UK National Clinical Guidelines in Paediatric Dentistry: treatment of traumatically intruded permanent incisor teeth in children

Albadri, Sondos; Zaitoun, Halla; Kinirons, M J

doi:10.1111/j.1365-263x.2010.01085.x

Cited by 28 publications

(45 citation statements)

References 14 publications

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“…Besides the general recommendations mentioned earlier, clinicians are encouraged to access the DTG, the journal Dental Traumatology, and other journals for information pertaining to treatment delay (37), intrusive luxations 38–47), root fractures (48–52), pulpal management of fractured and luxated teeth (34, 53–64, splinting (18, 39, 65–68), and antibiotics (69).…”

Section: General Recommendations/considerationsmentioning

confidence: 99%

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth

DiAngelis

Andreasen

Ebeleseder

et al. 2012

Dental Traumatology

535

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-Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.

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Section: General Recommendations/considerationsmentioning

confidence: 99%

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth

DiAngelis

Andreasen

Ebeleseder

et al. 2012

Dental Traumatology

535

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“…Healing is complicated by damage to the gingival attachment, contusion of the PDL and bone, and injury to Hertwig's epithelial root sheath (HERS) (mainly in immature teeth). The treatment of choice is to allow for spontaneous re-eruption, especially when the tooth apex is incomplete4 5 or, according to the Royal College of Surgeons of England (RCSE), for cases in which the amount of intrusion is less than 3 mm 6. Re-eruption occurs particularly when the dental pulp is vital, and seldom occurs when pulp necrosis is established 7.…”

Section: Discussionmentioning

confidence: 99%

A multidisciplinary approach to the management of traumatic intrusion in immature permanent teeth

2016

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Intrusion in a developing permanent tooth is an extremely complicated traumatic injury and is rarely seen in the permanent dentition. The damage caused by the trauma to the surrounding tooth structures results in a multitude of complications during the healing process. Careful repositioning of the intruded tooth by orthodontic means, revascularisation of the immature tooth to regain vitality, and periodontal treatment to provide the most acceptable aesthetic outcome are described in this case report. It outlines the treatment options to overcome the complications and variable outcomes. The present report emphasises the importance of a multidisciplinary approach to provide complete rehabilitation of a traumatically intruded developing tooth.

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“…We decided not to actively intervene but to wait and watch for re‐eruption as many investigators have suggested that intruded immature teeth do re‐erupt spontaneously . This approach has also been recommended by the British Society of Pediatric Dentistry in their guidelines in 2010 and the International Association of Dental Traumatology in 2012 . One of the drawbacks of this approach is that root resorption might become quite advanced during the waiting period .…”

Section: Discussionmentioning

confidence: 99%

“…Intrusive luxation is a rare type of dental injury in which the tooth is displaced further into the alveolar bone by a traumatic force. It comprises 0.3% to 1.9% of all traumatic injuries in the permanent dentition, and peak incidence is in the 6–12 years age group . Intrusive luxation is a severe type of trauma, resulting in injury to the tooth structure, periodontal ligament cells and fibres, pulp tissue and alveolar bone.…”

Section: Introductionmentioning

confidence: 99%

Management of traumatically intruded young permanent tooth with 40‐month follow‐up

Chacko

Pradhan

2014

Australian Dental Journal

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Background: Intrusive luxation injuries often result in severe damage to the tooth, periodontal ligament and pulpal tissue. Furthermore, treatment outcome is often unpredictable because of the large number of injury related variables which influence choice of treatment and prognosis. This report presents the case of a 9-year-old boy with a 6 mm intruded permanent maxillary central incisor with an open apex. Methods: The treatment option chosen was to wait and watch for 'spontaneous re-eruption'. At the end of two weeks, the tooth showed signs of pulp necrosis and external root resorption. A palatal mucoperiostal flap was reflected and endodontic access was established, following which an intracanal medicament of calcium hydroxide was applied. By the end of the fifth month, there was radiographic evidence of apical barrier formation and by the tenth month, the tooth had re-erupted to the level of the adjacent central incisor. Root canal treatment was completed at the end of 24 months and the root was reinforced using a glass fibre post. Results: At the last follow-up visit (40 months after trauma), the tooth was asymptomatic and radiographic examination showed satisfactory periapical and periodontal healing. Conclusions: Spontaneous re-eruption is possible, even in severely intruded teeth with open apices.

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UK National Clinical Guidelines in Paediatric Dentistry: treatment of traumatically intruded permanent incisor teeth in children

Cited by 28 publications

References 14 publications

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth

A multidisciplinary approach to the management of traumatic intrusion in immature permanent teeth

Management of traumatically intruded young permanent tooth with 40‐month follow‐up

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