Management Guidelines for Traumatically Injured Teeth during Orthodontic Treatment

Owtad, Payam; Shastry, Shruti; Papademetriou, Michael; Park, J H

doi:10.17796/1053-4628-39.3.292

Cited by 19 publications

(26 citation statements)

References 16 publications

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“…[5][6][7] Çoğu travma vakası multidisipliner tedavi yöntemlerini içeren (pedodonti, oral cerrahi, endodonti, ortodonti, restoratif diş tedavisi ve protetik diş tedavisi vb.) bireysel bir yaklaşıma ihtiyaç duymaktadır.…”

Section: Abstract Dental Trauma Lateral Luxation Fixed Orthodontic unclassified

“…9 Ortodontik tedavi sırasında travmatik olarak yaralanmış dişler için literatür ışığında 7,8,10-14 tedavi yönetimini özetleyen Owtad ve ark. 5 dişe gelen hafif travma olarak değerlendirilen, sadece travma görmüş dişte hassasiyet semptomu ile tanımlanan sadme (sarsıntı) ve displaze dişte gevşeme ile karakterize sublüksasyon durumunda birkaç hafta yumuşak diyet önermişlerdir. Yeniden ortodontik kuvvet uygulaması için ise 3 ile 3-6 ay beklenmesi gerektiğini bildirmişlerdir.…”

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“…Kök kırığının radyografik ve klinik olarak gözlendiği durumda ise endodontik ve cerrahi tedavi sonrası iyileşmeyi takiben ortodontik tedaviye 1-2 yıl sonra tekrar başlanabileceğini bildirmişlerdir.5 Travma sonrası dişe ortodontik kuvvet uygulanmayan süreçte her 3 ayda bir periapikal radyograf ile köklerin durumunun, vitalite testi ile pulpal durumun takibi 146 endodontik ve cerrahi tedavi sonrası iyileşmeyi takiben ortodontik tedaviye 1-2 yıl sonra tekrar başlanabileceğini bildirmişlerdir. 5 Travma sonrası dişe ortodontik kuvvet uygulanmayan süreçte her 3 ayda bir periapikal radyograf ile köklerin durumunun, vitalite testi ile pulpal durumun takibi önemlidir. 6,10,13 Ortodontik tedavi sırasında bireye özgü tedavi aygıtlarının ve modifikasyonlarının seçimi, hafif kuvvetlerin kullanılması, kök rezorpsiyonu riski için düzenli radyografik takip ve ortodontik tedavinin bitmesinin ardından düzenli takibin devamlılığı önemlidir.…”

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Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Şenışık¹,

Aydoğan²

2017

Selcuk Dental Journal

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Section: Abstract Dental Trauma Lateral Luxation Fixed Orthodontic unclassified

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Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Şenışık¹,

Aydoğan²

2017

Selcuk Dental Journal

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“…Kindelan et al published an overview of the influence of dental trauma on the management of orthodontic treatment in which they recommend different waiting and observation periods prior to orthodontic tooth movement based on information available at that time. Owtad et al presented management guidelines for teeth that underwent a traumatic injury during orthodontic treatment and they pointed out that only little information was available on this topic in the current literature. Day et al emphasized the importance of early identification of traumatized anterior teeth with poor prognosis and they discussed treatment options applicable in this situation.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists

Gorp

Bormans

Vanham

et al. 2019

Dental Traumatology

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Background/Aim Traumatized teeth are more susceptible to complications during orthodontic tooth movement. The aim of this study was to explore current practices among Belgian dental practitioners regarding orthodontic treatment of children with a history of dental trauma. Material and Methods A questionnaire survey was organized among general dentists, pediatric dentists, and orthodontists in Flanders (Belgium). Questionnaires were distributed at the occasions of annual meetings or symposia. They consisted of questions regarding exposure to dental trauma and orthodontic treatment approach for patients with a dental trauma history. Results The questionnaire was completed by 121 general dentists, 47 pediatric dentists, and 99 orthodontists. A history of dental trauma influenced referral for orthodontic treatment by general dentists and pediatric dentists moderately (median VAS scores of 5 and 6, respectively, on a scale of 0 (not at all) to 10 (utmost)), indicating uncertainty and doubt. Additional checkups during tooth movement were usually not organized by general dentists in 33.6% and by pediatric dentists in 19.1% of cases (P = 0.006). One‐third of the orthodontists (33.3%) experienced tooth loss linked to orthodontic movement of a tooth with dental trauma history in at least one patient. Only a minority of the practitioners knew of the existence of specific guidelines (7.6%, 15.6% and 22.7%, respectively, of general dentists, pediatric dentists, and orthodontists) (P = 0.007). The Dental Trauma Guide was the guideline mentioned most frequently, although this tool does not contain recommendations regarding orthodontic treatment after trauma. Conclusion In the group of Belgian general dental, pediatric and orthodontists surveyed, there was uncertainty regarding the orthodontic management of patients with a history of dental trauma especially among general practitioners. Further educational training is recommended.

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“…Patients with orthodontic attachments at the mouth during orthodontic treatment may also be exposed to dental trauma. When dental trauma occurs during orthodontic treatment, the path to be followed for treatment is based on clinical experience and individual case reports presented in the literature [3,6,7]. Dental injuries vary widely from simple enamel fractures to complicated fractures and often require complicated treatment of more than one type of injury.…”

Section: Introductionmentioning

confidence: 99%

Orthodontic Approach in Facial and Dental Trauma

Sadry¹

2019

Trauma in Dentistry

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In this review, the prevalence of dental trauma, prevention and diagnosis of traumatic injuries, the effects of dental trauma in patients in need of orthodontic treatment, orthodontic intervention to dental traumatized teeth, and treatment options for poor anterior teeth due to trauma are discussed. Dental trauma is a condition that is frequently encountered in dentistry. When orthodontic treatment of traumatized teeth is planned, the orthodontist should be considered before orthodontic treatment and during orthodontic treatment. Prognosis is divided into two types as treatment options of bad anterior teeth, retaining the tooth in the mouth or pulling the tooth and restoration of the opening. The multidisciplinary teamwork and the role of the orthodontist in this team are important in order to achieve optimal results in the clinical intervention of these cases. Autotransplantation, orthodontic closure, or opening of the space are discussed when tooth extraction and toothless space restoration are required. It is very important to decide if orthodontic forces should be applied or not, and if orthodontic force is necessary, when should it be applied. Information on orthodontic forces applied to traumatized teeth was given in this chapter.

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Management Guidelines for Traumatically Injured Teeth during Orthodontic Treatment

Cited by 19 publications

References 16 publications

Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists

Orthodontic Approach in Facial and Dental Trauma

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