Survival of avulsed permanent incisors in children following delayed replantation

Demir, Pınar; Güler, Çiğdem; Kızılcı, Esra; Keskin, Gül

doi:10.4103/njcp.njcp_496_19

Cited by 6 publications

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“…Currently, there are very few clinical studies on immediately replanted teeth or teeth replanted after a short time with long follow-up periods and a reasonable number of participants. [21][22][23]25 In this study, we aimed to assess the risk of replanted teeth becoming ankylosed after a replantation done under favorable conditions (immediate replantation or replantation after storage in physiologic wet storage media, i.e., saline or saliva); we also compared it with the risk of ankylosis in teeth replanted after unfavorable conditions (dry storage before replantation) that was reported in a previous study. 21 At the time the material was registered, milk and other recently recommended storage media were not used in Denmark, so data on milk is so far based only on experimental studies.…”

Section: Discussionmentioning

confidence: 99%

“…21 Replanted teeth that have been stored dry for less than 15 min have a higher rate of periodontal healing compared to teeth stored dry for 60 min or more, which showed a higher rate of healing with ankylosis and less survival. 5,6,22 A retrospective clinical study concluded that teeth that have been stored dry for less than 20 min before replantation showed a lower risk of ankylosis and replacement resorption than teeth stored for 40, 60, and more than 60 min, indicating a relation of ankylosis with increasing dry storage time. 21 Another retrospective study showed that more root resorption was associated with teeth replanted after being stored for more than 30 min, and higher survival rate was associated with mature (closed apex) replanted teeth.…”

Section: Introductionmentioning

confidence: 99%

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Risk of ankylosis of avulsed teeth immediately replanted or stored under favorable storage conditions before replantation: A long‐term clinical study

Gul,

Lauridsen,

Gerds

et al. 2023

Dental Traumatology

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Background/AimThere are few long‐term clinical follow‐up studies on human teeth replanted immediately or after storage in a suitable storage medium prior to replantation. This study aimed to assess the risk of ankylosis in avulsed human teeth replanted immediately or after storage in physiological media for a short time.MaterialData from 116 patients with 145 replanted avulsed permanent teeth were selected from a comprehensive dental trauma database in Copenhagen University Hospital. The following teeth were selected: Group 1 comprised 36 teeth replanted immediately (dry time <6 min; wet time <6 min). Group 2 comprised 61 teeth replanted after physiologic storage media (saliva and saline) (dry time <6 min; wet time >5 min; wet time ranged from 7 to 170 min, and mean wet time was 59 min). Group 3 (control) included 48 teeth replanted after dry storage (dry time > 60 min).MethodClinical and radiographic registrations were carried out according to a standardized protocol; follow‐up ranged from 7 months to 23 years. Ankylosis was diagnosed by percussion test and radiographs and related to the conditions prior to replantation and stage of root development.ResultsThe overall risk of ankylosis was 17.2% [95% CI: 4.61; 29.79] for immediately replanted teeth, 55.3% [95% CI: 42.54; 68.00] for teeth stored in physiologic media before replantation, and 85.7% [95% CI: 75.70; 95.73] for teeth stored dry more than 1 h. Mature teeth showed a significantly higher risk of ankylosis than immature teeth.ConclusionThis clinical long‐term study has verified earlier experimental studies showing that immediate reimplantation has the lowest risk of ankylosis. Physiologic storage media are good alternatives that also reduce the risk of ankylosis compared to dry storage, where ankylosis is more likely although not always seen. Mature teeth are significantly more likely to develop ankylosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk of ankylosis of avulsed teeth immediately replanted or stored under favorable storage conditions before replantation: A long‐term clinical study

Gul,

Lauridsen,

Gerds

et al. 2023

Dental Traumatology

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Outcomes of apexification in immature traumatised necrotic teeth and risk factors for premature tooth loss: A 20‐year longitudinal study

Wikström,

Brundin,

Mohmud

et al. 2024

Dental Traumatology

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Background/AimTo evaluate the long‐term survival of immature traumatized incisors with pulp necrosis and apical periodontitis after endodontic treatment with two apexification techniques (calcium hydroxide apexification and MTA‐apical plug) and to identify major factors affecting the survival of these teeth.Materials and MethodsRecords of 2400 children and adolescents were screened for presence of traumatic dental injuries to immature incisors where endodontic treatment with the two apexification techniques was performed during January 2003 and December 2022, compared to a control group of mature teeth treated with conventional endodontic techniques. The studied variables were age; sex; apexification technique, presence of luxation and hard tissue injuries; preoperative root development stage (RDS), preoperative and postoperative periapical index (PAI), the time‐point for tooth loss, and overall survival time in years. Kaplan–Meier estimates were used to graphically present the survival functions and Cox proportional hazard model to calculate hazard ratios (HR, 95% CI).ResultsThe median survival time was 10 years for calcium hydroxide apexification, 16.1 for MTA‐apexification, for luxation injuries other than intrusions and avulsions 15.5 years, for intrusions 12.5 years and for avulsions 6.8 years. The variables with significant negative impact on tooth survival were calcium hydroxide apexification, avulsion and postoperative PAI 3–5. No significant relationships were found for the variables MTA apexification, concussion; subluxation; lateral luxation; extrusion, intrusion, hard tissue injuries, preoperative RDS and PAI scores and postoperative PAI 1–2. After adjustment, the risk for premature tooth loss was 13.5 times higher in calcium hydroxide apexification, approximately 2 to 4 times higher in PAI 3–5, and 5.6 times higher in avulsions.ConclusionsCalcium hydroxide apexification, avulsion, and postoperative PAI 3–5 were identified as prognostic variables with significant negative impact on the risk for premature tooth loss.

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Análise da eficácia de ferramentas educativas no conhecimento dos educadores escolares sobre o manejo das avulsões dentárias: uma revisão integrativa

Filho

Câmara

Souza

et al. 2021

RSD

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O objetivo foi analisar a efetividade das ferramentas educacionais no conhecimento de educadores escolares sobre o manejo das avulsões dentárias, buscando estabelecer uma relação com as principais condutas iniciais e investigar informações que são repassadas para este público. Trata-se de uma revisão integrativa, cuja coleta de dados foi realizada a partir de fontes primárias, por meio de levantamento bibliográfico nas bases de dados PubMed, Web of Science, SCOPUS, LILACS, BBO e SciELO, no período de outubro a novembro de 2020. Dentre os 461 achados e após utilização de filtros, leitura de títulos e resumos, incluíram-se 9 estudos para compor a revisão. Os resultados do estudo revelaram que a participação do professor escolar diante de uma situação de urgência é fundamental para prestar bons cuidados às crianças, pois a qualidade destes primeiros socorros irá afetar diretamente o prognóstico à longo prazo dos dentes avulsionados. Para isso, métodos de instruções educacionais foram aplicados, tais como: seminários, palestras, pôsteres, divulgação de aplicativo e posteriormente aplicação de questionário para avaliar se os conhecimentos dos educadores escolares aumentaram. Após a instrução dada por profissionais ou estudantes de Odontologia, houve melhora quanto ao nível de conhecimento sobre o meio de transporte do dente, sendo o leite citado em mais de 50% dos estudos e quanto aos métodos de limpeza, os educadores optaram por lavar o dente com água ou solução salina. Conclui-se, portanto, que os instrumentos em saúde e os programas de educação intervencionistas aumentaram os conhecimentos dos educadores sobre o manejo das avulsões dentárias.

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Survival of avulsed permanent incisors in children following delayed replantation

Cited by 6 publications

References 0 publications

Risk of ankylosis of avulsed teeth immediately replanted or stored under favorable storage conditions before replantation: A long‐term clinical study

Risk of ankylosis of avulsed teeth immediately replanted or stored under favorable storage conditions before replantation: A long‐term clinical study

Outcomes of apexification in immature traumatised necrotic teeth and risk factors for premature tooth loss: A 20‐year longitudinal study

Análise da eficácia de ferramentas educativas no conhecimento dos educadores escolares sobre o manejo das avulsões dentárias: uma revisão integrativa

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