Maxillary Incisor Trauma in Patients With Class Ii Division 1 Dental Malocclusion: Associated Factors

Dosdoğru, Elif Yaman; Gorken, Feyza Nur; Erdem, Arzu Pınar; Öztaş, Evren; Marşan, Gülnaz; Sepet, Elıf; Aytepe, Zeynep

doi:10.17096/jiufd.56482

Cited by 5 publications

(6 citation statements)

References 32 publications

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“…[13] The maxillary right central incisor was the most affected tooth (4.4%) followed by the maxillary left central incisor (4.2%). This is in accordance with the findings of Hegde and Shabin and Dosdoğru et al [1,14] El-Kenany et al in their study also suggest biting and teeth misuse and home abuse as possible causes of tooth fracture. [15] Single tooth fractures (4.9%) were frequently reported followed by fracture of two teeth (3.2%) and three teeth (0.8%).…”

Section: Discussionsupporting

confidence: 92%

“…[7,16] Anterior tooth trauma was frequently seen in cases of Class I malocclusion with an overjet of 2-4 mm, this observation was not in accordance with the findings of the study by Hegde and Sajnani and Dosdoğru et al where anterior tooth trauma was seen frequently in cases of Angles Class I Division II. [7,14] In another study conducted by El-Kenany et al, in Egypt trauma to anterior teeth was seen in cases of angles Class II and an overjet of >4 mm. [15] Therefore, increased overjet has been found to be associated with increased severity of fractures, this enhanced risk is confirmed with previous studies.…”

Section: Discussionmentioning

confidence: 97%

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Traumatized anterior teeth in Southwest coastal population of India

Hegde¹,

Hegde²,

Yelapure³

et al. 2017

IDJAR

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Background: The objectives of this study were to measure the prevalence of anterior teeth fracture in the Southwest coastal population and to study association with predisposing factors such as molar relationship, overjet, and variables such as age, gender, location, occupation, and etiology. Aim: The aim of the study was to evaluate the prevalence of anterior tooth fracture due to trauma in 1000 patients from the Southwest coastal population. Materials and Methods:The study was conducted on 1000 patients reporting for treatment to A B Shetty Memorial Institute of Dental Sciences and rural satellite centers from June to December 2016. Patients who had anterior tooth fracture were questioned with a standard questionnaire from Oral Health Survey WHO format 2013. Results were evaluated using Pearson's Chi-square test. Results: Out of the 1000 patients examined, traumatized anterior teeth were seen in 89 (8.9%) cases. The prevalence of trauma to the anterior teeth was more in the male population (51.7%). Traumatized anterior teeth were frequent in the age group of 20-30 years (33.5%). Fall and automobile accidents were the most common causes of trauma to the anterior teeth (3.6%). The maxillary right (4.4%) and the maxillary left (4.2%) central incisors were most susceptible to trauma. 3.8% of teeth showed enamel fracture only, and 2.1% showed enamel and dentine fracture and 1.6% cases showed total loss of tooth due to trauma. Maximum number of patients with anterior tooth trauma was seen to have Class I malocclusion (88.8%), and an overjet in the range of 2-4 mm (66.3%). Conclusion: Anterior tooth trauma in the Southwest coastal population was seen to be highly prevalent in the age group of 20-30 years and predominantly in males with automobile accidents being the most common cause. The maxillary anterior teeth were seen to be frequently affected. Enamel fractures were common, but the turn up for treatment posttrauma was negligible. Clinical Significance: This study correlates the presence of anterior teeth trauma to various behavioral, physical, and dental attributes. Majority of the cases were reported in rural areas, and the masses were ignorant about the consequences of trauma to anterior teeth and the treatment options available.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Traumatized anterior teeth in Southwest coastal population of India

Hegde¹,

Hegde²,

Yelapure³

et al. 2017

IDJAR

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“… 27 – 29 In other cases, occlusal trauma caused by premature contact has the potential to exacerbate periodontal disorders, 30 , 31 while the anterior protrusion of upper incisors heightens the susceptibility to dental trauma. 32 – 39 …”

Section: Definition and Risk Of Malocclusionmentioning

confidence: 99%

Expert consensus on pediatric orthodontic therapies of malocclusions in children

Zhou,

Duan,

et al. 2024

Int J Oral Sci

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Malocclusion, identified by the World Health Organization (WHO) as one of three major oral diseases, profoundly impacts the dental-maxillofacial functions, facial esthetics, and long-term development of ~260 million children in China. Beyond its physical manifestations, malocclusion also significantly influences the psycho-social well-being of these children. Timely intervention in malocclusion can foster an environment conducive to dental-maxillofacial development and substantially decrease the incidence of malocclusion or reduce the severity and complexity of malocclusion in the permanent dentition, by mitigating the negative impact of abnormal environmental influences on the growth. Early orthodontic treatment encompasses accurate identification and treatment of dental and maxillofacial morphological and functional abnormalities during various stages of dental-maxillofacial development, ranging from fetal stages to the early permanent dentition phase. From an economic and societal standpoint, the urgency for effective early orthodontic treatments for malocclusions in childhood cannot be overstated, underlining its profound practical and social importance. This consensus paper discusses the characteristics and the detrimental effects of malocclusion in children, emphasizing critical need for early treatment. It elaborates on corresponding core principles and fundamental approaches in early orthodontics, proposing comprehensive guidance for preventive and interceptive orthodontic treatment, serving as a reference for clinicians engaged in early orthodontic treatment.

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“…3 In Norway, patients with TDI are often seen initially at Public Dental Health Services (PDHS), which offers free dental services to children and adolescents up to the age of 18 years. 4 Patients at risk of TDI frequently exhibit predisposing oral features consistent with Class II Division I malocclusion, 5,6 that is, a large overjet, [6][7][8] proclination of the anterior teeth 9 and inadequate lip coverage. 7,8,10 Approximately 10% of all orthodontic patients have suffered TDI to a permanent incisor before undergoing orthodontic treatment.…”

mentioning

confidence: 99%

“…4 Patients at risk of TDI frequently exhibit predisposing oral features consistent with Class II Division I malocclusion, 5,6 that is, a large overjet, [6][7][8] proclination of the anterior teeth 9 and inadequate lip coverage. 7,8,10 Approximately 10% of all orthodontic patients have suffered TDI to a permanent incisor before undergoing orthodontic treatment. 11 Borzabadi-Farahani et al concluded that patients requiring orthodontic treatment were at a high risk of TDI.…”

mentioning

confidence: 99%

Orthodontic management of traumatic dental injuries in Norway and orthodontists' perceptions of referral routines: A quality assurance survey

Beyene,

Bårdsen,

Klock

et al. 2023

Dental Traumatology

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Background/AimOrthodontic treatment of patients with traumatic dental injuries is challenging, with limited evidence of routines and outcomes. The aims of this study were: (i) to describe how orthodontists perceive the information on traumatic dental injuries received by referral from the Public Dental Health Service before orthodontic treatment and (ii) to assess orthodontists' knowledge and working routines in managing traumatic dental injuries.Materials and MethodsData were obtained through a survey of all practicing orthodontists registered as members of the Norwegian Association of Orthodontists (n = 203).ResultsEighty‐three orthodontists were enrolled, most of whom had received their dental degree (73.0%) and specialist orthodontic training (88.5%) in Norway. They reported examining patients with a history of traumatic dental injury at weekly (34.2%) or monthly (38.0%) basis. In 85.5% of cases, they obtained a history of traumatic dental injury from patients. Half of the respondents (51.3%) favoured two‐phase early orthodontic treatment for patients with an overjet ≥6 mm. The observation time and treatment strategy showed considerable discrepancies across traumatic dental injury diagnoses. Most (59.1%) orthodontists considered the information on previous traumatic dental injuries provided by the Public Dental Health Services referral ‘inadequate’, more commonly in cases of mild (83.5%) than severe (57.5%) traumatic dental injuries.ConclusionsOrthodontic management of patients with traumatic dental injuries was characterised by lack of uniformity in both recommended observation time before orthodontic treatment and management strategy. The referral routines by the Public Dental Health Services for patients with traumatic dental injuries were perceived as ‘inadequate’ in terms of frequency and quality. The results indicate the requirement of standardisation of routines related to orthodontic management of traumatic dental injuries and referral routines by the Public Dental Health Services.

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Maxillary Incisor Trauma in Patients With Class Ii Division 1 Dental Malocclusion: Associated Factors

Cited by 5 publications

References 32 publications

Traumatized anterior teeth in Southwest coastal population of India

Traumatized anterior teeth in Southwest coastal population of India

Expert consensus on pediatric orthodontic therapies of malocclusions in children

Orthodontic management of traumatic dental injuries in Norway and orthodontists' perceptions of referral routines: A quality assurance survey

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