Dental Trauma
Conditions
Keywords
trauma, avulsion, permanent tooth
Brief summary
Dental traumatology is a field of dentistry , especially in pediatric age, but also in adulthood with permanent dentition. Dental trauma has a higher incidence in preschool, school-age, and adolescent patients, accounting for about 5% of injuries for which the intervention of a specialist physician is required. Traumatic avulsion of permanent teeth accounts up to 0.5-16% of all dental injuries and is considered one of the true emergencies in dentistry.The treatment of choice in case of traumatic avulsion of permanent teeth is the quickest-as-possible replantation. The primary objectives of this prospective study were to evaluate the incidence of complications and survival rates of replanted teeth over time. The secondary objectives were to assess and to examine the correlation between the development of complications and factors such as extra-oral time, storage media, root maturity and the presence of alveolar fractures.
Interventions
OTHERTooth replantation
Avulsed teeth were replanted according to the International Academy of Dental Traumatology guidelines (IADT)
Sponsors
University of Pisa
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Adult and pediatric patients who experienced a dental trauma * Adult and pediatric patients who experienced a traumatic avulsion of one or more permanent teeth * Patients treated with dental replantation following the International Association of Dental Traumatology (IADT) guidelines * Availability of clinical and radiographic follow-up for at least one year
Exclusion criteria
\- Patients with absolute contraindications to dental replantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tooth survival | 2 weeks after trauma | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following IADT guidelines. |
| Incidence of complications | 2 weeks after trauma | Evaluated as presence/absence of a dental complication following trauma. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication - ankylosis | 2 weeks after trauma | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) |
| Extra-oral time | At baseline (toorh replantation after avulsion) | Evaluated in minutes from the avulsion to the replantation |
| Dental mobility | 2 weeks after trauma | Tooth mobility clinically evaluated from 0 to 3 |
| Alveolar fracture | At baseline (tooth replantation following avulsion) | Presence of alveolar fractures associated to tooth avulsion |
| Storage medium | At baseline (tooth replantation following avulsion) | Storage medium of the avulsed tooth (milk, water, saline, etc) |
| Complication - root resorption | 2 weeks after trauma | Radiographic signs of root resorption |
Countries
Italy
Outcome results
None listed