Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report

Giorgio, Gianni Di; Zumbo, Giulia; Saccucci, Matteo; Luzzi, Valeria; Ierardo, Gaetano; Biagi, Roberto; Bossù, Maurizio

doi:10.3390/dj9090107

Cited by 5 publications

(12 citation statements)

References 32 publications

(41 reference statements)

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“…Of these, 59 full texts were evaluated and eight case reports were included in this systematic review (Figure 1). The case reports included in this review described the use of dental splinting in Brazilian (Di Giorgio et al, 2021;Bonanato et al, 2009;Santos et al, 2021), Indian (Pathak et al, 2016;Shanmugam et al, 2011), Turkish (Akin et al, 2011),…”

Section: Resultsmentioning

confidence: 99%

“…Chinese (Liu et al, 2013), and Greek (Chatzidimitriou et al, 2017) children (Table 2). Two studies described the use of splinting for the immobilization of laterally displaced teeth (Akin et al, 2011;Pathak et al, 2016), and four in teeth with root fractures (Bonanato et al, 2009;Liu et al, 2013;Santos et al, 2021;Di Giorgio et al, 2021). One study investigated the use of splints in the immobilization of a primary maxillary right central incisor with extrusive luxation -associated with the presence of root fracture (Di Giorgio et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies described the use of splinting for the immobilization of laterally displaced teeth (Akin et al, 2011;Pathak et al, 2016), and four in teeth with root fractures (Bonanato et al, 2009;Liu et al, 2013;Santos et al, 2021;Di Giorgio et al, 2021). One study investigated the use of splints in the immobilization of a primary maxillary right central incisor with extrusive luxation -associated with the presence of root fracture (Di Giorgio et al, 2021). Other studies evaluated the use of splinting in the treatment of intrusive luxation Reports not retrieved (n = 0) (Shanmugamet al, 2011), and mandibular alveolar fracture (Chatzidimitriou et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…In fact, it is essential to explore all available information on these health approach, including the evaluation of the effect of splinting in specific cases of dental trauma in the primary dentition (Day et al, 2020). Some case reports have already shown that the use of the technique can reduce the mobility of primary teeth with intrusion (Di Giorgio et al, 2021), alveolar fracture (Akin et al, 2011) and root fracture (Bonanato et al, 2009). Therefore, the global synthesis of these findings may provide important insights about the applicability of splinting in the dental trauma (Fernandez et al, 2023), according to the degree of the traumatic injury in primary teeth (Day et al, 2020;Di Giorgio et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Some case reports have already shown that the use of the technique can reduce the mobility of primary teeth with intrusion (Di Giorgio et al, 2021), alveolar fracture (Akin et al, 2011) and root fracture (Bonanato et al, 2009). Therefore, the global synthesis of these findings may provide important insights about the applicability of splinting in the dental trauma (Fernandez et al, 2023), according to the degree of the traumatic injury in primary teeth (Day et al, 2020;Di Giorgio et al, 2021). Thus, the aim of this study was to explore the use of splinting in the management of traumatized primary dentition in case reports published in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Use of splinting in traumatized primary teeth: A systematic review of case reports

França,

Guimarães,

Silva

et al. 2023

RSD

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The aim of this study was to explore the use of splinting in the management of traumatized primary dentition in case reports published in the literature. Systematic searches were performed in the main health databases to identify case reports (a) with children presenting trauma in primary teeth, and (b) those that described any outcomes related to the use of splints in the management of traumatized primary teeth. The stages of study selection, data extraction and risk of bias analysis were performed. Descriptive data analysis was described. The reporting of information from this review was based on the PRISMA 2020 guidelines. Of the total number of studies initially found (n=246), eight were case reports. Outcomes of splint immobilization in primary teeth with luxation (intrusion, extrusion, and lateral displacement), intra-alveolar root fracture and/or alveolar fracture were reported. All case reports described splinting as a viable technique for immobilizing traumatized primary teeth, regardless of the type of traumatic dental injury (TDIs) and splinting technique used. Only case report verified the effectiveness of the splinting in the management of dentoalveolar trauma and demonstrated the clinical effectiveness of the contentive approach. Based on low evidence studies with a moderate risk of bias, it was observed that the use of splints for the management of alveolar bone fractures and intrusive root fractures, and in specific cases of teeth with lateral luxation, can bring additional benefits to the dento-alveolar health of traumatized primary teeth.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of splinting in traumatized primary teeth: A systematic review of case reports

França,

Guimarães,

Silva

et al. 2023

RSD

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Splinting in the management of dental trauma in the primary dentition: a systematic review

Fernandez

Schuch

Araújo

et al. 2023

Eur Arch Paediatr Dent

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A Retrospective Cohort Study of Traumatic Root Fractures in Primary Dentition: Can Splinting Type Improve Therapeutic Outcomes?

Murgia,

Zerman,

Cubeddu

et al. 2023

Applied Sciences

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(1) Introduction: Deciduous traumatic dental injuries pose a serious global health concern. Root fractures show an incidence rate of approximately 2%; however, the literature is limited regarding the appropriate treatment and prognosis of affected teeth. This retrospective study aims to analyze the long-term outcomes of orthodontic splinting using brackets compared with composite resin-only splinting in two homogeneous samples affected by root fractures. The study also examines the onset and patterns of root resorption. (2) Methods: The first group included 25 patients with 27 deciduous upper incisors affected by root fracture; Group 2 consisted of 35 patients with 38 root fractures of maxillary deciduous teeth. The categorical data for both groups were analyzed using the chi-squared homogeneity test. Age groups were compared using the Mann–Whitney U test; p < 0.005 was considered statistically significant. (3) Results: In both groups, the male gender predominated similarly. In Group 1, early decidual loss occurred in 16% of cases, whereas in Group 2 it occurred in 51% of cases. Pulp canal obliteration was observed in 68% of deciduous teeth in Group 1, compared with 30% in Group 2. No complications affecting permanent teeth were noted in Group 1; in Group 2, 29% developed enamel dysplasia and 26% experienced delayed eruption, with statistically significant differences in these proportions. Apical fragment resorption was observed in 92% of cases in Group 1 and 30% in Group 2. (4) Conclusions: The treatment of deciduous tooth root fractures using orthodontic splints can yield significant benefits, such as reduction of early tooth loss. Furthermore, the study confirms that early resorption of the distal fragment of fractured roots is a common physiological phenomenon in primary teeth and typically occurs within a year following trauma.

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Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report

Cited by 5 publications

References 32 publications

Use of splinting in traumatized primary teeth: A systematic review of case reports

Use of splinting in traumatized primary teeth: A systematic review of case reports

Splinting in the management of dental trauma in the primary dentition: a systematic review

A Retrospective Cohort Study of Traumatic Root Fractures in Primary Dentition: Can Splinting Type Improve Therapeutic Outcomes?

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