Assim, os casos de subluxação apresentaram, neste estudo, um índice de reabsorção maior que os demais traumatismos de maior extensão nos tecidos de sustentação, contrariando o esperado conforme a literatura 7 .…”

Section: Discussionunclassified

Frequência de reabsorção radicular inflamatória decorrente de trauma em dentes anteriores atendidos em um Centro Clínico de Traumatismo Dentário

Silveira

Gonçalves

Damian

et al. 2014

Rev. da Fac. de Odontologia, UPF

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Objetivo: a reabsorção radicular inflamatória é uma das consequências do traumatismo dentário, sendo a detecção e o tratamento precoces determinantes na IntroduçãoO trauma dental pode resultar no desenvolvimento de lesões nos tecidos dentários e nos tecidos de sustentação, de forma isolada ou concomitante. Assim, o prognóstico pulpar pós-trauma é dependente do dano periodontal e dos danos aos tecidos duros do dente, tendo o diagnóstico do trauma dentário valor duvidoso se esses dois fatores não forem avaliados em conjunto 1 .

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“…Istražujući uticaj završenog rasta korena na učesta-lost nekroze došli smo do saznanja da se nekroza češće javlja kod zuba kod kojih je koren u potpunosti formiran a koji su uz frakture istovremeno imali i luksacije, slično zapazanjima drugih istraživača [2,27,28].…”

Section: Diskusijaunclassified

Retrospective analysis of pulp necrosis frequency after uncomplicated crown-fractures in children

Stosovic-Kalezic¹,

Cvetković²,

Ivanović³

et al. 2016

Praxis Med

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Frakture krunica najčešći su tip trauma stalnih zuba i mogući put za bakterijsku invaziju pulpe što dovodi do nastanka inflamacije i posledično, komplikacija različite vrste i težine među kojima je nekroza pulpe najčešća. Cilj studije: analiza učestalosti nekroze pulpe koja prati nekomplikovane frakture krunica (sa i bez pridruženih luksacija) stalnih zuba u dece. Izvršena je retrospektivna analiza kartona traume pacijenata.Uzorak su činili slučajevi sa nekomplikovanim frakturama krunica stalnih zuba lečenih na klinici za dečju i preventivnu stomatologiju. Beležena je vrsta povrede, vreme proteklo od traume do prvog tretmana, stanje vitaliteta na prvom i kontrolnim pregledima i stadijum razvoja korena. Statistička analiza izvedena je standardnim metodama deskriptivne statistike, primenom Chikvadrat testa i linearne regresije. Studijom je obuhvaćeno 104 zuba sa nekomplikovanim frakturama krunica od kojih je 34 imalo pridružene luksacije. Prisustvo luksacije kod traumatski frakturiranih zuba značajno povećava izglede za nastanak nekroze (χ2 = 38.2837, p<0,001). Završen rast korena pozitivno je povezan sa učestalošću nekroze pulpe frakturiranih zuba sa luksacijama( χ2=16,067; p<0,001; c=0,572). Zakasnelo lečenje doprinosi učestalijoj pojavi nekroze (χ2=14,303; p<0,001; c=0,415) u grupi samo frakturitanih zuba.Odsustvo vitaliteta prilikom prvog pregleda nosi veći rizik za razvoj nekroze (χ2=12,29, p<0,001; f=0,6838). Prisustvo luksacije i završen rast korena važni su faktori rizika za nastanak nekroze pulpe zuba sa nekomplikovanim frakturama.Ključne reči: trauma zuba, fraktura krunice, nekroza pulpe, luksacija zuba. UVODPosle zubnog karijesa, traumatske povrede zuba su drugi po važnosti problem u stomatologiji [1] i drugi najćešći razlog gubitka zuba kod dece i adolescenata [2]. Povrede prednjih zuba mogu uzrokovati fonetske,funkcionalne, estetske probleme i poremećaj okluzije.S obzirom da se najveći broj dešava u najranijem uzrastu povrede mogu imati uticaja na psihološki razvoj deteta [3] i dugoročan uticaj na kvalitet života povredjene osobe. Traumatske povrede zuba uglavnom pogađaju frontalne zube gornje vilice [3]. Najčešće je povređen jedan zub, ali su u određenim slučajevima moguće i povrede više zuba istovremeno [4]. Dečaci su podložniji povredama zuba obe denticije [5].Posledice trauma variraju u zavisnosti od tipa traume, dentalnog doba u vreme nastanka povrede i načina lečenja.Frakture krunica najčešći su tip povreda stalnih zuba [6]. U literaturi, frakture gleđi i gleđi i dentina bez eksponiranja pulpe označavaju se kao nekomplikovane. Frakture gleđi, nekomplikovane frakture gleđi i dentina i luksacije najčešće su povrede stalnih zuba [7].Traumatske povrede čvrsih zubnih tkiva kao što su frakture gleđi retko su praćene komplikacijama [8]. Za razliku od njih frakture gleđi i dentina su opsežnije povrede sa većim rizikom za nastanak komplikacija. Zbog tubularne strukture dentina predstavljaju mogući put za bakterijsku invaziju pulpe što dovodi do nastanka inflamacije i posledično, komplikacija različite vr...

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Combination injuries 3. The risk of pulp necrosis in permanent teeth with extrusion or lateral luxation and concomitant crown fractures without pulp exposure

Abstract: A concomitant crown fracture without pulp exposure significantly increased the risk of PN in teeth with lateral luxation. This risk factor may be used to identify teeth at increased risk of PN following lateral luxation injury.

Cited by 71 publications

References 22 publications

Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption

Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption

Frequência de reabsorção radicular inflamatória decorrente de trauma em dentes anteriores atendidos em um Centro Clínico de Traumatismo Dentário

Retrospective analysis of pulp necrosis frequency after uncomplicated crown-fractures in children

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