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

Fernandez, Matheus dos Santos; Schuch, Helena Silveira; Araújo, A B G; Goettems, Marília Leão

doi:10.1007/s40368-023-00792-4

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Although its use is recommended by the IADT only in cases of alveolar fracture, lateral luxation and root fracture, the applicability of splinting in clinical practice can go beyond the indications in specific cases of trauma in the primary dentition, as identified in the case reports included. In this review, the records reported that the use of splinting promote benefits to the management of primary teeth with alveolar bone fracture and root fracture, which is in line with IADT recommendations (Day et al, 2020), and corroborates previous results (Fernandez et al, 2023), respectively.…”

Section: Discussionsupporting

confidence: 88%

“…Conversely to the results of previous retrospective studies with moderate and high risk of bias (Cho et al, 2018;Song et all., 2017;Kim et al, 2012), the use of the technique in the treatment of intruded, extruded or laterally displaced teeth was useful in providing dento-periodontal health. In fact, the aim of this review is not to counter the evidence presented by Fernandez et al (2023) study, but to discuss the general applicability of current knowledge of the findings. It is obvious that the results of both would be different, considering the type of studies included.…”

Section: Discussionmentioning

confidence: 98%

“…This systematic review also highlited the notable gap in the literature on the management of trauma in the primary dentition. Only three retrospective studies have explored the use of splinting in the treatment of traumatised teeth and were included in this review (Fernandez et al, 2023). In general, it is understandable that there are limitations when it comes to carrying out research related with TDI, especially in relation to emergency causalities and ethical aspects (Andreasen et al, 2012).…”

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: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 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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“…The standard treatment involves splinting and occlusal stabilization [11][12][13][14]. According to Andreasen et al (1998), conservative therapy has shown a good success rate, despite the challenges associated with performing splinting and limited cooperation from pediatric patients [15].…”

Section: Introductionmentioning

confidence: 99%

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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Treatment outcomes of replantation of primary teeth with/without splinting and endodontic treatment modality following avulsion injury: A systematic review

Padhy,

Pawar,

Mehta

et al. 2024

JIOH

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Aim: The objective of this review is to conduct a thorough systematic literature search and evaluate the risks and benefits of replanting avulsed primary teeth, which will aid clinicians in proper decision-making. Materials and Methods: In this review, a systematic search of five electronic databases (Web of Science, PubMed-MEDLINE, Scopus, Ovid SP, and Embase) was independently conducted by two reviewers. After following the eligibility criteria, the collated data was uploaded to Zotero and Excel Workbooks. Any disagreement was resolved through adjudication by the third reviewer. For case reports and case series, the Joanna Briggs Institute checklist was used to assess quality. Results: Following the application of the eligibility criteria, 15 papers were deemed eligible for final analysis, and full texts were acquired. Among 26 replanted teeth, adverse effects were seen in 19 primary teeth and 7 permanent successors. The primary teeth that were replanted had the following unfavorable effects: mobility, resorption of the bone, fistula formation, radicular cyst formation, crown discoloration, and pulp necrosis. Similarly, the adverse effects on the permanent successors were impaction, enamel hypoplasia, dilacerations, and infra-occlusion. Conclusions: Following the biological principles, such as the condition of the tooth, the time elapsed since avulsion and age of the child, and replantation of avulsed primary teeth, can be a feasible treatment option. However, the feasibility is case-dependent and cannot be generalized because of the paucity of high-quality research with sufficient sample sizes and long follow-up periods.

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

Cited by 3 publications

References 28 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

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

Treatment outcomes of replantation of primary teeth with/without splinting and endodontic treatment modality following avulsion injury: A systematic review

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