Benign Oral and Dental Disease
John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford in Head & Neck Surgery Plastic Surgery, 2018
Injury to the front teeth is especially common in, but not limited to, childhood. If a permanent incisor is avulsed then reimplantation as soon as possible is advisable. The tooth can be stored in a suitable medium such as milk pending reimplantation. If the deciduous tooth is avulsed then this should not be reimplanted. Fractures of the crown of the tooth should be attended to by a dentist as quickly as possible. If the fractured fragment can be identified it can be reattached to the tooth rather than a restorative filling material being placed. If there is any soft-tissue injury and a missing tooth fragment, the wound should be explored for the fragment before closure. Dental trauma can be a presentation of non-accidental injury in a child and this, together with the pattern of soft-tissue injury and other points from the history should remind the practitioner to consider this aetiology.
Treatment Planning for Successful Whitening
Linda Greenwall in Tooth Whitening Techniques, 2017
The etiology of the discoloration needs to be assessed because different causes (e.g., caries, internal resorption, external cervical resorption, trauma, medication) necessitate different treatments. It is important to assess dental trauma that the patient has experienced that may affect the long-term prognosis of a tooth and the outcome of the whitening treatment. Severe trauma can lead to both internal and external cervical resorption (Patel et al. 2009). There is insufficient research at present linking home whitening treatments with promotion or exacerbation of resorption.
Dentoalveolar trauma
John Dudley Langdon, Mohan Francis Patel, Robert Andrew Ord, Peter Brennan in Operative Oral and Maxillofacial Surgery, 2017
Quick dentoalveolar trauma resources:The Dental Trauma Guide: http://www.dentaltraumaguide. org, created by the International Association of Dental Traumatology.Guideline on Management of Acute Dental Trauma: http://www.aapd.org/media/Policies_Guidelines/G_trauma. pdf, Created and kept current by the American Association of Pediatric Dentistry.
Primary tooth autotransplantation: update and retrospective clinical study
Published in Acta Odontologica Scandinavica, 2021
Florian Hoss, Karim El-Mahdy, Robert Linsenmann, Christian W. Franz, Dirk Nolte
The overall satisfaction of patients and their parents results in a total grade of 1.4 (very good = 1, insufficient = 6) . This is close to the outcome of the previous study with a total grade of 1.5 and indicates the high acceptance of this method. The participants’ expectations were fully met in terms of functionality (speaking, biting) and aesthetics (Figure 5). The rare occurrence of pathological findings assessed by the clinical parameters of the PSI, bleeding on probing, pocket probing depth and grade of mobility in the re-examined transplants (Table 2), and the low severity of complications may explain the high acceptance. Re-trauma associated with transplant loss occurred to three patients (6% of transplants) and can therefore not be attributed to a failure of the procedure (Table 3). Pohl et al. [9] reported a markedly higher incidence of repeated trauma episodes after primary canine transplantation of 19% whereas the study by Tschammler et al. [10] reported a frequency rate of 14%. There is strong evidence that a preceding trauma increases the risk for another dental trauma as previously reported in a systematic review and meta-analysis by Magno et al. [26]. In this respect, preventive measures such as mouthguards should be considered and recommended to this patient clientele.
Interpreting and applying absolute and relative risks from trials
Published in Journal of Orthodontics, 2018
Spyridon N. Papageorgiou
Which of the following statements are correct, if any:The relative effect size of treatment is similar in the two scenarios.The absolute effect size of treatment is similar in the two scenarios.The risk for dental trauma among treated Class II and the need for surgery among treated Class III patients is similar.The absolute gains from early Class II or Class III treatment are the same for all patients that are treated early.
Trauma in primary teeth and its effect on the development of permanent successors: a controlled study
Published in Acta Odontologica Scandinavica, 2019
Michele Machado Lenzi, Tatiana Kelly da Silva Fidalgo, Ronir Raggio Luiz, Lucianne Cople Maia
The two groups, the trauma group (TG) and CG, were selected by assessing the dental records of 1500 children, with dental trauma to the primary teeth, admitted to the DTSC from March 2005 to March 2015. The CG consisted of permanent teeth from the same individuals as the TG, whose antecessors had not suffered TDIp. The examination of all children at the first dental visit after the trauma was carried out at the paediatric dentistry post-graduation clinic. As part of the clinical procedures, all post-graduation students are trained at the beginning of each year to diagnose dental trauma injuries in primary and permanent teeth and they are also trained to carry out the follow-up procedures. The training was given by the same professor in the period of this study and it was based on radiographic images and photographs. All the diagnoses are checked and the dental records were signed by the professor who was in charge of the clinical supervision on the day of the exam. It is important to point out that a child could present more than one tooth with traumatic injury. From the dental records of 1500 patients, 124 children presented a total of 214 injured primary teeth that satisfied the inclusion criteria for the TG. The CG consisted of 247 anterior teeth from the same children. Patients were included as study subjects based on the following: (i) history of trauma to primary incisors/canine and (ii) the full eruption of their permanent successors. Incomplete dental records, radiographic images and photographs of poor diagnostic quality, anterior permanent teeth with large caries lesions, restorations or traumatic injuries were excluded from this study.
Related Knowledge Centers
- Alveolar Process
- Periodontium
- Soft Tissue
- Injury
- Tooth
- Gums
- Periodontal Fiber
- Enamel Infraction
- Enamel Fracture
- Enamel-Dentine Fracture