scholarly journals Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
E. Ferrés-Amat ◽  
C. Díaz-Martínez ◽  
S. Herrera-Martínez ◽  
I. Maura-Solivellas ◽  
E. Ferrés-Padró
Keyword(s):  
Dental Trauma ◽  
Primary Diagnosis ◽  
Open Bite ◽  
Dental Arch ◽  
Dental Injury ◽  
Root Fracture ◽  
Dentoalveolar Trauma ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

scholarly journals Prevalence of Traumatic Dental Injuries in Patients Attending University of Alberta Emergency Clinic

2016 ◽  
Vol 10 (1) ◽  
pp. 315-321 ◽  
Author(s):  
Thamer Alkhadra ◽  
William Preshing ◽  
Tarek El-Bialy
Keyword(s):  
Alveolar Bone ◽  
Dental Trauma ◽  
Class Iii ◽  
Root Fracture ◽  
University Of Alberta ◽  
Number Of Patients ◽  
Dentoalveolar Trauma ◽  
Traumatic Dental Injuries ◽  
The University ◽  
Dental Injuries

Objectives:This study evaluated the prevalence of dental trauma for patients attending the emergency dental clinic at the University of Alberta Hospital between 2006-2009. Patients’ examination and treatment charts were reviewed.Methods:Total number of patients’ charts was 1893.The prevalence of different types of trauma was 6.4 % of the total cases (117 patients). Trauma cases were identified according to Ellis classification and as modified by Hollandet al.,1988.Results:Logistic statistical model showed that 21.7% were Ellis class I trauma, 16.7% were Ellis class II trauma, and 6.7% were Ellis class III. In addition, 11.7 % presented with avulsion, 7.5 % presented with dentoalveolar fracture and 7.5% presented with sublaxation. Also, 17.55 % presented with tooth displacement within the alveolar bone, 3.3 % presented with crown fracture with no pulp involvement, 4.16 % presented with crown fracture with pulp involvement and 3.3 % presented with root fracture. In conclusion, the general prevalence of dentoalveolar trauma in patients attending the emergency clinic at the University of Alberta is less than other reported percentages in Canada or other countries.

scholarly journals Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

scholarly journals Occurrence of traumatic dental injury in cases of domestic violence

2012 ◽  
Vol 23 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Cléa Adas Saliba Garbin ◽  
Ana Paula Dossi de Guimarães e Queiroz ◽  
Tânia Adas Saliba Rovida ◽  
Artênio José Isper Garbin
Keyword(s):  
Domestic Violence ◽  
Head And Neck ◽  
Dental Trauma ◽  
Neck Region ◽  
Etiologic Factor ◽  
Dental Injury ◽  
Head And Neck Region ◽  
Medical Evaluation ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

The purpose of this study was to investigate the prevalence and types of traumatic dental injuries in situations of domestic violence. A coross-sectional study was conducted and data were collected from the police occurrence records to domestic physical aggression between 2001 and 2005. Of the 1,844 subjects who underwent medical evaluation, 15 had information pertaining to traumatic dental injuries. From the medical records, the forensic medical reports completed by the forensic medical experts who examined the victims after the aggression were reviewed and data of individuals with dental injuries (e.g., fractures, luxation and avulsion) were collected. In the selected sample, there was a predominance of individuals with injuries to the head and neck region (38.7%), and the frequency of traumatic dental injuries among all injuries to the head and neck region was 2.0%. The most frequently injured teeth were the maxillary incisors (31.8%), followed by the mandibular incisors (27.3%) and the maxillary canines (9.1%). In 31.8% of the injured teeth, the forensic experts did not specify the nomenclature. Of the dental trauma cases, 59.1% were fractures, 27.2% were luxations and 13.7% were avulsions. In conclusion, domestic violence was an important etiologic factor of traumatic dental injury. The aggression in all cases occurred in the form of punches and slaps. Fracture was the most common type of traumatic dental injury, and the most frequently injured teeth were the incisors.

scholarly journals Traumatic Dental Injuries Resulting from Sports Activities; Immediate Treatment and Five Years Follow-Up: An Observational Study

2018 ◽  
Vol 12 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Enrico Spinas ◽  
Antonello Mameli ◽  
Luca Giannetti
Keyword(s):  
Recovery Time ◽  
Dental Trauma ◽  
Sports Events ◽  
Sport Activities ◽  
Traumatic Dental Injuries ◽  
Mouth Guards ◽  
Precautionary Measures ◽  
Tissue Trauma ◽  
Dental Injuries

Background: Traumatic dental injuries (TDIs) represent 18-30% of all oral pathologies and a considerable number of these are sports related. It is very important to treat sports-related injuries and prevent complications. However, very few studies investigate the most expedient therapeutic strategies for the treatment of dental trauma correlated to sports. Objective: The aim of this work was to focus on the average recovery time for different lesions, to assess adequate times for each athlete, to identify any association with complications and to investigate whether or not the use of mouth-guards interfered with a full recovery to normal health. Methods: This study involved a group of 30 athletes (15 male and 15 female) who had dental injuries of varying severity. For the purposes of data collection, two classifications were taken into account: a classification for hard tissue trauma and another for periodontal lesions. The athletes were subdivided in “type of lesion’ groups”.They were then treated depending on their individual lesions and followed up for 5 years. A statistical analysis was carried out to study the association between recovery time, lesion types and occurrence of complications. Results: The time for recovery was different for each type of lesion and ranged from 3-5 days (only uncomplicated fractures) to 14 days (all hard-periodontal tissue traumas). The total number of recorded pulp complications amounted to 6 cases. Among 30 athletes, 20 had begun and maintained, during the five-year follow-up period, the habit of using mouth-guards when practicing their sport activities. Conclusions: Recovery time and the severity of lesions are statistically associated: the more serious the injury, the more time an athlete needs to recover and return to competitive sports events. Furthermore, recovery time and precautionary measures (mouth-guards) did not influence the onset of complications. The subjects’ habit of wearing a mouth guard continued even after the end of the therapy and follow-up periods.

scholarly journals Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report

2021 ◽  
Vol 9 (9) ◽  
pp. 107
Author(s):  
Gianni Di Giorgio ◽  
Giulia Zumbo ◽  
Matteo Saccucci ◽  
Valeria Luzzi ◽  
Gaetano Ierardo ◽  
...  
Keyword(s):  
Case Report ◽  
Negative Impact ◽  
Dental Trauma ◽  
Tooth Germ ◽  
Permanent Tooth ◽  
Radiographic Evaluation ◽  
Primary Tooth ◽  
Dental Injury ◽  
Root Fracture

Background: Extrusion, lateral luxation, and intrusion are among the most serious types of dental trauma. Only a few studies have specifically focused on extrusion; the present one was aimed at reporting a case of domestic traumatic dental injury to primary tooth and describing the measures taken in managing the trauma in order to avoid future consequences to the underlying permanent tooth germ. Case report: A 3.5-year-old boy reported a dental injury with extrusion and root fracture of deciduous tooth 5.1. After intraoral and radiographic evaluation, the element was repositioned and stabilized by an orthodontic flexible splint attached to the adjacent teeth. Several follow-up checkups were made and showed good healing of the tissues and physiological exfoliation of the tooth, with a healthy and unaffected corresponding central permanent incisor. Conclusion: This case report strengthens the importance of well-timed diagnosis and treatment and of regular follow-up of traumatized teeth as they may affect both dentitions with a negative impact on Oral Health-Related Quality of Life. Conservative treatment should be taken into consideration when possible, being in some cases more appropriate.

scholarly journals Traumatic dental injuries in Serbian children: Epidemiological study

2013 ◽  
Vol 141 (11-12) ◽  
pp. 744-749 ◽  
Author(s):  
Ana Vukovic ◽  
Dejan Markovic ◽  
Bojan Petrovic ◽  
Mirjana Apostolovic ◽  
Ranko Golijanin ◽  
...  
Keyword(s):  
Dental Trauma ◽  
Epidemiological Data ◽  
Sport Injuries ◽  
Dental Injury ◽  
Factors Associated ◽  
Traumatic Dental Injuries ◽  
Novi Sad ◽  
Dental Injuries ◽  
Radiographic Data ◽  
At Home

Introduction. Comprehensive epidemiological data regarding factors associated with traumatic dental injuries are scarce. Objective. The aim of the present study was to assess the frequency and analyze the factors associated with traumatic dental injuries in Serbian children. Methods. Research included children and adolescents with traumatic dental injury aged 0-19 year during the period from 2003 to 2010, in four University Dental Centres in Serbia: Belgrade, Nis, Novi Sad and Kragujevac. Patient history, demographic, clinical and radiographic data were obtained from dental trauma forms. Results. Total of 2,194 patients (748 girls, 1,446 boys) (?2=222.1; p<0.01) with 3,077 injured teeth in permanent and 953 in primary dentition were observed. Most of patients were aged 7 to 12 years (n=1,191). The most frequent injuries in primary and permanent dentition were dislocations (87.4%) and teeth fractures (50.8%), respectively (?2=706.1; p<0.01). The most frequent mechanism of injury was fall in children aged 0 to 12 years, while the collisions were most frequent in adolescents (53.9%). The most frequent injuries in adolescents were inflicted outdoor (66.8%), while the injuries in children aged 0 to 3 years occurred at home (68.2%), (?2=360.8; p<0.01). The most frequent injuries in girls were accidental (48.3%), and in boys these were sport injuries (20.4%) and violence (10.4%) (?2=79.9; p<0.01). The most frequent cause of injury in children aged 0 to 3 years was accidental (75.6%), while in adolescents it was sport (34.1%) (?2=1102.7; p<0.01). Conclusion. Dental injuries in preschool children most frequently resulted from fall at home. Schoolchildren most frequently injured teeth outdoor during play. Violence and sport injuries were most frequent cause of injury in adolescents.

scholarly journals Traumatic Dental Injuries, Treatment and Complications in Children and Adolescents: A Register-Based Study

2021 ◽  
Author(s):  
Austė Antipovienė ◽  
Julija Narbutaitė ◽  
Jorma I. Virtanen
Keyword(s):  
Dental Care ◽  
Tooth Extraction ◽  
Primary Teeth ◽  
Permanent Teeth ◽  
Test Analysis ◽  
Dental Injury ◽  
Child Patients ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Abstract Objective Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications. Materials and Methods  We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients’ (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist. Statistical Analysis The χ 2-test, analysis of variance (ANOVA), and Kruskal–Wallis and Mann–Whitney tests served in the statistical analyses. Results A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury. Conclusion The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

scholarly journals Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3–5 Years in Khartoum City, Sudan

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Alaa Gamaleldin Sulieman ◽  
Elhadi Mohieldin Awooda
Keyword(s):  
Preschool Children ◽  
Associated Factors ◽  
Dental Trauma ◽  
Public Health Problem ◽  
Open Bite ◽  
Cluster Technique ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Background. Traumatic dental injury (TDI) is a challenging public health problem. Its incidence and prevalence vary within countries, states, and different social groups.Aim. The purpose of this study was to determine the prevalence of traumatic dental injuries in primary incisors among 3–5-year-old Sudanese preschool children and associated factors such as age, sex, and size of overjet and anterior open bite.Materials and Methods. Descriptive cross-sectional study was carried out among 600 preschool children (3–5 years old) selected by multistage cluster technique from preschools located in Khartoum city, Sudan. The data regarding age, sex, causes, and treatment of TDI were collected from the mothers through structured interview questionnaire. Children were examined in an upright position, using mouth mirror and torch. A single examiner assessed the type of trauma, the tooth involved, and overbite/overjet. The data were analyzed statistically through descriptive analysis, and the chi-square test was used to compare between different variables withP<0.05.Results. The prevalence of traumatic dental injuries (TDIs) was 18.5%. Enamel fractures were the most common type (74.8%), followed by enamel and dentin (11.7%). The maxillary central incisors were the most commonly affected teeth, and the home was most common place for TDI. The prevalence rate was 45% in boys and 55% in girls with a statistically significant difference (P=0.02).Conclusions. The prevalence of traumatic dental injuries to the primary anterior teeth among the Sudanese preschool children was relatively high (18.5%). Factors such as overjet size, overbite size, and lip competency were not significantly correlated with dental trauma among the studied population.

scholarly journals Short and Long Term Oral Hygiene Maintenance Protocols for Traumatic Dental Injuries

2021 ◽  
Author(s):  
Girish Suragimath ◽  
Ashwinirani SR
Keyword(s):  
Oral Hygiene ◽  
Dental Trauma ◽  
Treatment Team ◽  
Dental Injury ◽  
Traumatic Injuries ◽  
Pediatric Dentist ◽  
Hygiene Measures ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries (TDIs) occur when a person undergoes trauma due to variety of reasons. Traumatic injuries are part of the growing up years and can have ever lasting wounds with scarring on the affected individuals. Treatment and rehabilitation of the teeth with traumatic injuries are essential for long term survival of the teeth. Immediate care, appropriate diagnosis and treatment with comprehensive follow-up are essential for a favorable prognosis of the affected teeth. A coordinated effort from different specialties including general dentist, oral radiologist, pediatric dentist, periodontist, oral surgeon, orthodontist and endodontist is essential for success of the treatment. Team efforts involving these different specialists will help the patient to receive successful long term outcome. Proper oral hygiene maintenance during and after traumatic dental injury, is required to stop the deterioration of the tooth and periodontal structures. The caregiver in children and the adult with traumatic dental injuries should be educated and guided about the proper oral hygiene techniques especially in the areas with dental injury. Dentist must be aware of the treatments rendered to the teeth with trauma and should have up-to-date knowledge of the oral hygiene measures to be inculcated in the subjects with dental trauma. This chapter highlights the oral hygiene measures to be followed by the subjects with TDIs and also includes measures to be followed by the dentist in such a scenario.

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