Profile of intrusive luxation and healing complications in deciduous and permanent teeth – a retrospective study

Soares, Thaís Rodrigues Campos; Silva, Luciana Pereira; Salazar, Sabrina Loren de Almeida; Luiz, Ronir Raggio; Risso, Patrícia; Maia, Lucianne Cople

doi:10.1080/00016357.2018.1481226

Cited by 13 publications

(23 citation statements)

References 23 publications

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“…In light of these findings, and notwithstanding the limitations of the follow-up period of the study, the authors supported the idea of conservative management of primary tooth intrusion if the permanent tooth germ is not clearly compromised, unless there are issues with patient cooperation. 11 The author's suggestion appears to be consistent with the philosophies underpinning the International Association of Dental Trauma (IADT) guidelines, which advocate extraction of the intruded primary tooth if there is clinical and/or radiographic evidence of displacement into the developing permanent tooth germ. 12…”

Section: Intrusion: Extractionmentioning

confidence: 65%

“…10 However, a recent retrospective study suggested that conservative measures may be acceptable for primary tooth intrusion. 11 Analysis of dental records showed that the prevalence of primary tooth intrusions in the cohort was 9.98%, and of those injuries, partial intrusion (57.3%) was more common compared to complete intrusion, with palatal orientation of the crown (61.8%) compared to buccal orientation. 11 Of these injuries, the most common management method involved conservative treatment (73.5%) as opposed to extraction.…”

Section: Intrusion: Extractionmentioning

confidence: 91%

“…11 Analysis of dental records showed that the prevalence of primary tooth intrusions in the cohort was 9.98%, and of those injuries, partial intrusion (57.3%) was more common compared to complete intrusion, with palatal orientation of the crown (61.8%) compared to buccal orientation. 11 Of these injuries, the most common management method involved conservative treatment (73.5%) as opposed to extraction. While the most common healing complication was mobility in 15.5% of cases, most cases exhibited no healing complications at three months (64.8%).…”

Section: Intrusion: Extractionmentioning

confidence: 91%

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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: Intrusion: Extractionmentioning

confidence: 65%

Section: Intrusion: Extractionmentioning

confidence: 91%

Section: Intrusion: Extractionmentioning

confidence: 91%

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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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“…After removal of duplicates, 1,207 studies remained and were analyzed (reading of titles and abstracts) according to the study criteria. Five studies 5,12,26,27,28 were included for qualitative synthesis, while four 5,12,27,28 were used for the final meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

Is there an association between crown discoloration and pulp necrosis in traumatized permanent teeth? A meta-analysis

et al. 2020

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“…Ese tipo de reabsorción se puede presentar en la superficie externa o interna en el diente siendo contrario a la reabsorción fisiológica. Radiográficamente se observa discontinuidad de la lámina dura, además de la ocurrencia de un padrón acelerado cuando se comparan ambas 4,8,15,16 . Dentro de las lesiones antes destacadas, las fracturas de esmalte y subluxación ocurren con cierta frecuencia en la dentición decidua 8 .…”

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Conducta clínica frente a la fractura de corono-esmalte y subluxación en dientes primarios: reporte de caso

Danelon¹,

Emerenciano²,

Gonçalves³

et al. 2018

Arch Health Invest

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Introducción: Los traumatismos en los dientes decimales son comunes de ocurrir, siendo su primer episodio normalmente en los niños cuando están aprendiendo a caminar. Los traumas nuevos o repetidos pueden ocurrir a lo largo del crecimiento y desarrollo del niño, siendo importante su diagnóstico, seguimiento y tratamiento cuando sea necesario. Objetivo: El objetivo del presente estudio fue relatar un caso clínico de fractura corono-esmalte y subluxación en dentición decidua, bien como sus complicaciones clínicas, radiográficas y conducta clínica. Relato de caso: Paciente de sexo femenino, 2 años y 8 meses de edad, compareció a la clínica de Odontopediatría de la Facultad de Odontología de Araçatuba (FOA/UNESP), Brasil, cuya mamá relataba la aparición de una “bolita” en la región superior del diente 51 y fractura corono-esmalte. Durante la anamnesis la mamá relato que la niña se había caído hace un mes y golpeado el diente 51 presentando sangramiento, leve movilidad y fractura corono-esmalte, y que según el odontopediatría que atendió la niña en el momento del trauma le informo que se trataba de un traumatismo tipo subluxación, y que la conducta clínica, debería ser acompañamiento. Al examen clínico se observó alteración en la coloración del diente 51 y presencia de fistula en la región. Al examen radiográfico fue posible observar inicio de reabsorción radicular y lesión periapical denotando necrosis pulpar. El plan de tratamiento instaurado fue endodoncia del diente 51, seguido por acompañamiento clínico y radiográfico del mismo. Después de 8 días, la niña retorno sin la presencia de fistula, mostrando la eficacia del tratamiento instaurado. Conclusión: Se concluye, por tanto que aunque la subluxación pueda traer daños al diente deciduo, cuando es diagnosticada precozmente, la alteración es susceptible de tratamiento efectivo y satisfactorio, llevando a la preservación del diente hasta el momento de su exfoliación.Descriptores: Traumatismos de los Dientes; Diente Primario; Terapéutica.

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Profile of intrusive luxation and healing complications in deciduous and permanent teeth – a retrospective study

Abstract: Intrusion's profile in DT and PT are different. PT showed more HC than DT, however the level of intrusion and crown direction were not associated with the presence of HC.

Cited by 13 publications

References 23 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

Is there an association between crown discoloration and pulp necrosis in traumatized permanent teeth? A meta-analysis

Conducta clínica frente a la fractura de corono-esmalte y subluxación en dientes primarios: reporte de caso

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