Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition

Abstract

Two hundred and eighty-seven children with a total of 545 traumatized primary upper incisors were followed using standardized procedures until the age of 10. Extraction was the only treatment offered when intervention was necessary. The immediate as well as the long-term consequences of trauma were studied on the basis of this material. Consequences in the primary dentition comprised: color changes (53%), pulp necrosis (25%), pulp canal obliteration (36%), gingival retraction (6%), permanent displacement after luxation (5-22%), pathological root resorption (1-10%) as well as disturbances in physiological root resorption (4%) and, lastly, premature tooth loss (46%). In a multivariate analysis of the development of pulp necross in primary teeth after trauma, the following decisive factors were found: age of the patient at the time of injury, degree of displacement of the tooth as well as the degree of loosening and presence of crown fracture. The factors found to influence development of pulp canal obliteration were: displacement of the tooth at time of injury as well as detectable physiologic root resorption at time of trauma. The presence of crown fracture seemed to decrease the risk of obliteration. The need for scientifically based treatment strategies for managing and reducting complications after trauma in the primary dentition is stressed.

Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil

“…When analyzing the radiographic sequelae observed, it was found that pathological inflammatory resorption was the most frequent alteration, in agreement with other published studies on the subject. 18 With regard to seeking treatment, most of the sample sought care at a not immediate time (more than 24 hours after the trauma), which could be a critical factor in determining a post-traumatism prognosis. A possible factor involved in the delay of initial care is the perception of the severity of the event by the children's parents or guardians.…”

“…2 There are several studies in the literature that evaluate the prevalence of dental traumatism in the primary and permanent dentitions, 1,2,6,12,15,16 although just a few of them present the epidemiology of primary teeth sequelae in face of these traumas. 17,18 In this context, the present study was conducted to assess the prevalence of traumatic injuries in children aged 0-6 years and the resulting sequelae in the primary dentition. The children were attended by the Dental Trauma Project, Federal University of Rio de Janeiro (UFRJ), Brazil.…”

Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi’ne Başvuran Adli Nitelikteki Olguların Dağılımı 1994-2006

“…Oysa ki, literatür bilgilerinde oral travma sonucunda en s›k görülen bulgunun difllerde luksasyon ya da subluksasyon oldu¤u bildirilmektedir (24,48,50). Olgular›m›zda yüksek oranda a¤›r bulgulara rastlanmas›, Difl Hekimli¤i Fakültemizin böl-gedeki 3. basamak tedavi hizmeti veren tek kurum olmas› ve daha spesifik olgular›n sevk edilerek gelmesi ile aç›k-lamak mümkündür.…”

Intrusion of deciduous and permanent teeth: Causes, clinical characteristics and outcome

“…Povoljan ishod (oporavak pulpnog i periodontalnog tkiva) je opisan u 50-90% slučajeva [2]. Pod nepovoljnim ishodom podrazumjeva se promjena boje krunice zuba, nekroza pulpe, obliteracija kanala korjena zube, retrakcija gingive, trajna dislokacija zuba, patološka resorpciju korjena, smetnje u fiziološkoj eksfolijaciji mliječnih zuba i prijevremeni gubitak zuba [1][2][3][4]. Oču-vanje kvitaliteta zuba, funkcionalnost i estetika, kao i sprečavanje nastanka komplikacija jesu osnove multidisciplinarnog pristupa pri svakom tretmanu trauma zuba [3,5].…”