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At least 91 records · Page 5Linked to original sources
PubMed1980

[Obligation to document front tooth injuries in adolescents for forensic purposes].

Following trauma to the anterior teeth during adolescence, exact clinical and roentgenologic records of the findings as well as documentation of the direct and indirect consequences of the trauma are required for forensic, evaluatory, and insurance reasons. Regular control examinations over a period of several years are necessary, since secondary damage may only be demonstrable after a periof of one year or even longer. The use of a uniform medical examination form was recommended to improve and compare documentation of the consequences of injuries to the anterior teeth.

Adolescent↗
PubMed1991

[Tooth injuries during general anesthesia, oral endoscopy and vibro-massage].

It is generally recognized that dental injury during and after tracheal intubation is a significant problem. Damage may occur during oro-tracheal intubation, oral endoscopy or seismotherapy. The incidence was reported in a study conducted in the contentious department of Lyon hospitals, in France, from 1978 to 1988. Results confirm that damage is relatively common and that the majority of damaged teeth (67%) were known to have been previously restored, or weakened through periodontal disease prior to the damage occurring. Maxillary incisors were the most frequently injured teeth. Fracture of crowns and roots of natural teeth (44,8%), followed by partial luxation (20,8%) and avulsion (20,8%) were the most common injury. Several cases are presented which reveal the clinical value of dental damages that occur during orotracheal intubation, oral endoscopy or seismotherapy. Besides dental or gingival complications can appear immediately but also after a few days or weeks. Some of the most recent development in dental therapy such as the butterfly bridge, titanium implants and porcelain laminate veneers are described. Tooth protective guards must be put into widespread use. Legal implications of dental lesions occurring during oro-tracheal intubation, oral endoscopy or seismotherapy are presented.

Anesthesia, Dental↗
PubMedDate not supplied

[Orthodontic effects of tooth injury to the permanent and temporary incisors of children and the adolescent [corrected].

Traumatisms on the deciduous upper incisors could induce orthodontic indirect consequences on the permanent germ, dependent on his growth level and his malleability, dependent on connection between the root of deciduous incisor and the crown of permanent germ and according to the type of traumatism. According to those various data, it should be observed on the permanent incisor: germination of two germs, multiple odontoma, crown dilaceration, severe tipping of the crown with facial angulation, retention of the permanent germ with lack of root resorption of the deciduous teeth or simple cross-bite, without speaking of enamel defect.

Child↗
PubMed1991

[Tooth injuries during intubation: a new preventive device].

This study analyses 126 cases of dental injuries occurring during endotracheal intubation, reported to the service of litigations of the hospitals in Lyon over a ten-year period, and giving rise to a complaint. The overall rate was 1 out of 4,000 cases of intubation. The true incidence may be greater. As expected, the upper jaw teeth are most often involved, especially the left incisors. Among them 24.3% of the involved teeth were normal. Dental fractures were the most common lesion, together with total or partial dislocations. A questionnaire was sent to 534 anaesthetists to assess the main difficulties which they encounter when carrying out endotracheal intubation. The results of this enquiry demonstrated that anaesthetists were very aware of dental risks when carrying out intubation, and that there was a lack of efficient protective measures. Among them 81.2% claimed they would use a protective device from time to time, and 17.4% routinely, if one were available. Therefore we designed such a device. It is gutter-shaped, made with two different plastics, the more rigid one being on the outside. It fits over the upper jaw teeth. There is an indentation in the front, to check whether the device is placed correctly. The inner surface is made of foam which dulls the pressure which may be exerted on the device during intubation. This device was tested in 108 patients. Intubation was easy with the device in place in 73.2% of patients; mouth opening was reduced by a mean of 4.2 +/- 0.5 mm. The device made intubation more difficult, and even impossible, in patients whose mouth opened no more than 3.5 cm.(ABSTRACT TRUNCATED AT 250 WORDS)

Dental Implants↗
PubMed1995

GFAP immunoreactivity in trigeminal ganglion satellite cells after tooth injury in rats.

Glial fibrillary acidic protein (GFAP) is a member of a heterogeneous group of intermediate filaments in glial cells of both the central and peripheral nervous systems. We demonstrate here that satellite cells in the trigeminal ganglion (TG) increase immunoreactivity (IR) for GFAP in response to dental injury. The satellite cell reaction was most often confined to the somatotopic region of the ganglion that corresponded to the zone of damage in the periphery, although in some cases it was seen to spread out from a focal center in the maxillary region to neighboring zones corresponding to cell bodies that innervate other tissues such as the cornea. We used two methods to demonstrate that the increase in satellite cell GFAP-IR was site specific and injury related. First, by altering the site of the pulp exposure from the maxillary molars to the mandibular molars, we could change the site of satellite cell reaction in the TG. Second, we used combined retrograde transport of DiI from the molar pulp and GFAP immunofluorescence to show direct correspondence between neurons that innervate the molars and neurons that are encircled by GFAP-IR satellite cells. The satellite cell GFAP-IR was seen at 3 and 7 days, the longest time point examined here. This GFAP response in satellite cells around injured sensory neurons will be a useful tool in future studies of mechanisms in trigeminal pain and neuron-support cell interactions. We conclude that a GFAP-IR satellite cell reaction is induced in TG by an injury to the molar pulp in a site specific manner at 3-7 days.

Animals↗
PubMed2000

The mandibular symphysis as a donor site in maxillofacial bone grafting: a quantitative anatomic study.

PURPOSE: The goal of this study was to quantify the amount of bone graft material present in the mandibular symphysis as well as to determine the maximal size of the corticocancellous bone block that can be harvested while avoiding mental nerve injury, tooth injury, and simultaneously preserving the preoperative facial contour. MATERIALS AND METHODS: Sixteen fixed dentate cadaver mandibles were studied. Osteotomies were performed in a monocortical fashion, 5 mm anterior to the mental foramen, cephalad to the inferior border of the mandible, caudal to the expected position of the apices of the anterior teeth, and at the midline. The size of the corticocancellous block was then measured. Bone volume, using 2 techniques, was measured by displacement volumetry. RESULTS: The average volumes obtained were 4.84 mL and 4.71 mL (range, 3.25 to 6.50 mL), respectively, for the 2 techniques of volumetry. The average block size was 20.9 x 9.9 x 6.9 mm; the smallest block was 21.0 x 6.5 x 6.0 mm, and the largest was 25.0 x 13.0 x 9.0 mm. CONCLUSION: Based on the results of this study, it is apparent that the mandibular symphysis can be reliably selected as the harvest site in a variety of oral and maxillofacial reconstructive procedures.

Bone Transplantation↗