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Raza MA, Khan JA, Akhtar H, Farooqui WA, Faraz H, Hasan A. Comparison of two composite resin materials for splinting of dental luxation injuries: A double blind randomized controlled trial. Dent Traumatol 2024; 40:44-53. [PMID: 37615239 DOI: 10.1111/edt.12883] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 07/11/2023] [Accepted: 08/09/2023] [Indexed: 08/25/2023]
Abstract
BACKGROUND/AIM Luxation is a common traumatic dental injury treated with a wire composite (WC) splint. However, bulk-fill flowable composite and conventional packable composite have not been compared for retaining these splints. Therefore, the objectives of this randomized controlled trial were (1) to compare retention of WC splints, and (2) to compare adhesive point dimension, application and removal time, and effect on tooth mobility between the two WC splints. MATERIALS AND METHODS In this parallel group, non-inferiority double blind randomized controlled trial, a total of 90 patients, aged 16-50 years participated. They were randomly allocated into two groups, the packable composite group (PC) n = 45 and the bulk-fill flowable composite group (BF-FC) n = 45 by lottery method. Following measurements were taken at the splint application appointment. Horizontal tooth mobility measured via Periotest, splint application time, and frontal images of splinted teeth to measure the percentage composite adhesive point area. After 2 weeks, splints were visually inspected for retention, whereas mobility and removal times were also recorded. Statistically, comparisons were made using independent samples sample T-test, Fisher's exact test, and Mann-Whitney U at p ≤ .05. RESULTS A total of 88 patients with 156 luxated teeth completed the trial, as two patients were lost to follow-up. Two patients in the PC group reported with completely de-bonded splints while none de-bonded in the BF-FC group. Both groups were similar in terms of splint retention (p = .352), reduction of mobility (p = .426), and splint removal times (p = .372). The BF-FC group performed significantly better in adhesive point dimension percentages (p < .001) and splint application time (p < .001). CONCLUSION Both groups were comparable in most parameters of the study. However, for BF-FC group application time and adhesive point dimension were significantly less.
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Affiliation(s)
- Misbah Ali Raza
- Department of Operative Dentistry, Dow Dental College, Dow University of Health Sciences Baba-e-Urdu Road Karachi, Karachi, Pakistan
| | - Javeria Ali Khan
- Department of Operative Dentistry, Dow Dental College, Dow University of Health Sciences Baba-e-Urdu Road Karachi, Karachi, Pakistan
| | - Hira Akhtar
- Department of Operative Dentistry, Dow Dental College, Dow University of Health Sciences Baba-e-Urdu Road Karachi, Karachi, Pakistan
| | | | - Hira Faraz
- Department of Operative Dentistry, Dow Dental College, Dow University of Health Sciences Baba-e-Urdu Road Karachi, Karachi, Pakistan
| | - Arshad Hasan
- Department of Operative Dentistry, Dow Dental College, Dow University of Health Sciences Baba-e-Urdu Road Karachi, Karachi, Pakistan
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Hu S, Wang S, He Q, Li D, Xin L, Xu C, Zhu X, Mei L, Cannon RD, Ji P, Tang H, Chen T. A Mechanically Reinforced Super Bone Glue Makes a Leap in Hard Tissue Strong Adhesion and Augmented Bone Regeneration. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2023; 10:e2206450. [PMID: 36698294 PMCID: PMC10104643 DOI: 10.1002/advs.202206450] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 01/08/2023] [Indexed: 06/17/2023]
Abstract
Existing bone tissue engineering strategies aim to achieve minimize surgical trauma, stabilize the injured area, and establish a dynamic osteogenic microenvironment. The cutting-edge bone glue developed in this study satisfies these criteria. Inspired by the excellent adhesive properties of mussels, herein, a super osteogenic glue (L-DPZ) that integrates poly(vinyl alcohol), L-dopa amino acid, and zeolitic imidazolate framework-8 characterized by catechol-metal coordination is used to successfully adhere to hard tissue with a maximum adhesive strength of 10 MPa, which is much higher than those of commercial and previously reported bone glues. The stable hard tissue adhesion also enables it to adhere strongly to luxated or broken teeth, Bio-Oss (a typical bone graft material), and splice fragments from comminuted fractures of the rabbit femur. Then, it is testified that the L-DPZ hydrogels exhibit satisfactory biocompatibility, stable degradability, and osteogenic ability in vitro. Moreover, the ability to anchor Bio-Oss and sustained osteogenesis of L-DPZ result in satisfactory healing in calvarial bone defect models in rabbits, as observed by increased bone thickness and the ingrowth of new bone tissue. These results are expected to demonstrate solutions to clinical dilemmas such as comminuted bone fracture fixation, bone defect reconstruction, and teeth dislocation replantation.
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Affiliation(s)
- Shanshan Hu
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Shan Wang
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Qingqing He
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Dize Li
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Liangjing Xin
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Chuanhang Xu
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Xingyu Zhu
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Li Mei
- Department of Oral SciencesSir John Walsh Research Institute Faculty of DentistryUniversity of Otago, DunedinDunedin9054New Zealand
| | - Richard D. Cannon
- Department of Oral SciencesSir John Walsh Research Institute Faculty of DentistryUniversity of Otago, DunedinDunedin9054New Zealand
| | - Ping Ji
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Han Tang
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
| | - Tao Chen
- Stomatological Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing401147P. R. China
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Anbuselvan G, Ila A, Karthi M, Mahalakshmi B, Mukilan R. Biological self-repair of periodontium and pulp in a pediatric patient with trauma and extrusive luxation -A case report. J Pharm Bioallied Sci 2022; 14:S1063-S1065. [PMID: 36110631 PMCID: PMC9469341 DOI: 10.4103/jpbs.jpbs_196_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 02/26/2022] [Indexed: 11/08/2022] Open
Abstract
In a general dental practice and in dental institution, traumatic emergency cases report for dental and orofacial injuries in children. This case report discusses a trauma case involving luxation of maxillary incisor tooth, treatment has been done and review of literature in regard to this.
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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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Management of an Extrusive Luxation Concomitant with Subluxation: A Case Report with Ten-Year Follow-Up. Case Rep Dent 2021; 2021:6256894. [PMID: 34350040 PMCID: PMC8328711 DOI: 10.1155/2021/6256894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Accepted: 07/12/2021] [Indexed: 11/21/2022] Open
Abstract
Traumatic dental injuries (TDIs) are a public health concern with high prevalence and incidence rates. Proper intervention can significantly reduce the subsequent complications of these events. This case report describes the clinical interventions to manage a patient with traumatized maxillary incisor with severe extrusive luxation. The procedure was aimed at preserving pulp vitality and providing periodontal maintenance to the highest possible degree. Owing to timely and accurate treatments, ten years of success have been achieved in this patient, as discussed in this case report.
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Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report. Dent J (Basel) 2021; 9:dj9040039. [PMID: 33915794 PMCID: PMC8066742 DOI: 10.3390/dj9040039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 03/25/2021] [Accepted: 03/30/2021] [Indexed: 12/14/2022] Open
Abstract
As a result of a skiing accident, a ten-year-old girl suffered combined injuries to both maxillary central incisor teeth (#1.1 and #2.1). The injuries were uncomplicated crown fractures, apical horizontal root fractures, and a severe extrusive luxation of the coronal segments of the teeth. Her mother repositioned the teeth immediately, resulting in good initial healing. Nine months later, the patient was referred to a specialist to manage the endodontic consequences of the trauma. The apexification treatment of the fractured roots, using a preformed apical barrier technique with bioactive cement, was the treatment of choice, administered to both the avulsed roots at two separate recall visits. The best option for managing the fractured apical segments was to continue with the follow-up, which was conducted to assess the overall case at 30 months. The fractured apexes remained normally positioned inside the socket and were asymptomatic (as they presumably maintained a physiological vascular-nerve supply and, consequently, their vitality), while the apexification treatment led to the healing of the periodontal tissues and to hard tissue formation in the area of the interrupted roots in the avulsed portion of the teeth. The management of traumatic injuries in teeth often requires multiple treatment approaches, because these injuries rarely represent one single type of trauma.
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Spinas E, Pipi L, Mezzena S, Giannetti L. Use of Orthodontic Methods in the Treatment of Dental Luxations: A Scoping Review. Dent J (Basel) 2021; 9:18. [PMID: 33557060 PMCID: PMC7913869 DOI: 10.3390/dj9020018] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 01/29/2021] [Accepted: 02/01/2021] [Indexed: 01/08/2023] Open
Abstract
(1) Background: Treating dental luxation injuries is challenging for the clinician. Dental luxations account for 18-33% of injuries to permanent teeth and can be addressed using different therapeutic approaches. The present work was conducted with two aims: (i) to evaluate, through a scoping review, current knowledge of the orthodontic methods (repositioning and stabilization splinting) that can be used at the time of the trauma, and (ii) to investigate the frequency and type of pulp consequences arising after these traumatic injuries. (2) Methods: The literature search was conducted in the period June 2020-December 2020 using the PubMed/MEDLINE, SCOPUS and Web of Science databases. The research questions were formulated according to the PICO (Population, Intervention, Comparison, Outcomes) method and considered the following aspects: type of luxation injury and stage of root development; use of orthodontic repositioning and splinting techniques; frequency and type of pulp consequences; and compliance of treatments with international guidelines. (3) Results: The initial screening of the databases, using the selected search keywords, yielded a total of 587 articles, just 8 fully met the inclusion criteria. Closer analysis of these 8 publications revealed that they would not produce clear meta-analytical data. This made it necessary to limit the data collected to the following six items: number and type of injuries, initial therapeutic intervention, duration of follow-up, number, and type of different pulp consequences. (4) Conclusions: While orthodontic techniques are commonly used to treat dental intrusions, in the case of extrusive and lateral luxation injuries, they are less frequently used and the orthodontic approach is generally confined to the stabilization phase. Among the various possible pulp consequences, many authors consider only pulp canal obliteration (PCO) and pulp necrosis (PN), often tending to overlook physiological healing (pulp survival) and the possible development of PN after PCO. There is therefore a clear need for new, high-quality clinical studies of this topic based on systematic and standardized data collection.
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Affiliation(s)
- Enrico Spinas
- Department of Surgical Sciences, Sports Dental Research Center, University of Cagliari, Via Ospedale, 40-09124 Cagliari, Italy;
| | - Laura Pipi
- Department of Surgical Sciences, Sports Dental Research Center, University of Cagliari, Via Ospedale, 40-09124 Cagliari, Italy;
| | - Silvia Mezzena
- Department of Conservative Dentistry and Endodontics, School of Dentistry, University of Cagliari, Via Ospedale, 40-09124 Cagliari, Italy;
| | - Luca Giannetti
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Via del Pozzo, 71-41124 Modena, Italy;
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