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At least 289 records · Page 16Linked to original sources

Pulpal healing after luxation injuries and root fracture in the permanent dentition.

Pulpal healing patterns were studied in a clinical material of 637 luxated and 95 root-fractured permanent incisors followed routinely for up to 11 years. It was found that pulpal healing patterns could generally be divided into 3 groups according to the degree of injury sustained by the pulp: little, moderate or severe. Thus after luxation injuries, pulp survival could be without radiographic change (PS), with pulp canal obliteration (PCO) or nonhealing (pulp necrosis (PN]. After root fracture, similar healing patterns could be observed: healing by hard tissue union of fragments (HT), by connective tissue union of fragments (CT) or by nonunion due to interposition of granulation tissue between fragments (GT) resulting from PN of the coronal fragment. In both trauma situations, healing or nonhealing could be determined by type of luxation injury, stage of root development and type of fixation used (forceful application of orthodontic bands vs. passively applied acid-etch fixation). Pulpal healing complications (PN or GT) were based on clinical findings (coronal discoloration, loss of pulpal sensibility) and radiographic findings (resorption processes of the lamina dura at the root apex or at the level of the root fracture). However, in both injury groups the same changes could also be seen to be intermediate steps in the pulpal healing process. Based on findings from these studies, hypotheses for the mechanics of pulpal healing are proposed as well as guidelines for acute and later treatment of dental luxations, root fractures and the diagnosis of healing complications.

Dental Pulp↗

Luxation injuries to permanent teeth -- a retrospective study of etiological factors.

Trauma to permanent teeth with luxation injuries often leads to clinical treatment problems. Traumatic injury patients in local clinics are often limited in number. The aim of this investigation was to retrospectively study the etiological factors in luxation injuries to permanent teeth in relation to sex, age, time of year and diagnosis. A total of 108 files from patients, aged 6 to 19 years, with 196 teeth with luxation injuries, were collected. The maxillary central incisors represented 70% of all teeth injured and 70% of the teeth belonged to children between 8 and 12 years of age. Falls (34%) and bicycle-riding (30%) were the most frequent reasons for trauma, followed by sports (14%) and assaults (13%). Boys were more often involved in trauma. Girls were as often involved in sports accidents as boys. Subluxation was the most frequent diagnosis (77%), followed by extrusion, intrusion, exarticulation and lateral luxation. Accidents were reported most frequently during spring and early summer. A slight increase was also noted during autumn.

Adolescent↗

Reasons for seeking treatment after traumatic dental injuries.

The purpose of this study was to determine the reasons why parents of children seek treatment after traumatic injuries to primary teeth. The sample consisted of 114 5-month to 8-year-old children with 196 injured primary teeth. The reason for parents seeking treatment varied according to the type of injury. Parents of children with enamel fractures and enamel-dentin fractures without pulpal exposure were more concerned about esthetics. Of the patients presenting concussions, parents were more responsive to color change of the tooth and to the tooth response to the trauma, mainly abscess formation. In luxations and lateral displacements, the parents sought dental treatment because of their own reaction to the clinical situation, i.e., blood, crying. Very few were concerned with possible consequences to the primary and/or permanent teeth. In no category of injury were the parents most concerned about the consequences to the primary and/or permanent teeth.

Child↗

Traumatic dental injuries in 3- to 13-year-old boys in Monterrey, Mexico.

The purpose of this retrospective study was to analyze, by age, the prevalence of traumatic injuries to primary and permanent incisors, and their distribution according to type in a group of boys from private schools in Monterrey, Mexico. The sample consisted of 1010 boys aged 3-13 years enrolled in 4 private schools in the city. Garcia-Godoy's classification for traumatic injuries was used. The prevalence of injuries was 28.4%; 72.2% of the 4-year-olds examined presented signs of traumatic dental injuries. Thirty-seven percent of the 11-year-olds examined had evidence of traumatic dental injuries. The most common type of injury in the primary and permanent dentitions was enamel fracture (58.5% and 69.6%, respectively).

Adolescent↗

Developmental anomaly of permanent teeth related to traumatic injury.

A case is presented where a 4-year-old girl was injured in an automobile accident. The dental injury, intrusive luxation of the maxillary deciduous incisors, seemed unimportant at the time, since the child was in critical condition. The situation was first evaluated 5 years later, when the child was referred for treatment of an apical periodontitis originating from the right central incisor. The present case reflects several important aspects that were overlooked at the time of injury: the potential of intruded luxated deciduous teeth to cause developmental anomalies to the permanent dentition; the necessity of a longer follow-up period to detect such anomalies; and the need to develop effective treatment methods.

Child↗

A six-year follow-up study of sports-related dental injuries in children and adolescents.

The records were analyzed of 106 patients with sports-related dental traumas treated in 1983 at the public oral surgery unit in Helsinki, Finland; 51 were examined six years after injury. The mean age was 11.8 years (range 7-24 years). The woman/man ratio was 1:3. In 39% of cases, the injuries had arisen from ice hockey or skating; 30% happened during school hours; 80% were uncomplicated crown fractures, concussions or subluxations. During the six-year follow-up, of 80 teeth in 51 patients, root resorption was found in 6 teeth (7.5%), periapical lesions were noted in 2 teeth (2.5%), and obliteration of the pulp was seen in 4 teeth (5%). Three teeth (3.7%) had suffered loss of vitality. The pulp had been extirpated in 13 of the traumatized teeth (16%). In all, 13.7% of the patients were found to have complications six years later. The results showed that long follow-up periods are needed after dental injury.

Adolescent↗

Tooth splinting: a review of the literature and consideration of the versatility of a wire-composite splint.

The principles of tooth luxation splinting have been changed since the animal and human tests conducted in the early 1970s showed that masticatory stimulus promotes healing of luxated teeth and normally exerted occlusal forces are able to prevent and eliminate small resorption cavities on the root surface. It has also been shown that fixation of only one week is enough to achieve the clinical healing of repositioned teeth. Apart from esthetic and hygienic components, present-day demands on tooth fixation techniques also include ease of construction and removal and the use of devices which allow slight movement of the fixed teeth. This paper presents the history of tooth splinting, our present-day knowledge of the subject, and introduces various splinting techniques. The wide range of indications for a flexible wire-composite splint are analyzed more thoroughly.

Acrylic Resins↗

Trauma of treatment failure: a case report.

A large overjet is a well-recognised predisposing factor to traumatic injuries of upper incisor teeth. In order to reduce this risk factor, early reduction of an increased overjet has been recommended. This was attempted, but unfortunately was unsuccessful and further trauma resulted in loss of the upper central incisor teeth.

Child↗