Retrospective clinical study of 90 avulsed permanent teeth in 58 children

Abstract

The aim of this study was to find out the causes that lead to dental avulsion in children, to analyze the effectiveness of our treatment and the response of the adults when such incidents occur and finally to determine the occurrence of posttraumatic complications some time after the injury, especially the resorption of the affected teeth root. We analyzed the documentations of a sample of patients containing 57 children who had a total of 90 avulsed teeth and were treated in Dentistry Department of Medical Faculty in Pilsen, Czech Republic, in the years between 1995 and 2005. We discovered that most frequently the children experience dental avulsion in the age between 8 and 11 years old, the most affected teeth are the upper central incisors and the most frequent causes are sports and games which are very common in these ages, in various environments, like schools, sport fields and home. The majority of the children were transferred to the Dentistry Department either quite long after the avulsion incident and without the avulsed teeth, or with the avulsed teeth which were carried in an inappropriate transport medium, indicating that there is insufficient knowledge of adult people, especially the ones who are in daily contact with children, on how to provide first aid in cases of dental avulsion.

A 12-Year Retrospective Study of Avulsion Cases in a Public Brazilian Dental Trauma Service.

“…If the replantation is not immediately performed, it should be ideally carried out up to 20 to 30 min from the accident moment in order to achieve better periodontal healing (24). The longer it takes to replant the tooth, the worse prognosis become.…”

Factors associated with positive outcome of avulsion injuries in children

“…In this study, replantation was carried out in only 69 of 151 affected permanent teeth. The authors from Beijing observed higher replantation rate -85/120 20 , and low replantation rates were observed in studies by Petrovi et al 19 -32/62, Tzigkounakis et al 29 -27/90 and Kinoshita et al 30 -10/32. Since almost half of all avulsed teeth in our study were not even brought to the emergency dental office, it is reasonable to conclude that the lack of knowledge regarding immediate management of avulsions in people present at the site of accident was the main reason for the low observed replantation rate.…”

Bizarre cause for avulsion of permanent maxillary lateral incisor tooth

“…Although causes for avulsion have been mentioned in literature before from causes like getting kicked by a horse, fighting epileptic episode, criminal act, impact of a metal object to the orofacial region,4 but tooth avulsion due to kite flying thread have not been reported. In cases, where the patient could not locate the tooth after an avulsion injury, replacement of the tooth has been conducted with a removable partial denture which is what we prescribed in this case 5.…”