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

2021 ◽  
Author(s):  
Girish Suragimath ◽  
Ashwinirani SR

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.

2020 ◽  
Vol 6 (3) ◽  
pp. 32-38
Author(s):  
Tanzeem Ahmed ◽  
Nikhil Kaushal ◽  
Sujeet Singh ◽  
Rashmi Agarwal

Aims and Objectives: To determine the prevalence and etiology of fractured anterior teeth due to trauma among 8–14 years old school going children of Hyderabad city. Materials and method: A cross-sectional study was carried out in 8-14 year old children studying in various schools of Hyderabad for the assessment of traumatic injuries of anterior teeth. Clinical examination was carried out and type of teeth affected, type of fracture, overjet and lip competence were noted. A closed end questionnaire was given to children with questions regarding etiology of trauma, place of injury, symptoms or outcomes after the injury, whether a dentist was consulted, type of treatment done by dentist and time elapsed between trauma and treatment. All the results were analyzed using “statistical package for social sciences” (SPSS) 20.0 software. Results: The prevalence of dental trauma was found to be 7.84%. 11-14year old children showed higher prevalence. Males were more affected than females. Maxillary central incisors were most affected. Fracture involving enamel and dentin were recorded the highest. Children having overjet of >3mm and incompetent lips were at a higher risk of dental trauma (p value = 0.001). The most common cause of injury was sports and home was the most common place of occurrence of injury. Most of the traumatic dental injuries (TDI) did not undergo any treatment. Conclusion: Increasing the awareness of the parents and teachers about the prevention of TDI and the importance of consulting the dentist after trauma should be instituted.


2018 ◽  
Vol 12 (02) ◽  
pp. 171-175
Author(s):  
Faten A. Alluqmani ◽  
Ola M. Omar

ABSTRACT Objective: This study aimed to assess the knowledge of primary and intermediate schoolteachers about the management of TDIs in Al-Madinah city, Saudi Arabia. Materials and Methods: A previously validated, self-administered, anonymous, close-ended structured questionnaire was administered to schoolteachers in 13 different schools. It included two parts: basic demographic information (part one) and questions regarding the management of dental traumatic injuries (part two). Results: A total of 178 schoolteachers voluntarily completely filled in the questionnaire. Nearly 28.1% of the teachers acquired a first-aid training program and 6.2% only learned about dental injury management in first-aid training. Concerning the knowledge about the management of dental traumatic injuries, 55.1% of teachers realized the appropriate time for treatment of dental traumatic injuries. A few percentage of teachers selected correct answers for the suitable storage medium. The most commonly selected storage media were found to be cold milk, physiological saline, and patient's saliva at 14.6%, 6.7%, and 2.2%, respectively. Conclusion: The knowledge among primary and intermediate schoolteachers in the management of dental traumatic injuries is unsatisfactory.


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

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.


2013 ◽  
Vol 141 (11-12) ◽  
pp. 744-749 ◽  
Author(s):  
Ana Vukovic ◽  
Dejan Markovic ◽  
Bojan Petrovic ◽  
Mirjana Apostolovic ◽  
Ranko Golijanin ◽  
...  

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.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
E. Ferrés-Amat ◽  
C. Díaz-Martínez ◽  
S. Herrera-Martínez ◽  
I. Maura-Solivellas ◽  
E. Ferrés-Padró

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.


2009 ◽  
Vol 33 (4) ◽  
pp. 275-278
Author(s):  
Patricia Nivoloni Tannure ◽  
Ana Carolina Valinoti ◽  
Lucianne Cople Maia

Preschool children are frequently affected by traumatic dental injuries, most of them during the first three years of life. Due to the resiliency of the alveolar bone surrounding the primary teeth, most of these injuries fit into tooth luxations category. In this paper, two different cases of early loss of primary incisors resulting from luxations are described. Removable esthetic space maintainers were placed using the natural crown of the traumatized teeth and the children were evaluated over a 12 month period. The treatment given could be considered an excellent rehabilitation option since it restores the esthetics and masticatory function,allows speech development, benefits oral hygiene and prevents the establishment of tongue habits and malocclusions.


2012 ◽  
Vol 13 (2) ◽  
pp. 142-146 ◽  
Author(s):  
Vikas Bendgude ◽  
Basavaprabhu Akkareddy ◽  
Amey Panse ◽  
Deepak Metha ◽  
Bhushan Jawale ◽  
...  

ABSTRACT Aim The present study was conducted to assess the correlation of traumatic dental injuries and overjet among school going girls of age 11 to 17 years in Pune, India. Materials and methods A cross-sectional survey was carried out with 2045 school girls aged 11 to 17 years, attending public elementary schools in Pune, India. The traumatic dental injuries were assessed according to Ellis and Davey's criteria. Occlusion was recorded according to Angle's classification and overjet was measured using a WHO 621 probe. The data obtained was subjected to statistical analysis using Mann-Whitney test. Results There was a significant (Z −2.785) association between increase in overjet and occurrence of trauma. Children with increased overjet were 3.09 times more likely to have dental injuries. Conclusion It can be concluded from the present study that a significant correlation exists between amount of overjet and prevalence of traumatic injuries among children. The percentage of trauma prevalence increases with the increase of overjet. Clinical significance Traumatic dental injury is not a result of disease but a consequence of several factors that will accumulate throughout life if not properly treated. One of the most important factors significantly contributing to traumatic dental injuries is the anterior overjet. Hence, correction of increased anterior overjet may help in prevention of traumatic injuries. How to cite this article Bendgude V, Akkareddy B, Panse A, Singh R, Metha D, Jawale B, Garcha V, Jathar P. Correlation between Dental Traumatic Injuries and Overjet among 11 to 17 years Indian Girls with Angle's Class I Molar Relation. J Contemp Dent Pract 2012;13(2):142-146.


2018 ◽  
Vol 91 (3) ◽  
pp. 328-335 ◽  
Author(s):  
Preene Juneja ◽  
Sadanand Kulkarni ◽  
Sapna Raje

Background. Dental injuries result in functional, esthetic and psychological disturbances accompanied by great concern from the child, the parent and the dentist. Oral injuries are fourth most common area of bodily injuries among 7-30 year-old individuals.Aim. a) To assess the prevalence of traumatic dental injuries (TDI) and their relation with predisposing factors among 8-15 years old school children in Indore city, India.b) To collect baseline data as there have been no reported studies of TDI in central India to this date.Methods. A cross sectional study was carried out among 4000 children of 60 schools in Indore using multistage random sampling method. Examination of permanent incisor teeth was done in accordance with the modified Elli’s and Davey Classification using a standard mouth mirror and probe. Subjects who had clinical evidence of trauma were interviewed for details of the injury event by using structured questionnaire. Chi square test was used to analyze the distribution of all the measurement in this study at the statistical significance of 0.05.Results. Among the 4000 children of 60 schools examined, 10.2% experienced TDI. 68.38% boys experienced TDI, which was approximately twice as higher in females being 31.62%. The most commonly affected teeth were maxillary central incisors. A higher number of children with incisal overjet greater than 3 mm had TDI than those with less than 3mm, although this difference was not statistically significant. Lip closure incompetence was found to be more common in subjects having a TDI. Fall was the most common cause for TDI and place of occurrence was home. Most common type of fracture was class I and most of them were untreated.Conclusion. The high level of dental trauma and low percentage of children with trauma seeking treatment stresses the need for increased awareness in Indore population.


2016 ◽  
Vol 10 (1) ◽  
pp. 315-321 ◽  
Author(s):  
Thamer Alkhadra ◽  
William Preshing ◽  
Tarek El-Bialy

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.


2014 ◽  
Vol 48 (2) ◽  
pp. 53-62
Author(s):  
Sarabjot Kaur Bhatia

ABSTRACT Traumatic dental injuries occur frequently in children and young adults. Orofacial trauma that results in fractured, displaced or lost teeth can have signifi cant negative functional, esthetic and psychological effect on child. Intrusive luxation of teeth results in axial impacts on maxillary and mandibular teeth and is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. To correctly diagnose the injury, effi ciently determine the extent of injury to teeth and periodontium and supporting structures and to have a favorable outcome after management requires a systematic approach. How to cite this article Gauba K, Goyal A, Bhatia SK. Intrusive Dental Injuries in Children: Manifestations and Management. J Postgrad Med Edu Res 2014;48(2):53-62.


Sign in / Sign up

Export Citation Format

Share Document