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Korolenkova MV, Kharkova LY, Rakhmanova MS. [Pulp revascularization procedure for external inflammatory dental root resorption treatment]. STOMATOLOGIIA 2024; 103:80-85. [PMID: 38741540 DOI: 10.17116/stomat202410302180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
THE AIM OF THE STUDY To assess the effectiveness of pulp revascularization procedure in children with external inflammatory root resorption (EIRR) after constant teeth injury. MATERIALS AND METHOS The study comprised 17 children aged 6-10 years diagnosed with EIRR as a long-term complication of dental trauma in 19 teeth. EIRR was diagnosed with periapical radiographs and CBCT was performed to further assess the pathology extension. Pulp revascularization was carried out in all 19 teeth. RESULTS There was no resorption progression in all cases. EIRR areas were substituted by bone. In 10 from 19 teeth with early stages of root development bone or cement-like tissue ingrowth into the root canal was observed radiologically. In cases of severe EIRR this ingrowth may partially compensate for lost tissues which is confirmed by a high percentage (94.7%) of functional teeth during mean follow up time of 38±10 months. CONCLUSION Pulp revascularization is an effective method for retaining teeth with EIRR for a relatively long period of time and allows maintaining alveolar bone volume both due to functional tooth preservation and healing of bone lesions in periapical and resorption areas.
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Affiliation(s)
- M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
- Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
| | - L Yu Kharkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M S Rakhmanova
- Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
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Kharkova LY, Korolenkova MV. [The quality of dental care in children with permanent teeth trauma according to analysis of medical records in an emergency unit of a municipal dental clinic]. STOMATOLOGIIA 2024; 103:41-47. [PMID: 38372606 DOI: 10.17116/stomat202410301141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
THE AIM OF THE STUDY Was to assess the efficacy and timing of emergency dental care in children with permanent teeth trauma according to analysis of medical records in an emergency unit of a municipal dental clinic. MATERIAL AND METHODS The study involved 320 medical records of pediatric patients admitted to emergency dental care unit of a municipal dental clinic in 2021 because of maxillofacial trauma from which 221 records of children with acute dental trauma were extracted. The quality of documentation of the medical records, rationale for diagnosis and adequacy of emergency dental treatment were analyzed. RESULTS No records included diagnosis code according to ICD-10. Trauma history was described in the majority of records by in 67% of them no trauma time was stated with proper precision. In 67.6% of permanent teeth trauma cases emergency aid was carried out inadequately. All patients with uncomplicated crown fractures were dismissed with no treatment. In complicated crown fractures needing pulp vitality preservation the pulp was devitalized or just anesthetized. Tooth replantation in avulsion cases was not performed. In 13.5% of records the treatment was not properly described. In 67.6% of records there were no recommendations for follow-ups. CONCLUSION There is a strong need for the improvement of knowledge of traumatic dental injuries management among Russian pediatric dentists by elaboration and implementation of protocols for dental traumas treatment.
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Affiliation(s)
- L Y Kharkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
- Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
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Andreyashkina LY, Korolenkova MV, Vasilyev AV. [Treatment options for external inflammatory root resorption]. STOMATOLOGIIA 2023; 102:91-95. [PMID: 37622309 DOI: 10.17116/stomat202310204191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
THE AIM OF THE STUDY Was to compare the efficacy of various treatment options for external inflammatory root resorption according to literature data. MATERIALS AND METHODS Literature was searched in electronic databases «eLibrary» and «PubMed» for key words «external inflammatory resorption treatment», «external inflammatory resorption management». Inclusion criteria comprised publications in Russian or English, clinical and experimental studies, full description of treatment protocol and obtained results. Studies with no full text, describing root resorption of orthodontic origin, clinical cases and clinical case series were excluded from the study. RESULTS The problem of external inflammatory root resorption is poorly described in the Russian scientific literature. There are no registered protocols for its prevention and treatment or therapeutic agents with proved efficacy available in Russia. The only accessible approach for external inflammatory root resorption remains timely pulp extirpation after dental trauma which importance is underlined by all authors involved in the field of dental trauma studies. MTA and calcium hydroxide being popular as intracanal medications still have significant inconveniences as they potentially provoke root dentine fractures or replacement resorption. CONCLUSION There is a need for elaboration and implementation of new prevention and treatment options for external inflammatory root resorption after dental trauma.
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Affiliation(s)
- L Y Andreyashkina
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
- Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
| | - A V Vasilyev
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
- Research Centre for Medical Genetics, Moscow, Russia
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Simakova AA, Gorbatova LN, Gorbatova MA, Goldberg MA, Podrezova AV, Popov VA. Results of orthodontic treatment of permanent upper incisors intrusive luxation: a clinical case. Pediatr Dent 2022. [DOI: 10.33925/1683-3031-2022-22-3-244-250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Relevance. Dental trauma prevalence is high among children. Treatment of intrusive luxation, where the choice of treatment technique depends on the root formation stage, is of particular interest.Clinical case description. The article presents the treatment results of an 8-year-old patient with mixed dentition. The patient was diagnosed with an intrusive luxation of teeth 1.1, 2.1, soft tissue contusion, and fracture of the maxillary alveolar process.Thirteen days after the injury, we started the orthodontic treatment with a bracket system (ROTH 018 Micro-Sprint) placed on the upper teeth, controlled by cone-beam computed tomography (CBCT). Arches and elastics were consecutively changed during the treatment. In nine and a half months, teeth 1.1 and 2.1 were extruded. Functional and aesthetic parameters were restored. We assessed stability of the obtained result 18 months after the start of orthodontic treatment.Conclusion. The intrusive luxation treatment planning calls for a thorough history and diagnosis data comparison. The choice of non-surgical treatment without tooth extraction requires informing the patient about possible complications, treatment difficulties and long-term follow-up observation. The successful treatment outcome needs comprehensive patient management by a multidisciplinary team of a maxillofacial surgeon, pediatric dentist, orthodontist and other related specialists, if necessary.
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Zhou C, Yuan Z, Xu H, Wu L, Xie C, Liu J. Regenerative Endodontic Procedures in Immature Permanent Teeth With Dental Trauma: Current Approaches and Challenges. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2021.767226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
After dental trauma to immature permanent teeth (IPT), there can be pulpitis, necrotic, and periapical periodontitis, which will halt further root development. Traditional endodontic root canal treatments and apexification cannot revitalize the necrotic pulp to revitalize the tooth to promote further root development. As a consequence, IPT with thin dentinal walls can be prone to fracture and if a fracture occurs, the patient will likely suffer the loss of the tooth. In an attempt to save IPT, there has been a growing interest among dentists to use regenerative endodontic procedures (REPs) to revitalize a replace dental pulp to continue root development and strengthen the dentinal walls to help prevent a subsequent loss of the tooth. However, the effectiveness of REPs and the precise methods to successfully accomplish REPs are controversial. Therefore, the objective of this review is to compare the different approaches to REPs in case reports by highlighting their advantages and limitations.
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Rabinovich IM, Snegirev MV, Golubeva SA, Markheev CI. [External cervical tooth root resorption]. STOMATOLOGIIA 2022; 101:73-78. [PMID: 35184538 DOI: 10.17116/stomat202210101173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
External cervical tooth root resorption is one of the most aggressive types of pathological resorption. Due to the uncontrolled growth of resorptive tissue, irreversible loss of dentin and cement occurs. To date, there is no common position regarding the etiological factor and pathogenesis of invasive cervical resorption. The histological picture is similar to some fibro-bone lesions. The treatment outcome of the pathology is difficult to predict because elimination of the causative factor is often not sufficient for resorption arrest. Only the complete elimination of resorptive tissue helps to stop the process. The report describes a clinical case of a successful treatment of invasive cervical resorption of dental hard tissues.
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Affiliation(s)
- I M Rabinovich
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M V Snegirev
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - S A Golubeva
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - C I Markheev
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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Yuan X, Yuan Z, Wang Y, Wan Z, Wang X, Yu S, Han J, Huang J, Xiong C, Ge L, Cai Q, Zhao Y. Vascularized pulp regeneration via injecting simvastatin functionalized GelMA cryogel microspheres loaded with stem cells from human exfoliated deciduous teeth. Mater Today Bio 2022; 13:100209. [PMID: 35198958 PMCID: PMC8841886 DOI: 10.1016/j.mtbio.2022.100209] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 01/20/2022] [Accepted: 01/27/2022] [Indexed: 12/20/2022] Open
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Korolenkova MV, Rakhmanova MS. [Phantom root as dental trauma complication in immature teeth (systematic literature and clinical cases review)]. STOMATOLOGII︠A︡ 2021; 100:53-57. [PMID: 34752035 DOI: 10.17116/stomat202110005153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The paper presents literature review and the analysis of three clinical cases of phantom root development. Phantom root is a rare complication occurring as a result of apical papilla detachment, usually after dental trauma. Some authors suggest regenerative endodontic procedure may contribute to phantom root development because of rude intervention in periapical tissues needed to induce apical bleeding required for intracanal blood clot formation. Phantom root is not an indication for endodontic treatment. The prognosis depends on initial root formation stage and root to crow length ratio at the time of trauma. In the majority of cases the teeth may be preserved, but continuous root development is not to be expected.
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Affiliation(s)
- M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.,Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
| | - M S Rakhmanova
- Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia
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Di Giorgio G, Zumbo G, Saccucci M, Luzzi V, Ierardo G, Biagi R, Bossù M. Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report. Dent J (Basel) 2021; 9:dj9090107. [PMID: 34562981 PMCID: PMC8471370 DOI: 10.3390/dj9090107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 08/22/2021] [Accepted: 09/06/2021] [Indexed: 11/16/2022] Open
Abstract
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.
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Affiliation(s)
- Gianni Di Giorgio
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Giulia Zumbo
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
- Correspondence: ; Tel.: +39-392-7017935
| | - Matteo Saccucci
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Valeria Luzzi
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Roberto Biagi
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Via della Commenda 10, 20122 Milan, Italy;
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
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Korolenkova MV, Starikova NV, Rakhmanova MS. [Modern approach to the treatment of children with constant teeth avulsion]. STOMATOLOGII︠A︡ 2021; 99:38-43. [PMID: 33416232 DOI: 10.17116/stomat20209906238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
THE AIM OF THE STUDY Was to analyze treatment outcomes in children with constant teeth avulsion treated in Central Research Institute of Dentistry and Maxillofacial Surgery (CRIDMS). MATERIALS AND METHODS The study comprised 39 children aged 7-16 years treated in CRIDMS in 2015-2020. In 38 cases from 39 replantation was performed more than 24 hours after trauma. Because of delayed replantation endodontic treatment was needed in 35 cases from 38 (in one case the avulsed tooth was missing). In all 38 cases replantation was followed by splinting with either resin splint made according to original technique proposed by the authors or semi-flexible splints from orthodontic wire fixed with resin composite. RESULTS In one case from 39 the avulsed tooth was missing because a dentist the child first consulted was unaware of the possibility of replantation. In 38 children followed-up for 6-57 months the replanted teeth survived and were clinically asymptomatic. There were, however, obvious radiological signs of replacement resorption in 27 (71.1%) cases. Inflammatory resorption was detected in two cases (5.2%) with immature teeth undergoing apexification with calcium hydroxide. CONCLUSION Replacement root resorption after tooth avulsion may be seen as relatively favorable outcome preserving more bone tissue than early tooth removal. The rate of replacement resorption, however, would be less in less delayed replantation. The study results proved the necessity for additional education of parents and pediatric dentists on the first aid and treatment tactics for teeth avulsion.
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Affiliation(s)
- M V Korolenkova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - N V Starikova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
| | - M S Rakhmanova
- Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia
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Luo Y, Ma Z, Tian Z, Wang S, Chen L, Xu X. Replantation of two avulsed teeth after 1 h of storage in adverse extraoral dry conditions: A thought-provoking outcome after a 15-month follow-up. Ann Anat 2020; 231:151514. [PMID: 32229240 DOI: 10.1016/j.aanat.2020.151514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2019] [Revised: 02/19/2020] [Accepted: 03/08/2020] [Indexed: 10/24/2022]
Abstract
This article reports a clinical case of an 8-year-old boy who sustained avulsion of the maxillary right central incisor and the maxillary left lateral incisor. The avulsed teeth were kept in adverse extraoral dry conditions for 1 h from the moment of trauma until their replantation. The prognosis of tooth replantation is dependent on multiple factors such as methods of teeth storage in vitro, endodontic intervention, extra-oral time, and type of retention employed. The main reasons for root resorption in this case may be the extra-oral time, the initial replantation, or the delayed endodontic treatment.
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Affiliation(s)
- Yinyue Luo
- Dental Clinic of Minhang District, Shanghai, 201107, China; Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200031, China
| | - Zhongjun Ma
- Dental Clinic of Minhang District, Shanghai, 201107, China
| | - Zhijuan Tian
- Dental Clinic of Minhang District, Shanghai, 201107, China
| | - Song Wang
- Dental Clinic of Minhang District, Shanghai, 201107, China
| | - Li Chen
- Dental Clinic of Minhang District, Shanghai, 201107, China; Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200031, China.
| | - Xiaoming Xu
- Dental Clinic of Minhang District, Shanghai, 201107, China; Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200031, China.
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