1
|
de Medeiros CSP, Zanin L, Sperandio M, de Souza Fonseca Silva A, Flório FM. Validation of an educational comic book to guide conducts in situations of dental trauma. Dent Traumatol 2024; 40:161-170. [PMID: 37881116 DOI: 10.1111/edt.12901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 09/15/2023] [Accepted: 10/12/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND/AIM Childhood dental trauma poses a prevalent concern, and the limited knowledge of lay caregivers toward the needed immediate actions can adversely affect a child's well-being. This study aimed to create and validate an educational comic book for lay individuals, designed to guide immediate actions in dental trauma cases, and assess its effects toward enhancing reader knowledge. METHODOLOGY The four-stage study involved: (1) Literature review and script development; (2) Version 1 of the comic book creation (including illustrations, layout, and design) and Flesch Readability Index (FI) calculation; (3) Version 1 validation by expert judges, assessed by the Content Validity Index (CVI); (4) Version 1 refinement based on the judges' feedback, recalculation of FI, and a pilot test (CVI) involving lay individuals who validated the final material (Version 2). The validation process involved 67 participants, including 13 specialist judges and 54 elementary school teachers. RESULTS The CVI for Version 1 was calculated at 0.89 (89%), indicating a favorable level of agreement on the evaluated criteria. The FI was determined as 91.1%, indicating a high level of readability. The FI for Version 2 was 92.1% (indicating a very easy level of comprehension). The CVI calculated for the target audience after the pilot test was 0.99 (99%), denoting a substantial agreement among the participants. In assessing the level of knowledge, a significant increase was observed in the rate of correct answers after the comic book was read by lay individuals (p < 0.05), inasmuch as the percentage rose from 50.5% before to 81.2% after reading it. CONCLUSION The educational comic book proved valid in terms of readability, appearance, and content. Furthermore, it had a positive impact on gaining the knowledge needed to take the appropriate actions, thus making it a valuable tool for guiding the lay population in cases of dental trauma.
Collapse
|
2
|
Magno MB, Jural LA, Ribeiro-Lages MB, Silva K, Coqueiro RS, Pithon MM, Maia LC. Development and psychometric properties of a questionnaire about knowledge of lay people about traumatic dental injury. Dent Traumatol 2024; 40:171-177. [PMID: 37817485 DOI: 10.1111/edt.12892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/26/2023] [Accepted: 09/12/2023] [Indexed: 10/12/2023]
Abstract
BACKGROUND/AIMS The level of knowledge about traumatic dental injuries (TDI) of lay people from a national point of view has never been studied and there is currently a lack of validated research instruments on this issue. The present study aims to develop and validate a questionnaire (TDI-Q) to assess the knowledge of lay people about TDI, including participants from the five regions of Brazil. MATERIAL AND METHODS TDI-Q was drafted, in Brazilian Portuguese, based on the recommendations of the International Association of Dental Traumatology (IADT). Before its application, TDI-Q was evaluated by dentists, lay people, linguists, and psychometrists. The questionnaire was applied to measure temporal stability at two distinct times, with an interval of 15-20 days between the two applications: test (n = 110) and retest (n = 50). The presence of floor and ceiling effects were investigated by analyzing the frequency of responses of the questionnaire; convergent construct validity was tested through Spearman's correlation; the Mann-Whitney test was applied to discriminant construct validity. Temporal stability and internal consistency were evaluated through intraclass correlation coefficient and Cronbach's alpha, respectively. RESULTS The floor and ceiling effects were not observed (0.9% and 2.7%, respectively); convergent validity analysis indicated a positive and strong correlation (r = 0.50; p < .001). Significant discriminant construct validity (p < .05) was observed. Satisfactory internal consistency (α = 0.7) and temporal stability (ICC = 0.82, p < .001) were also achieved. CONCLUSION TDI-Q proved to have good psychometric properties and to be a reliable tool for evaluating the knowledge of lay people regarding TDI in the Brazilian population.
Collapse
Affiliation(s)
- Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Veiga de Almeida University, Rio de Janeiro, Brazil
| | - Lucas Alves Jural
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mariana Batista Ribeiro-Lages
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Kenderson Silva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Matheus Melo Pithon
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Southwest Bahia State University UESB, Jequié, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
3
|
Heiden GS, Andrade RVS, de Mattos de Araujo BM, da Silva-Neto UX, Baratto-Filho F, Zeigelboim BS, de Castro Corrêa C, Taveira KVM, de Araujo CM. Prevalence of orofacial injuries resulting from trauma in individuals with cerebral palsy: A systematic review and meta-analysis. Dent Traumatol 2024; 40:111-120. [PMID: 37605544 DOI: 10.1111/edt.12879] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 07/23/2023] [Accepted: 07/25/2023] [Indexed: 08/23/2023]
Abstract
Individuals with cerebral palsy (CP) may have cognitive, sensitive, behavioral, communicative, and convulsive disorders. Because defensive reflexes are reduced by CP, the risk of orofacial trauma is greater in these individuals. This study aimed to evaluate the prevalence of orofacial injuries resulting from trauma in patients with CP. This review was reported according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) and registered in the International Prospective Register of Systematic Reviews (PROSPERO-CRD42022293570). The search was performed for articles published until January 2023 in Embase, Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed/Medline, Scopus, and Web of Science databases. Gray literature was also consulted through Google Scholar, OpenGrey, ProQuest Dissertations, and Theses. Studies in which orofacial injuries due to trauma were prevalent in individuals with CP were included. The risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Additionally, a random-effects meta-analysis was conducted. Twelve studies were included in the synthesis, of which nine presented a low risk of bias and three presented a moderate risk. When considering the general prevalence of orofacial injuries in patients with CP, a prevalence of 34% [95% CI = 18%-52%; I2 = 98%] was observed, with enamel and dentin fractures being the most common orofacial injuries. Approximately one in three patients with CP showed at least one type of orofacial injury involving dental trauma. There is a lack of literature assessing the prevalence of these traumas in soft tissues and the evidence for this outcome remains uncertain.
Collapse
Affiliation(s)
| | | | | | | | - Flares Baratto-Filho
- Department of Endodontics, Tuiuti University of Paraná, Paraná, Brazil
- Undergraduate Department of Dentistry, University of the Region of Joinville (Univille), Santa Catarina, Brazil
| | | | - Camila de Castro Corrêa
- Department of Speech Therapy and Audiology, Centro Universitário Planalto do Distrito Federal, Brasília, Brazil
| | | | | |
Collapse
|
4
|
Silva MT, Costa LC, Moura MS, Lima CCB, Almeida de Deus Moura LDF, Martins-Júnior PA, Lima MDDM. The Top 100 Most-Cited Articles on Permanent Teeth Avulsion: A Bibliometric Analysis. J Endod 2023; 49:1595-1604. [PMID: 37690496 DOI: 10.1016/j.joen.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 08/22/2023] [Accepted: 09/02/2023] [Indexed: 09/12/2023]
Abstract
INTRODUCTION Knowledge of bibliometric indices on the avulsion of permanent teeth can help researchers to identify gaps in the literature. The aim of this study was to analyze the bibliometric characteristics of the 100 most-cited articles on the avulsion of permanent teeth. MATERIALS AND METHODS Two researchers conducted an unfiltered search in the Core Collection section of the Web of Science (WoS-CC) database. The following data were extracted: position in the citation list, total number and density of citations, title, authors, institution, country, year of publication, journal, keywords, study design, tooth storage medium, and other topics of interest. Bibliometric networks were generated and analyzed using the VOSviewer software. Descriptive analysis and a Poisson regression analysis were performed (P < .05). RESULTS The number of citations per article varied between 31 and 407. The average was 70.05, and 13 articles received more than 100 citations. J.O. Andreasen (n = 13) and M. Trope (n = 15) were the authors who contributed most often to publications. The United States was the country with the highest number of articles (n = 31). Authors associated with the University of Copenhagen, Denmark (n = 9) and University of North Carolina, USA (n = 10) showed higher productivity. In vitro/animal model studies were the most frequent study designs (n = 50), and the most-discussed topic of interest was prognosis (n = 47). There was strong clustering among 13 research groups. CONCLUSION Observational studies, published by authors from Europe and about prognosis or treatment presented more citation ratio in WoS-CC. Clinical studies on permanent tooth avulsion are needed to increase the quality of scientific evidence and provide insights for health professionals and public policy makers.
Collapse
Affiliation(s)
| | - Lara Carvalho Costa
- Postgraduate Program in Dentistry, Federal University of Piauí (UFPI), Teresina, Brazil
| | - Marcoeli Silva Moura
- Department of Pathology and Dental Clinic, Federal University of Piauí (UFPI), Teresina, Brazil
| | | | | | - Paulo Antônio Martins-Júnior
- Department of Child and Adolescent Oral Health, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | | |
Collapse
|
5
|
Eggmann F, Filippi A, Mukaddam K. Endodontic and restorative management of an adult with avulsion of multiple teeth: A case report with 5 years and 9 months of follow-up. Dent Traumatol 2023. [PMID: 38031999 DOI: 10.1111/edt.12915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 11/14/2023] [Accepted: 11/15/2023] [Indexed: 12/01/2023]
Abstract
Simultaneous avulsion of four or more teeth is a rare event. This case report examines the dental care given to an adult who, during a bicycle accident, experienced the avulsion of a mandibular incisor as well as all of his maxillary incisors. In the immediate aftermath of the accident, four out of the five incisors were located, promptly collected, and stored in a tooth rescue box, all within a 20-min window. Replantation and splinting were performed on the day of the accident. Endodontic treatment involved sequential intracanal dressing with an antibiotic-corticosteroid paste followed by calcium hydroxide prior to root canal obturation. 3 months post-accident, signs of external replacement resorption (ERR) began to appear in all the replanted teeth. The gap created by the missing maxillary central incisor was managed with a three-unit fixed dental prosthesis, despite the onset of ERR in the incisors used as abutment teeth. Regular follow-ups showed a relatively slow ERR progression rate over a span of nearly 6 years. The patient expressed satisfaction with both the esthetic and functional outcomes. This case, marked by multiple avulsions, underscores the importance of immediate and appropriate intervention alongside the imperative for carefully considered long-term management strategies. Given the decelerated bone remodeling rate in adults, ERR generally progresses at a slower pace than in children. Accordingly, this case demonstrates the viability of retaining replanted teeth over the long term, even when these teeth have been subjected to nonphysiological storage for extended durations, a factor known to impede periodontal healing.
Collapse
Affiliation(s)
- Florin Eggmann
- Department of Periodontology, Endodontology, and Cariology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
- Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Andreas Filippi
- Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
- Department of Oral Surgery, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Khaled Mukaddam
- Department of Oral Surgery, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| |
Collapse
|
6
|
Fritz CG, Monos SD, Romeo D, Lowery A, Xu K, Atkins J, Rajasekaran K. Medico-legal liability of injuries arising from laryngoscopy. J Laryngol Otol 2023:1-5. [PMID: 37982243 DOI: 10.1017/s0022215123001986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
OBJECTIVE Dental and mucosal injuries from laryngoscopy in the peri-operative period are common medico-legal complaints. This study investigated lawsuits arising from laryngoscopy. METHODS Westlaw, a legal database containing trial records from across the USA, was retrospectively reviewed. Plaintiff and/or defendant characteristics, claimed injuries, legal outcomes and awards were extracted. RESULTS Of all laryngoscopy-related dental or mucosal injuries brought before a state or federal court, none (0 per cent) resulted in a defence verdict against the provider or monetary gain for the patient. Rulings in the patient's favour were observed only when laryngoscopy was found to be the proximate cause of multiple compounding complications that culminated in severe medical outcomes such as exsanguination, septic shock or cardiopulmonary arrest. CONCLUSION Proper laryngoscopy technique and a robust informed-consent process that accurately sets patients' expectations reduces litigation risk. Future litigation pursuits should consider the low likelihood of malpractice allegation success at trial.
Collapse
Affiliation(s)
- Christian G Fritz
- Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, USA
| | - Stylianos D Monos
- Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA
| | - Dominic Romeo
- Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA
| | - Anne Lowery
- Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, USA
| | - Katherine Xu
- Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA
| | - Joshua Atkins
- Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, USA
| | - Karthik Rajasekaran
- Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, USA
- Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
| |
Collapse
|
7
|
Vieira WA, Pereira AC, Lazzari J, Pecorari VG, Gomes BP, de Almeida JFA, Ferraz CCR, Santos ECA, Vargas-Neto J, de-Jesus-Soares A. Epidemiology and severity of traumatic dental injuries in permanent teeth: A 20-year retrospective study. Braz Dent J 2023; 34:1-8. [PMID: 37466516 PMCID: PMC10355269 DOI: 10.1590/0103-6440202305257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 03/20/2023] [Indexed: 07/20/2023] Open
Abstract
This study aimed to assess the traumatic dental injuries (TDIs) in permanent dentition among patients who attended at the outpatient clinic of a Brazilian dental school, during the last 20 years, and to investigate factors associated with the severity of these injuries. Clinical records of patients who attended a specialized center for dental trauma care in Brazil presenting at least one TDI in a permanent tooth, between the years 2000 and 2019, were reviewed. The data recorded were sex, age, affected arch, etiology, number, and type of the teeth affected, and classification and severity of the TDIs. The diagnosis and classification of the TDIs were based on the guidelines of the International Association of Dental Traumatology (IADT). The severity of each patient's injuries was defined as mild, moderate, or severe. Descriptive statistics, chi-square and multinomial regression analyses were used to evaluate the results. The significance level was set at 5%. A total of 837 clinical records were included, totaling 2357 teeth. Males were more prevalent than females. The patients' age ranged from 5 to 71 years. The most common traumas were avulsion (n=512) and uncomplicated enamel-dentin fracture (n=488). Univariate analyses showed that there was a statistically significant association between age group (p=0.004), etiology (p=0.000) and number of teeth affected (p=0.000) with severity of dental trauma. In conclusion, TDIs that occurred in Piracicaba and region are epidemiologically similar to those found worldwide, and that more severe injuries are related to age range, etiology and number of teeth affected.
Collapse
Affiliation(s)
- Walbert A. Vieira
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - Andrea C. Pereira
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - Jaqueline Lazzari
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | | | - Brenda P.F.A. Gomes
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - José Flávio A. de Almeida
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - Caio C. R. Ferraz
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - Eduardo C. A. Santos
- Department of Paediatric Dentistry, Orthodontics Division, School
of Dentistry of Piracicaba, State University of Campinas- UNICAMP, Piracicaba,
Brazil
| | - Júlio Vargas-Neto
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| | - Adriana de-Jesus-Soares
- Department of Restorative Dentistry, Endodontics Division, School of
Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil
| |
Collapse
|
8
|
Lima TCDS, Coste SC, Fernandes MIAP, Barbato-Ferreira DA, Colosimo EA, Del Fabbro M, Ribeiro Sobrinho AP, Côrtes MIDS, Bastos JV. Prevalence of traumatic dental injuries in emergency dental services: A systematic review and meta-analysis. Community Dent Oral Epidemiol 2023; 51:247-255. [PMID: 35165912 DOI: 10.1111/cdoe.12733] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 01/19/2022] [Accepted: 01/31/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study aimed to perform a systematic review and meta-analysis regarding the prevalence of traumatic dental injuries (TDI) in emergency dental services. METHODS Seven electronic and two grey literature databases were searched, up to December 2021, for studies that reported the TDI prevalence among dental emergencies. The Joanna Briggs Institute critical appraisal checklist for prevalence studies, and The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach were used to assess the risk of bias and quality of evidence respectively. The R software was used to perform a proportion meta-analysis on a random-effects model to estimate the pooled prevalence and respective 95% CI. RESULTS From a total of 1476 studies identified after excluding duplicates, 38 met the inclusion criteria, and another five were identified through hand searching, summing 43 included observational studies with a total sample of 209099 individuals searching for emergency dental care. The overall pooled prevalence of TDI was 15.4% (95% CI: 11%-21%, I² = 100%). Paediatric dental emergency services and age group from 0 to 21 years presented the highest prevalence, 29% (95% CI: 22%-38%, I² = 99.5%) and 24% (95% CI: 15%-35%, I² = 98%) respectively. CONCLUSIONS The overall pooled prevalence of TDI in emergency dental services was 15.4%, and 24% in the age group under 21 years. Considering the impact of prompt and correct emergency care in the long-term prognosis of TDI, such knowledge is relevant to organize emergency healthcare and support public policies in this area.
Collapse
Affiliation(s)
- Thiago César da Silva Lima
- Restorative Dentistry Department, School of Dentistry, Universidade Federal de Minas, Belo Horizonte, Brazil
| | - Sylvia Cury Coste
- Restorative Dentistry Department, School of Dentistry, Universidade Federal de Minas, Belo Horizonte, Brazil
| | | | | | - Enrico Antônio Colosimo
- Statistics Department, Institute of Exact Sciences, Universidade Federal de Minas, Belo Horizonte, Brazil
| | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di, Milano, Italy
| | | | | | - Juliana Vilela Bastos
- Restorative Dentistry Department, School of Dentistry, Universidade Federal de Minas, Belo Horizonte, Brazil
| |
Collapse
|
9
|
Mickeviciene L, Ciruliene V, Greta L. Long Term Outcome of Avulsed Immature Mandibular Incisor with Progressive External Root Resorption: 9 Years Follow-Up. J Oral Maxillofac Res 2023; 14:e5. [PMID: 37521324 PMCID: PMC10382192 DOI: 10.5037/jomr.2023.14205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 06/13/2023] [Indexed: 08/01/2023]
Abstract
Background Avulsion of permanent teeth is the most common in young permanent dentition. Replantation of immature teeth after avulsion represents a major challenge in terms of treatment management and long-term prognosis. This case report describes 9 years of follow-up for an avulsed and replanted immature mandibular lateral incisor with progressive external root resorption. Methods A 7-year-old patient following an accident in which his mandibular left central incisor was avulsed and replanted within one hour after being stored in a physiological storage medium. However, radiographic examination conducted six weeks after the dental injury revealed inflammatory root resorption of the replanted tooth #31. To address root resorption, endodontic treatment was performed involving the use of calcium hydroxide as an intracanal medication for a short period of time, followed by root canal obturation with mineral trioxide aggregate placed below the crestal bone margin. Results Three months later the root resorption had progressed. Consequently, a decision was made to perform periodontal surgery. While the long-term follow-up revealed that the inflammatory root resorption had damaged half of the root, the tooth remained functional and aesthetically favourable. Conclusions Despite the challenges associated with replantation of an immature tooth following avulsion, this case demonstrated favourable outcomes. The tooth maintained its functionality, exhibited favourable aesthetic, and the dimensions of the alveolar ridge were preserved, allowing for the physiological expansion of the dental arch.
Collapse
Affiliation(s)
- Lina Mickeviciene
- Clinic of Dental and Oral Pathology Faculty of Odontology, Lithuanian University of Health Sciences, KaunasLithuania.
| | - Vestina Ciruliene
- Clinic of Dental and Oral Pathology Faculty of Odontology, Lithuanian University of Health Sciences, KaunasLithuania.
| | - Lodiene Greta
- Clinic of Dental and Oral Pathology Faculty of Odontology, Lithuanian University of Health Sciences, KaunasLithuania.
| |
Collapse
|
10
|
Mohd Yani AAB, Marcenes W, Stansfeld SA, Bernabé E. The relationship between traumatic dental injuries and adolescents' non-suicidal self-injury behaviour: A cross-sectional analysis of an East London cohort. Dent Traumatol 2023; 39:173-178. [PMID: 36409280 DOI: 10.1111/edt.12806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 10/26/2022] [Accepted: 10/26/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND/AIM Recent reviews of case reports have pointed out a potential connection between non-suicidal self-injury (NSSI) and traumatic dental injuries (TDIs). The aim of this study was to investigate the association of a history of NSSI with TDIs in 15- to 16-year-old adolescents. METHODS This study analysed cross-sectional data from the Research with East London Adolescents Community Health Survey, a prospective population survey of adolescents attending state schools in East London, England. The history of NSSI was obtained using two items from the Lifestyle and Coping questionnaire (whether they have ever engaged with self-harm and the last time they engaged in such behaviours). The presence of TDIs, increased overjet and inadequate lip coverage were determined through clinical assessments by two trained dentists. Survey logistic regression was fitted to test the association of NSSI with TDIs. Odds ratios (ORs) were adjusted for socio-demographic and clinical characteristics as potential confounders. RESULTS The lifetime and last-year prevalence of NSSI were 11.9% and 6.7%, respectively, whereas the prevalence of TDIs was 16.5%. Neither the lifetime prevalence of NSSI (OR: 1.02, 95% confidence interval: 0.56-1.85) nor the last-year prevalence of NSSI (OR: 0.76, 95% CI: 0.36-1.61) were associated with TDIs in regression models adjusted for confounders. CONCLUSION This study did not support an association between history of NSSI and TDIs among adolescents aged 15-16 years old in East London.
Collapse
Affiliation(s)
- Azri Aliah Binti Mohd Yani
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.,Faculty of Dentistry, Universiti Teknologi MARA, Malaysia
| | - Wagner Marcenes
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.,Affordable Health Initiative, London, UK
| | - Stephen A Stansfeld
- Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Eduardo Bernabé
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| |
Collapse
|
11
|
Sancas MC, Pires PM, Primo LG. Conservative management of a horizontal root fracture in a primary maxillary central incisor: Case report. Dent Traumatol 2023; 39:82-87. [PMID: 36039396 DOI: 10.1111/edt.12788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 08/08/2022] [Accepted: 08/14/2022] [Indexed: 01/14/2023]
Abstract
Dental trauma occurs frequently in toddlers and the treatment protocols vary depending on each case. Thus, clinicians must not only plan the treatment but also consider any possible sequelae and characteristics related to the child and the family. The aim of this paper was to report a case of a three-year-old boy who had a horizontal root fracture in the middle third of the primary maxillary right incisor root (tooth 51) and crown discoloration of the primary maxillary left incisor (tooth 61) which were successfully treated with conservative management. The management was established in agreement with the family and was based on active surveillance. The clinical and radiographic follow-ups showed no changes besides pulp canal calcification of the left incisor throughout the eight years of follow-up. The pulps remained normal with no pathological signs throughout their life cycle and the permanent successors erupted normally, presenting an excellent result of the non-invasive approach adopted.
Collapse
Affiliation(s)
- Mariana Coutinho Sancas
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Paula Maciel Pires
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Laura Guimarães Primo
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
12
|
Matos Lamenha-Lins R, Maria de Carvelho Pugliesi D, José Camello de Lima F, Regina Oliveira Moreira A, Gonçalves Correia de Leite de Marcelos P, Dos Santos VE. Mobile application as a learning tool for improving dental students' knowledge regarding dental trauma. Eur J Dent Educ 2022; 26:700-706. [PMID: 34936159 DOI: 10.1111/eje.12750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Current evidence suggests an important knowledge gain of health sciences' students and professionals with mobile devices (m-learning). This study aimed to verify whether different strategies of teaching (traditional lecture classroom, m-learning and association of both methods) would present greater efficacy in knowledge improvement regarding dental trauma in primary dentition. MATERIALS AND METHODS An action research study using a participatory approach was conducted with 36 undergraduate Brazilian dental students. A structured questionnaire composed of six clinical cases of traumatic injuries was initially applied to all students (pre-test). Participants were then randomly distributed into three experimental groups: TC-students who had access exclusively to traditional lecture classroom; APP-access exclusively to the mobile application; and TC-APP-access to both approaches. The traditional and technological methods had evidence-based content and visual resources of the subject. After interventions, all students responded to the same previous questionnaire (post-test). Wilcoxon and Kruskal-Wallis tests were performed for statistical analysis. RESULTS All tested groups obtained statistically significant improvement between their pre-test and post-test scores, for both diagnosis and treatment of dental trauma (p < .005). Nonetheless, no intergroup differences were observed amongst the scores of pre- and post-test for diagnosis (p = .159) and treatment (p = .206). CONCLUSION All teaching approaches applied obtained similar knowledge improvement of undergraduate dental students regarding traumatic injuries in primary teeth.
Collapse
|
13
|
Simsek H, Kardes S, Kilic M, Kardes E. Trends and seasonality in public interest in dental trauma: Insights from Google Trends. Int J Paediatr Dent 2022; 32:464-472. [PMID: 34569105 DOI: 10.1111/ipd.12926] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 08/16/2021] [Accepted: 09/14/2021] [Indexed: 01/25/2023]
Abstract
AIM To assess trends and seasonal variation of dental trauma by using the Google Trends data. DESIGN Google Trends was used to obtain relative search volume (RSV) of search terms such as dental trauma, broken tooth, chipped tooth, knocked-out tooth, avulsed tooth, and gum trauma. The search strategy was set to the time period (January 2004 to December 2019), region (worldwide, the United States, the UK, Australia, Canada, New Zealand, Ireland, and Turkey), Web search, and all categories. Seasonal variation was evaluated using the cosinor analysis. RESULTS The worldwide RSV values of broken tooth, chipped tooth, knocked-out tooth, and avulsed tooth have shown a general increase in recent years with an upward forecast line. The RSV values of dental trauma have shown a general increase in recent years with a plateau forecast line, and gum trauma has shown a stable trend with a plateau forecast line. Seasonal variation of chipped tooth, broken tooth, dental trauma, knocked-out tooth, avulsed tooth, and gum trauma was not found statistically significant in any of the countries (p > .025). The top related queries of chipped tooth and broken tooth were about pain, fix/repair, and cost. The top related topics for avulsed tooth and knocked-out tooth are about infant, child, toddler, and primary tooth. CONCLUSIONS People's interest on dental trauma, broken tooth, chipped tooth, knocked-out tooth, and avulsed tooth has shown a general increase in recent years without showing a seasonal pattern. Healthcare professionals should pay more attention to people's concerns and informational needs.
Collapse
Affiliation(s)
- Huseyin Simsek
- Department of Pediatric Dentistry, Faculty of Dentistry, Ordu University, Ordu, Turkey
| | - Sinan Kardes
- Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, İstanbul University, Istanbul, Turkey
| | - Munevver Kilic
- Department of Pediatric Dentistry, Faculty of Dentistry, Atatürk University, Erzurum, Turkey
| | | |
Collapse
|
14
|
Tahririan D, Entezam Z, Safarzadeh S. Evaluation of teachers' knowledge about dental injuries in primary schoolchildren in the city of Isfahan. Dent Res J (Isfahan) 2022; 19:42. [PMID: 35915709 PMCID: PMC9338348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 08/02/2021] [Accepted: 09/13/2021] [Indexed: 11/20/2022] Open
Abstract
Background Dental trauma is a common problem in children, which mostly occurs at school. Traumatic dental injuries often cause unpleasant experiences for children, and immediate and appropriate measures are needed. Its prognosis depends on immediate posttraumatic measures, and schoolteachers can play a key role in the treatment of children. The current study aimed to investigate teachers' knowledge about dental injuries in primary school children in the city of Isfahan. Materials and Methods Following a cross-sectional design, the current study was conducted on 248 elementary school teachers who were selected using the simple two-stage random cluster. Then the teachers' knowledge was measured based on a four-choice questionnaire consisted of two parts. According to this questionnaire, teachers were divided into five categories based on their knowledge score which was consist of strongly high knowledge, high knowledge, average knowledge, low awareness, and strongly low knowledge. Data were analyzed using the Spearman correlation coefficient and independent t-test. Statistical significance was considered when P < 0.05. Results The total knowledge score of teachers was 45.9%. About 61% of the teachers had a history of exposure to dental injuries. Furthermore, 49.6% of them believed milk was the best environment to keep the avulsed teeth. There was no significant association between teachers' knowledge and education level, history of previous trauma, or participation in a training course, but there was a direct association between teachers' knowledge and their work experience (P < 0.05). Female teachers' knowledge score was significantly higher than their male counterparts (P < 0.001). Conclusion Participants had a moderate level of knowledge about the management of dental traumas. Hence, it is suggested to develop educational programs to increase teachers' awareness about this issue.
Collapse
Affiliation(s)
- Dana Tahririan
- Dental Materials Research Center, Department of Pediatric Dentistry, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Entezam
- Dental Students’ Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Saba Safarzadeh
- Department of Orthodontics, Dental Students’ Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran,Address for correspondence: Dr. Saba Safarzadeh, Department of Orthodontics, Dental Students’ Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. Zip code: 8761916911 Cell: (+98 913) 7431623 E-mail:
| |
Collapse
|
15
|
Døving M, Naess I, Galteland P, Ramm-Pettersen J, Dalby M, Utheim TP, Skaga NO, Helseth E, Sehic A. Anatomical distribution of mandibular fractures from severe bicycling accidents: A 12-year experience from a Norwegian level 1 trauma center. Dent Traumatol 2022; 38:424-430. [PMID: 35481880 PMCID: PMC9544727 DOI: 10.1111/edt.12756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/09/2022] [Accepted: 04/12/2022] [Indexed: 11/29/2022]
Abstract
Background/Aim The mandible makes up a substantial part of the lower face, and is susceptible to injury. Even in helmeted cyclists, accidents may lead to fractures of the mandible because conventional helmets provide little protection to the lower part of the face. In addition, some studies indicate that helmets may lead to an increased risk of mandibular fractures. Thus, the aim of this study was to examine the anatomic distribution of mandibular fractures in injured cyclists and to assess if helmet use influenced the fracture locations. Material and Methods Data from a Norwegian Level 1 trauma center were collected in the Oslo University Hospital Trauma Registry over a 12‐year period. Of 1543 injured cyclists, the electronic patient charts of 62 cyclists with fractures of the mandible were retrospectively evaluated in detail. Demographic data, helmet use, and fracture type were assessed. Results Sixty‐two patients (4%) had fractures of the mandible, and women had an increased risk (OR 2.49, 95% CI 1.49–4.16, p < .001). The most common fracture site was the mandibular body, followed by the condyle. Isolated mandibular fractures occurred in 45% of the patients and 55% had other concomitant facial fractures. There were 42% of the patients with fractures in multiple sites of the mandible, and 42% had a concomitant dentoalveolar injury. Half of the cyclists were wearing a helmet at the time of the accident and 39% were not. There was no significant difference in fracture distribution between the helmeted and non‐helmeted groups. Conclusions Fracture of the mandibular body was the most prevalent mandibular fracture type following bicycle accidents. Women had an increased risk of mandibular fractures compared with men, whereas helmet wearing did not affect the anatomical fracture site.
Collapse
Affiliation(s)
- Mats Døving
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Ingar Naess
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Pål Galteland
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Jon Ramm-Pettersen
- Department of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway
| | - Marius Dalby
- Department of Ophtalmology, Oslo University Hospital Ullevål, Oslo, Norway
| | - Tor Paaske Utheim
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Nils Oddvar Skaga
- Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital Ullevål, Oslo, Norway
| | - Eirik Helseth
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.,Department of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway
| | - Amer Sehic
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| |
Collapse
|
16
|
Duruk G, Gümüşboğa ZŞ. Effectiveness of the ToothSOS App as a training tool for the emergency management of traumatic dental injuries among non-dentists. Dent Traumatol 2022; 38:229-237. [PMID: 35276026 DOI: 10.1111/edt.12742] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 01/31/2022] [Accepted: 02/02/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND/AIM Traumatic dental injuries (TDIs) are a major and urgent problem in oral health. Therefore, non-dentists need to be conscious of the emergency management of TDIs. The aim of this study was to assess the effectiveness of the ToothSOS App on the level of knowledge about emergency management of TDIs among people who are not dental professionals. MATERIALS METHODS One hundred and five non-dentists, aged 22-57 years, participated in this study and were given training on TDIs. The ToothSOS App launched by the IADT was used as a training tool. A 25-question survey was conducted three times; before the ToothSOS App was downloaded and reviewed (T0 ), immediately after (T1 ), and one month later (T2 ). RESULTS There was a statistically significant difference among the three time periods (p < .001) in terms of the knowledge about the management of TDIs, and the knowledge increased significantly (p < .001) at both T1 and T2 after reviewing the ToothSOS App. On a scale from 0 to 10, the mean correct scores increased from 2.85 ± 2.15 (median [min-max]: 2[0-10]) to 8.23 ± 2.21 (median [min-max]: 9 [1-10]) (effect size: 2.5) at T1 and to 7.40 ± 2.34 (median [min-max]: 8 [1-10]) (effect size: 2.1) at T2 . CONCLUSION The ToothSOS App as a training tool was effective to increase the knowledge level of individuals about the emergency management of TDIs.
Collapse
Affiliation(s)
- Gülsüm Duruk
- Department of Pediatric Dentistry, Faculty of Dentistry, Inönü University, Malatya, Turkey
| | - Zekiye Şeyma Gümüşboğa
- Department of Pediatric Dentistry, Faculty of Dentistry, Inönü University, Malatya, Turkey
| |
Collapse
|
17
|
Moccelini BS, Santos PS, Barasuol JC, Magno MB, Bolan M, Maia LC, Cardoso M. Prevalence of sequelae after traumatic dental injuries to anterior primary teeth: A systematic review and meta-analysis. Dent Traumatol 2022; 38:286-298. [PMID: 35276019 DOI: 10.1111/edt.12744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 02/22/2022] [Accepted: 02/23/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM Clinical and radiographic sequelae are common following traumatic dental injuries to primary teeth. The aim of this systematic review was to assess the prevalence of such sequelae. MATERIALS AND METHODS Searches were conducted in the PubMed, Scopus, Embase, Web of Science, and BBO/LILACS databases as well as the gray literature. The outcome of interest was the prevalence of the most common sequelae following traumatic dental injuries to anterior primary teeth. Observational studies that evaluated such sequelae were included. Data were extracted, and methodological quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The number of sequelae per tooth and the total number of teeth evaluated in each study were considered to calculate pooled prevalence rates with 95% confidence intervals (CI). The quality of the evidence was determined using the GRADE approach. RESULTS Twenty-five articles were included in this systematic review and meta-analysis. The prevalence of each complication in descending order was as follows: 39.7% crown discoloration (95% CI: 29.52-50.32), 24.3% pulp necrosis with infection (95% CI: 17.34-32.06), 16.2% periapical radiolucency (95% CI: 8.88-25.49), 15.9% premature tooth loss (95% CI: 9.93-23.15), 14.8% pulp canal obliteration (95% CI: 8.46-22.73), 11.9% pathological root resorption (95% CI: 7.68-16.98), 7.1% abscess/fistula (95% CI: 4.4-10.6), and 1.8% ankylosis (95% CI: 0.82-3.17). The certainty of the evidence was very low. CONCLUSIONS Crown discoloration was the most common sequela in injured primary teeth, but this should be interpreted with caution due to the very low certainty of the evidence. Considerable variation was found in the prevalence of each sequela.
Collapse
Affiliation(s)
| | - Pablo Silveira Santos
- Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | | | - Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mariane Cardoso
- Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
| |
Collapse
|
18
|
Kambal E, Marcenes W, Stansfeld SA, Bernabé E. Troublesome behaviour and traumatic dental injuries during adolescence. Dent Traumatol 2022; 38:129-135. [PMID: 34997946 DOI: 10.1111/edt.12731] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 12/20/2021] [Accepted: 12/27/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Troublesome behaviour can lead to bodily injuries among young people, although a link with traumatic dental injuries (TDIs) remains unclear. The aim of this study was to evaluate the longitudinal association between troublesome behaviour and TDIs during adolescence. METHODS This study analysed data from phases 2 and 3 of the Research with East London Adolescents Community Health Survey (RELACHS), a longitudinal study of public secondary schools in East London. Troublesome behaviour in the past 12 months was measured with 8 items (told lies to get things from others, started fight, bullied or threatened people, stayed late outside, stole valuable things, ran away from home, played truant from school and intentionally destroyed someone else's property) from the Development and Well-Being Assessment (DAWBA), when participants were 13-14 years old (Phase 2). Adolescents were dentally examined for TDIs when they were 15-16 years old (Phase 3). The association between troublesome behaviour and TDIs was tested in logistic regression models adjusting for socio-demographic characteristics and oral clinical factors. RESULTS Forty-three per cent of adolescents reported one or more troublesome behaviours at age 13-14 years, and 16% had evidence of TDIs by age 15-16 years. Adolescents who answered 'perhaps' and 'definitely' to any troublesome behaviour item had, respectively, 1.37 (95% CI: 0.62-3.00) and 1.50 (95% CI: 0.69-3.30) greater odds of having TDIs than those who answered 'no' after adjustment for confounders. Of the 8 behaviours assessed, having run away from home, bullied or threatened people, often told lies, and stolen valuable things were associated with having TDIs. CONCLUSION This study among adolescents shows that reporting troublesome behaviour was associated with TDIs two years later. Given the wide confidence intervals for these associations, the present findings require confirmation from further longitudinal studies.
Collapse
Affiliation(s)
- Enas Kambal
- Dental Public Health group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | | | - Stephen A Stansfeld
- Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Eduardo Bernabé
- Dental Public Health group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| |
Collapse
|
19
|
Noleto JW, de Abreu NMR, Dos Santos Vicente KM, da Silva AVNA, Seixas DR, de Figueiredo LS. Intrusive luxation of a permanent maxillary central incisor into the nasal cavity: A case report. Dent Traumatol 2021; 38:160-164. [PMID: 34905280 DOI: 10.1111/edt.12727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Revised: 11/28/2021] [Accepted: 11/29/2021] [Indexed: 11/29/2022]
Abstract
This case report out lines a rare complete intrusion of a permanent, maxillary central incisor (tooth 11) into the nasal cavity, with a late diagnosis and treatment. An eight-year-old boy was referred to an oral and maxillofacial surgery service with absence of tooth 11 after an episode of a fall from his own height. Approximately 50 days after the trauma, the patient presented, with a complaint of obstruction of the right nostril. The clinical examination and tomographic evaluation showed that the tooth had been intruded into the nasal cavity on the right side. The tooth in question was removed under general anesthesia by direct approach through the right nostril. The patient was followed up for approximately one year without complications. This case demonstrates the importance of a detailed evaluation during the first examination after intrusive luxation so the correct diagnosis is made and the correct treatment is performed to avoid greater morbidity and complications for the patient.
Collapse
Affiliation(s)
- José Wilson Noleto
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Paraíba Federal University, Paraíba, Brazil
| | | | | | | | - Déborah Rocha Seixas
- Graduate Program in Rehabilitation Sciences, University of São Paulo, Bauru São Paulo, Brazil
| | | |
Collapse
|
20
|
Krastl G, Weiger R, Ebeleseder K, Galler K. Present status and future directions: Endodontic management of traumatic injuries to permanent teeth. Int Endod J 2021; 55 Suppl 4:1003-1019. [PMID: 34862800 DOI: 10.1111/iej.13672] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 12/02/2021] [Indexed: 12/26/2022]
Abstract
The prognosis of traumatized teeth depends largely on the fate of the pulp and its treatment. This review aims to update the present status on the endodontic management of traumatic injuries to permanent teeth and to identify relevant research areas that could contribute to an improvement in diagnosis and treatment of traumatized permanent teeth. Future research should pay greater attention to (1) diagnostic methods to assess the perfusion of the pulp and enhance detection of tooth cracks and initial signs of root resorption; (2) improved materials for vital pulp treatment; (3) studies focusing on type and duration of splinting after root fractures; (4) antiresorptive intracanal medication in case of posttraumatic pulp necrosis and infection-related resorption and (5) long-term data on the apical barrier technique compared to revitalization.
Collapse
Affiliation(s)
- Gabriel Krastl
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
| | - Roland Weiger
- Department of Periodontology, Endodontology and Cariology, Center of Dental Traumatology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland
| | - Kurt Ebeleseder
- University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
| | - Kerstin Galler
- Department of Conservative Dentistry and Periodontology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
| |
Collapse
|
21
|
Vinagre A, Castanheira C, Messias A, Palma PJ, Ramos JC. Management of Pulp Canal Obliteration-Systematic Review of Case Reports. Medicina (Kaunas) 2021; 57:medicina57111237. [PMID: 34833455 PMCID: PMC8625069 DOI: 10.3390/medicina57111237] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/08/2021] [Accepted: 11/10/2021] [Indexed: 12/29/2022]
Abstract
Background and Objectives: This systematic review aimed to assess the literature focusing on the clinical management of traumatized teeth with Pulp Canal Obliteration (PCO) and propose an updated clinical decision-making algorithm. The present review follows the PRISMA guidelines and was registered on PROSPERO database (CRD42020200656). Materials and Methods: An electronic search strategy was performed in Pubmed, EBSCOhost and LILACS from inception to March 2021. Only anterior permanent teeth with PCO due to dental trauma were included. Regarding clinical approaches, only teeth managed with a “watchful waiting” approach, tooth bleaching or root canal treatment (RCT) were included. Quality assessment was performed using the JBI Critical Appraisal Tool for Case Reports. Results: Twenty case reports were selected, resulting in a total of 27 patients. The number of traumatized teeth diagnosed with PCO was 33. The “watchful waiting” approach was the most implemented clinical strategy. Discolored non-symptomatic PCO teeth were mostly managed with external bleaching. The prevalence of pulp necrosis (PN) was 36.4%. For teeth diagnosed with PN, non-surgical RCT was performed in 10 teeth and surgical RCT in one tooth. Guided endodontic technique was performed in six of those teeth. Conclusions: For discolored non-symptomatic PCO teeth, external bleaching is advocated and the RCT approach should not be implemented as a preventive intervention strategy. Symptomatic PCO teeth should follow regular endodontic treatment pathways. Clinical approach of teeth with PCO should follow a decision-making algorithm incorporating clinical and radiographic signs and patient-reported symptoms.
Collapse
Affiliation(s)
- Alexandra Vinagre
- Institute of Operative Dentistry, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal; (A.V.); (C.C.); (J.C.R.)
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
| | - Catarina Castanheira
- Institute of Operative Dentistry, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal; (A.V.); (C.C.); (J.C.R.)
| | - Ana Messias
- Institute of Oral Implantology and Prosthodontics, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal;
- CEMMPRE—Center for Mechanical Engineering, Materials and Processes, University of Coimbra, 3030-788 Coimbra, Portugal
| | - Paulo J. Palma
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
- Correspondence: ; Tel.: +351-239-249-151
| | - João C. Ramos
- Institute of Operative Dentistry, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal; (A.V.); (C.C.); (J.C.R.)
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal
| |
Collapse
|
22
|
Gamarra J, Gómez O, Olmedo C, Benítez de Forcadell S, Díaz-Reissner C, Fretes V. [Application of the dental trauma guide of the international association of dental traumatology in a group of paraguayan dentists]. Rev Cient Odontol (Lima) 2021; 9:e083. [PMID: 38463729 PMCID: PMC10919807 DOI: 10.21142/2523-2754-0904-2021-083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 11/24/2021] [Indexed: 03/12/2024] Open
Abstract
Objective To evaluate the application of the dental trauma guide according to the International Association of Dental Traumatology in a group of Paraguayan dentists from April to May 2021. The was a descriptive, cross-sectional, observational study. A group of Paraguayan dentists with internet access accepted to participate in the study. The measurement instrument was a closed questionnaire from Google Forms, distributed by instant messaging (WhatsApp) from January to April 2021. Based on the Guidelines for the Evaluation and Management of Traumatic Dental Injuries by the International Association of Dental Traumatology (IADT), the questionnaire includes 20 questions on the assessment of clinical and radiographic signs, determination of treatment variables, differentiation of the type of treatment, biological consequences of trauma, materials and splint time, and postoperative indications and medication. Results 230 dentists participated; the mean age was 33 (SD = 6.4) years, 70.43% were women, 30.87% were general dentists, and 70.87% were practicing exclusively in private practice. 68.70% responded that they were familiar with the management and treatment of dentoalveolar trauma, while 70.87% had not heard or read about the IADT dental trauma guide. Regarding the level of knowledge, 60.00% scored an average mark. Conclusion Most of the dentists surveyed had moderate knowledge regarding the evaluation and management of traumatic dental injuries.
Collapse
Affiliation(s)
- José Gamarra
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| | - Osmar Gómez
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| | - Cecilia Olmedo
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| | - Stela Benítez de Forcadell
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| | - Clarisse Díaz-Reissner
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| | - Vicente Fretes
- Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. , , , , , Universidad Nacional de Asunción Facultad de Odontología Universidad Nacional de Asunción San Lorenzo Paraguay ,
| |
Collapse
|
23
|
Quispe-Salcedo A, Ohshima H. The Role of Dendritic Cells during Physiological and Pathological Dentinogenesis. J Clin Med 2021; 10:3348. [PMID: 34362130 DOI: 10.3390/jcm10153348] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 07/25/2021] [Accepted: 07/26/2021] [Indexed: 12/13/2022] Open
Abstract
The dental pulp is a soft connective tissue of ectomesenchymal origin that harbors distinct cell populations, capable of interacting with each other to maintain the vitality of the tooth. After tooth injuries, a sequence of complex biological events takes place in the pulpal tissue to restore its homeostasis. The pulpal response begins with establishing an inflammatory reaction that leads to the formation of a matrix of reactionary or reparative dentin, according to the nature of the exogenous stimuli. Using several in vivo designs, antigen-presenting cells, including macrophages and dendritic cells (DCs), are identified in the pulpal tissue before tertiary dentin deposition under the afflicted area. However, the precise nature of this phenomenon and its relationship to inherent pulp cells are not yet clarified. This literature review aims to discuss the role of pulpal DCs and their relationship to progenitor/stem cells, odontoblasts or odontoblast-like cells, and other immunocompetent cells during physiological and pathological dentinogenesis. The concept of “dentin-pulp immunology” is proposed for understanding the crosstalk among these cell types after tooth injuries, and the possibility of immune-based therapies is introduced to accelerate pulpal healing after exogenous stimuli.
Collapse
|
24
|
Krastl G, Weiger R, Filippi A, Van Waes H, Ebeleseder K, Ree M, Connert T, Widbiller M, Tjäderhane L, Dummer PMH, Galler K. European Society of Endodontology position statement: endodontic management of traumatized permanent teeth. Int Endod J 2021; 54:1473-1481. [PMID: 33934366 DOI: 10.1111/iej.13543] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 04/28/2021] [Indexed: 01/05/2023]
Abstract
This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on the endodontic management of traumatized permanent teeth. A recent comprehensive review with detailed background information provides the basis for this position statement (Krastl et al. 2021, International Endodontic Journal, https://doi.org/10.1111/iej.13508). The statement is based on current scientific evidence as well as the expertise of the committee. Complementing the recently revised guidelines of the International Association of Dental Traumatology, this position statement aims to provide clinical guidance for the choice of the appropriate endodontic approach for traumatized permanent teeth. Given the dynamic nature of research in this area, this position statement will be updated at appropriate intervals.
Collapse
Affiliation(s)
| | - G Krastl
- Department of Conservative Dentistry and Periodontology & Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
| | - R Weiger
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland.,Center of Dental Traumatology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland
| | - A Filippi
- Center of Dental Traumatology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland.,Department of Oral Surgery, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland
| | - H Van Waes
- Department of Paediatric Dentistry, Clinic for Orthodontics and Paediatric Dentistry, University of Zürich, Zürich, Switzerland
| | - K Ebeleseder
- University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
| | - M Ree
- Private Practice, Purmerend, Netherlands
| | - T Connert
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland.,Center of Dental Traumatology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland
| | - M Widbiller
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| | - L Tjäderhane
- Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.,Research Unit of Oral Health Sciences, Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland
| | - P M H Dummer
- School of Dentistry, College of Biomedical & Life Sciences, Cardiff University, Cardiff, UK
| | - K Galler
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| |
Collapse
|
25
|
Lima J, Caldarelli PG, Rocha JS, Fagundes Tomazinho FS, Fariniuk LF, Baratto-Filho F, Leão Gabardo MC. Educational approaches for assessing knowledge about and actions of educators in response to dental avulsion. J Indian Soc Pedod Prev Dent 2021; 39:138-146. [PMID: 34341232 DOI: 10.4103/jisppd.jisppd_186_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Dental trauma affects especially schoolchildren and adolescents. Educators, the responsible for the first appointment, have a fundamental role in the prognosis of dental avulsion that occurred in this environment. AIM To evaluate the educational approaches for assessing knowledge and actions in response to dental avulsion among educators. SETTINGS AND DESIGN This cross-sectional and quanti-qualitative study included 197 teachers and 24 pedagogical coordinators (PCs), from the public schools of Pato Branco, Paraná, Brazil. METHODS A questionnaire was initially administered regarding the knowledge about avulsion to all participants. Teachers just read a manual and answered the questionnaire after 30 days. PCs were divided into (n = 12): G1 - manual + fictitious scenario of avulsion and G2 - active methodology + fictitious scenario. The questionnaire was re-administered to all. STATISTICAL ANALYSIS Quantitative data were analyzed statistically. For the qualitative stage, two questions were proposed and the Bardin's analysis was performed. RESULTS For teachers, knowledge about avulsion increased after the intervention (P < 0.001), except as related to cleaning the tooth (P = 0.21). Activities involving G1 and G2 also led to an increase in knowledge, but no difference occurred in this increase between the approaches (P = 0.14). Qualitative analysis highlighted the need for calm and for performing actions that could favor a good prognosis in cases of avulsion. CONCLUSIONS The level of knowledge increased after interventions, but no significant differences between the educational approaches were found.
Collapse
Affiliation(s)
- Jacqueline Lima
- Department of Dentistry, Positivo University, Curitiba, Paraná, Brazil
| | | | - Juliana Schaia Rocha
- Department of Dentistry, Pontifical Catholic Universisty of Paraná, Curitiba, Paraná, Brazil
| | | | | | - Flares Baratto-Filho
- Department of Dentistry, University of the Region of Joinville, Joinville, Santa Catarina, Brazil
| | | |
Collapse
|
26
|
Krastl G, Weiger R, Filippi A, Van Waes H, Ebeleseder K, Ree M, Connert T, Widbiller M, Tjäderhane L, Dummer PMH, Galler K. Endodontic management of traumatized permanent teeth: a comprehensive review. Int Endod J 2021; 54:1221-1245. [PMID: 33683731 DOI: 10.1111/iej.13508] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Accepted: 03/05/2021] [Indexed: 12/15/2022]
Abstract
The pulp plays a key role in the treatment of traumatic dental injuries (TDIs) and is strongly associated with the outcome, particularly in severe cases. A correct pulp diagnosis is essential as it forms the basis for developing the appropriate management strategy. However, many TDIs are complex, and their treatment requires a profound knowledge of the physiological and pathological responses of the affected tissues. This comprehensive review will look at the dentine-pulp complex and its interaction with the surrounding tissues following TDIs. The literature up to 2020 was reviewed based on several searches on PubMed and the Cochrane Library using relevant terms. In addition to the recently revised guidelines of the International Association of Dental Traumatology, this article aims to provide background information with a focus on endodontic aspects and to gather evidence on which a clinician can make decisions on the choice of the appropriate endodontic approach for traumatized permanent teeth.
Collapse
Affiliation(s)
- G Krastl
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
| | - R Weiger
- Department of Periodontology, Endodontology and Cardiology, University School of Dental Medicine, Basel, Switzerland.,Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland
| | - A Filippi
- Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland.,Department of Oral Surgery, University School of Dental Medicine, Basel, Switzerland
| | - H Van Waes
- Department of Paediatric Dentistry, Clinic for Orthodontics and Paediatric Dentistry, University of Zürich, Zürich, Switzerland
| | - K Ebeleseder
- University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
| | - M Ree
- Private Practice, Purmerend, Netherlands
| | - T Connert
- Department of Periodontology, Endodontology and Cardiology, University School of Dental Medicine, Basel, Switzerland.,Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland
| | - M Widbiller
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| | - L Tjäderhane
- Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.,Research Unit of Oral Health Sciences, Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, University of Oulu, Oulu, Finland
| | - P M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| | - K Galler
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| |
Collapse
|
27
|
de Carvalho FMT, Dos Santos ASV, Lins-Filho PC, de Vasconcelos MMVB, Caldas Júnior ADF, Godoy GP. Evaluation of dental trauma in inmates of the most highly populated Brazilian prison complex. Dent Traumatol 2021; 37:583-588. [PMID: 33599384 DOI: 10.1111/edt.12670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Due to the increase in incarceration rates, the prison community has attracted much concern in the recent past. Although people in prison are often socially disadvantaged and vulnerable to a range of health problems, there is a lack of information on the oral health conditions of prisoners. Thus, the aim of this study was to survey the oral problems of a sample of the male incarcerated population of Brazil, focusing on dental trauma. MATERIAL AND METHODS The research was undertaken over a three-month period in 2017. It was a cross-sectional study of 756 prisoners of the Curado Prison Complex, located in Recife, PE. Using a previously calibrated examiner, dental trauma was measured with the Andreasen index. Etiology of dental trauma and socio-demographic data were collected with questions developed for this survey. Standard descriptive statistics were used to report frequency estimates. The chi-square test, Fisher's exact test, and Mann-Whitney U-test were used to compare groups. In addition, a binary logistic regression was performed to identify whether the studied variables could predict the occurrence of dental trauma. RESULTS The prevalence of dental trauma in the sample was 10.8% and most of the cases (42.7%) occurred due to violent events. A higher frequency of violent etiology was observed in cases that occurred during imprisonment (p = 0.037). Individuals that suffered dental trauma during incarceration were more likely to have been incarcerated for longer periods of time (p = 0.043). The main type of injury found was enamel and dentin fracture without pulp exposure (68%). The most affected tooth was the upper right central incisor (40%). CONCLUSION These results underline the high prevalence of dental trauma experienced by men in prison.
Collapse
|
28
|
da Silva RLC, Dias Ribeiro AP, Almeida JCF, Sousa SJL, Garcia FCP. Impact of dental treatment and the severity of traumatic dental injuries on the quality of life of Brazilian schoolchildren. Dent Traumatol 2021; 37:562-567. [PMID: 33511757 DOI: 10.1111/edt.12660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 01/11/2021] [Accepted: 01/11/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries (TDI) are most prevalent during adolescence and infancy, and they have an important impact on the oral health-related quality of life (OHRQoL). The aim of this study was to assess the effect of dental treatment and the severity of TDI on the OHRQoL of schoolchildren in public schools in Brazil. MATERIALS AND METHODS This cross-sectional study evaluated schoolchildren aged 11 to 14 years in Brasilia, Brazil. The criteria used for the examinations were TDI-O'Brien criteria; Dental caries-DMFT criteria; and malocclusion-the Dental Aesthetic Index. The impact of oral health on the children's quality of life was assessed with the Child Perceptions Questionnaire (CPQ11-14 ) that was completed by the children while on the school premises. Socio-demographic information was also collected from the parents. Statistical analysis was performed using non-parametric and association tests, as well as linear regression. RESULTS A total of 20.2% of the students had some TDI in their permanent anterior teeth; 20% of traumatized teeth were treated, and 80% were not treated. Sorting by severity, 75.1% of the schoolchildren had a TDI involving only the enamel, and 24.9% had a TDI extending beyond the enamel. Significant differences were observed between the severity of a TDI and the total scores of CPQ11-14 (Kruskal-Wallis; p = 0.0026), emotional well-being (p = 0.0006), and social well-being (p = 0.0001) when the group with TDI extending beyond the enamel was compared with the other groups (control and with TDI involving only the enamel), even after adjustment for socio-demographic and clinical variables. For oral symptoms and functional limitation, no differences were observed among the groups. CONCLUSIONS Dental trauma and fractures extending beyond the enamel, treated or not, have a negative impact on the OHRQoL of schoolchildren, suggesting effects on self-perception and in the social and emotional spheres.
Collapse
Affiliation(s)
| | - Ana Paula Dias Ribeiro
- Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL, USA
| | | | | | | |
Collapse
|
29
|
Døving M, Galteland P, Eken T, Sehic A, Utheim TP, Skaga NO, Helseth E, Ramm-Pettersen J. Dentoalveolar injuries, bicycling accidents and helmet use in patients referred to a Norwegian Trauma Centre: A 12-year prospective study. Dent Traumatol 2020; 37:240-246. [PMID: 33220164 DOI: 10.1111/edt.12627] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 11/15/2020] [Accepted: 11/17/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM Despite its many benefits, bicycling carries the risk of accidents. Although numerous studies have reported the effect of helmet use on traumatic brain injury, it remains unclear if, and to what extent, helmet use reduces the risk of facial injuries. This is particularly true in regard to injuries of the lower face. In addition, there is limited evidence of the effect of helmet use on dentoalveolar injuries. Thus, the aim of this study was to determine the frequency and distribution of dentoalveolar injuries in bicycling accidents and to explore the influence of helmet use. MATERIAL AND METHODS A total of 1543 bicyclists were included from the trauma registry of a Norwegian tertiary trauma center over a 12-year period. Data were collected prospectively, including patient characteristics, type of injury, and helmet use. The prevalence of dentoalveolar injuries was assessed in conjunction with helmet use and facial fractures. RESULTS Twenty-five percent of the patients had maxillofacial injuries, and 18% of those with facial fractures exhibited concomitant dentoalveolar injuries. The most common type of dentoalveolar injury was tooth fracture (39%). The most frequent location of facial fractures with combined dentoalveolar injuries was the maxilla, which had fractured in 32 patients. Women had a higher risk of sustaining dentoalveolar injuries compared to men (odds ratio 1.50, 95% confidence interval 1.02-2.22). There were 1257 patients (81%) who had reliable registration of helmet use; 54% of these wore a helmet, while 46% did not. Helmet users had an increased risk of dentoalveolar injuries compared to non-helmeted bicyclists (adjusted odds ratio 1.54, 95% confidence interval 1.02-2.31). CONCLUSIONS Dentoalveolar injuries are fairly common in trauma patients admitted to a trauma center following bicycling accidents. Bicycling helmets are associated with an increased risk of dentoalveolar injuries.
Collapse
Affiliation(s)
- Mats Døving
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway
| | - Pål Galteland
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway
| | - Torsten Eken
- Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital Ullevål, Oslo, Norway.,Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Amer Sehic
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Tor Paaske Utheim
- Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.,Department of Oral Biology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Nils Oddvar Skaga
- Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital Ullevål, Oslo, Norway
| | - Eirik Helseth
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.,Department of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway
| | - Jon Ramm-Pettersen
- Department of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway
| |
Collapse
|
30
|
Seguel-Moraga P, Onetto JE, E Uribe S. Reporting quality of case reports about dental trauma published in international journals 2008-2018 assessed by CARE guidelines. Dent Traumatol 2020; 37:345-353. [PMID: 33222392 DOI: 10.1111/edt.12630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 10/28/2020] [Accepted: 10/29/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS The diagnosis and treatment of dental trauma are based primarily on observational evidence and case reports. The aim of this research is to assess the quality of reporting of case reports published from 2008 to 2018 in dental selected journals using the Care Report (CARE) guideline and to assess whether there was a change after publication of the CARE guidelines. METHODS A descriptive study of the publications available on PubMed from specialist journals was conducted. Searches were made for MESh and free keywords associated with dental trauma and tooth injuries. One calibrated evaluator (kappa-intra = 0.87) using the CARE guidelines (max = 30 points) evaluated all case reports published from 2008 to 2018 in relevant journals. The average score before and after 2013 was compared by t-test and regression modeling, and the description of each CARE item was analyzed. RESULTS The search found 201 relevant articles published in Dent Traumatol 141 (70.1%), Eur Arch Paediatr Dent 10 (5.0%), Int J Clin Pediatr Dent 16 (8.0%), J Clin Pediatr Dent 19 (9.5%), and Pediatr Dent 15 (7.5%). The mean quality (± standard deviation) was 14.3 (±2.6), and range from 7 to 20. The number and mean (±SD) before the CARE guidelines were n = 171, mean = 14.3 (±2.6) and after the CARE guidelines were n = 30, mean = 14.7 (±2.7), (P = .39, t-test). No significant differences per journal or origin of the first author were found. CONCLUSIONS The reporting quality of case reports about dental trauma in five international dental journals has not improved since the publication of the CARE guidelines. The lack of reporting of essential items in case reports suggests that journals could enhance their quality by requiring authors to adhere to the CARE guidelines or similar reporting guidelines.
Collapse
Affiliation(s)
| | - Juan E Onetto
- Faculty of Dentistry, University of Valparaiso, Valparaiso, Chile
| | - Sergio E Uribe
- Faculty of Dentistry, University of Valparaiso, Valparaiso, Chile.,Department of Conservative Dentistry and Oral Health, Bioinformatics Research Unit, Riga Stradins University, Riga, Latvia.,School of Dentistry, Universidad Austral de Chile, Valdivia, Chile
| |
Collapse
|
31
|
de Paiva HN, Guimarães MO, Varajão GFDC, Marques LS, Silvestrini RA, Zarzar PM, Silva CJDP, Paiva PCP. Spatial density of adolescents aged 14 years old, victims of dental: A longitudinal study. Dent Traumatol 2020; 37:282-293. [PMID: 33184933 DOI: 10.1111/edt.12617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/29/2020] [Accepted: 10/04/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Knowledge about the spatial density of the domiciles of dental trauma victims can assist in the identification of the most vulnerable areas and contribute to the planning of prevention, promotion, control, and treatment actions, focusing on the most affected areas. The aim of this study was to analyze the spatial density of domiciles of 14-year-old adolescent victims of dental trauma, in the city of Diamantina, Brazil, after a two-year follow-up period. MATERIAL AND METHODS This longitudinal study was carried out with 584 adolescents between 2013 and 2015. Dental trauma, overjet, and lip protection were assessed by two trained and calibrated examiners (K > 0.70). Information about binge drinking was collected among the adolescents through the Alcohol Use Disorders Identification Test and sociodemographic indicators were obtained through a questionnaire answered by the caregivers of the adolescents. Spatial analyses were performed to evaluate the spatial density of adolescents with dental trauma and the independent variables of interest according to the domicile using Ripley's K function and the Kernel Map. RESULTS Ripley's K function revealed spatial aggregation of the domiciles of adolescent victims of dental trauma in relation to males, binge drinking and overjet, with a confidence interval of 95%. The higher density of domiciles with adolescents with two or more traumatized teeth was found in the north-east region of the city. Boys were the most affected, their homes were located in the north, north-west, and south-east regions at baseline and follow-up. The largest density of domiciles of adolescents with overjet greater than 5 mm and inadequate lip protection was in the north-east region. Similar spatial distribution was identified for binge drinking for both years. CONCLUSION The majority of adolescents with dental trauma lived in the north-east and south-east regions, characterized by high population density and greater social vulnerability.
Collapse
Affiliation(s)
- Haroldo Neves de Paiva
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales of Jequitinhonha and Mucuri- UFJVM, Diamantina, Brazil.,Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil
| | - Mariana Oliveira Guimarães
- Department of Child and Adolescent Oral Health, Faculty of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Brazil
| | | | - Leandro Silva Marques
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil
| | | | - Patricia Maria Zarzar
- Department of Child and Adolescent Oral Health, Faculty of Dentistry, Federal University of Minas Gerais-UFMG, Belo Horizonte, Brazil
| | - Carlos José de Paula Silva
- Department of Public Oral Health, Faculty of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Paula Cristina Pelli Paiva
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil.,Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales of Jequitinhonha and Mucuri- UFJVM. Diamantina, Minas Gerais, Brazil
| |
Collapse
|
32
|
da Silva RM, Mathias FB, da Costa CT, da Costa VPP, Goettems ML. Association between malocclusion and the severity of dental trauma in primary teeth. Dent Traumatol 2020; 37:275-281. [PMID: 33185027 DOI: 10.1111/edt.12615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 09/10/2020] [Accepted: 09/12/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS The literature does not clearly state whether the type of malocclusion is associated with a specific type of trauma and the severity of the injury. Hence, the aim of this retrospective study was to assess the occlusal condition in children with traumatic dental injuries of the primary teeth, and the association between the occlusal characteristics and the type and severity of these injuries. MATERIAL AND METHODS Data were collected from records of children treated at a dental trauma center in Brazil over a period of 16 years. The data included age, gender, etiology of the trauma, place of occurrence, number of affected teeth, type of trauma, and injury severity. The occlusal condition was assessed by a trained dentist using photographs of the patients from their first visit. Chi-square tests and Poisson regression were used for data analyses. RESULTS This study included 209 patients, and most were aged between 2-4 years (50.55%). Multivariate regression analysis showed that children with an anterior open bite had a 47% higher prevalence of severe trauma than those who did not have an anterior open bite, and those with class II canines had a 56% higher prevalence of severe trauma than those with class I and III canines. Children with an anterior open bite had a 46% higher prevalence of injuries affecting multiple teeth than those without an anterior open bite. CONCLUSIONS Anterior open bite and class II canine relationship were associated with a higher prevalence of severe traumatic dental injury in primary teeth, and anterior open bite was associated with trauma affecting multiple teeth.
Collapse
|
33
|
Jaiswal N, Khan A, Kaur H, Yeluri R. Management of Fracture Crown En Masse in Maxillary Central Incisors in a 13-Year-Old Child - A Multidisciplinary Approach. Contemp Clin Dent 2020; 11:165-167. [PMID: 33110331 PMCID: PMC7583532 DOI: 10.4103/ccd.ccd_98_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 03/13/2020] [Accepted: 04/16/2020] [Indexed: 11/23/2022] Open
Abstract
Traumatic dental injuries are the most common orofacial injuries sustained during play and sports. Injuries to anterior teeth with subgingival fractures present a clinical challenge for a predictable esthetic outcome. The treatment modalities of subgingival fractures are surgical crown lengthening and orthodontic extrusion. The purpose of this article is to report a case of a 13-year-old male patient with a subgingival fracture of maxillary anterior teeth managed by a multidisciplinary approach, utilizing orthodontic extrusion after endodontic treatment followed by prosthetic rehabilitation.
Collapse
Affiliation(s)
- Neha Jaiswal
- Department of Pedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India
| | - Ajla Khan
- Department of Pedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India
| | - Harsimran Kaur
- Department of Pedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India
| | - Ramakrishna Yeluri
- Department of Pedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India
| |
Collapse
|
34
|
Pereira AC, Oliveira ML, Cerqueira-Neto ACCL, Vargas-Neto J, Nagata JY, Gomes BPFA, Ferraz CCR, de Almeida JFA, de-Jesus-Soares A. Outcomes of traumatised immature teeth treated with apexification or regenerative endodontic procedure: a retrospective study. AUST ENDOD J 2020; 47:178-187. [PMID: 33094527 DOI: 10.1111/aej.12447] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 07/22/2020] [Accepted: 09/15/2020] [Indexed: 11/30/2022]
Abstract
This study compares the clinical success rate and continued radiographic root development of apexification and regenerative endodontic procedure in traumatised immature permanent teeth, and proposes a method to evaluate apical convergence, namely apical angle. Clinical and radiological data were collected from 44 treated teeth (22 with apexification and 22 with regenerative endodontic procedure). The preoperative and follow-up periapical radiographs were analysed to calculate the percentage changes in root length, root width, apical diameter and apical angle. The success rates for complete healing with apexification and regenerative endodontic procedure were 86.36% and 95.45%, respectively. Radiographically, regenerative endodontic procedure showed significantly greater percentage changes in root width only (P < 0.05). Apexification and regenerative endodontic procedure provide satisfactory outcomes concerning clinical success rates. Continued root development in regenerative endodontic procedure was similar to apexification, except for root width. Apical angle allowed us to assess the convergence of the root canal walls.
Collapse
Affiliation(s)
- Andrea Cardoso Pereira
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Matheus Lima Oliveira
- Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Ana Carolina C L Cerqueira-Neto
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Júlio Vargas-Neto
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Juliana Yuri Nagata
- Department of Dentistry, Endodontics Area, Federal University of Sergipe - UFS, Lagarto, SE, Brazil
| | - Brenda P F A Gomes
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Caio Cezar Randi Ferraz
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - José Flávio Affonso de Almeida
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Adriana de-Jesus-Soares
- Endodontics Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| |
Collapse
|
35
|
Uzarevic Z, Ivanisevic Z, Karl M, Tukara M, Karl D, Matijevic M. Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Students of the Faculty of Education. Int J Environ Res Public Health 2020; 17:ijerph17197159. [PMID: 33007854 PMCID: PMC7579500 DOI: 10.3390/ijerph17197159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Revised: 09/26/2020] [Accepted: 09/27/2020] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to evaluate the knowledge regarding tooth avulsion and dental first aid response among Croatian students of the Faculty of Education. A cross-sectional study was conducted among students. Participants (N = 235) were female with an average age of 21.9 ± 2.7 years. The questionnaire contained 10 close-ended questions with two to eleven possible answers. Every participant chose one correct answer. Statistical significance was determined using a Chi-square test. Majority of participants had never received any kind of information on management of a knocked-out tooth. Questions in the nature of tooth injuries, a knocked-out tooth, tooth replantation and whether the knocked-out tooth should be placed back were answered confirmatively by 40.43%, 83.40%, 57.02% and 62.55% of participants, respectively. The questionnaire showed that 18.78% of participants were aware that replantation should be performed within 30 min. The appropriate cleaning and transport medium was chosen by 40.85% and 35.31% of participants, respectively. A nearby dentist would be visited by 66.38% of students. Only 8.08% of participants provided a correct answer to all of the knowledge-based questions. The “I do not know” answer was chosen by 18.30% of participants whenever it was offered. This indicates that the majority (89.78%) were not aware of the fact that the procedure they chose would be inappropriate. The current study confirmed that future primary school teachers have a lack of knowledge for immediate response to tooth avulsion, leaving small chances for a successful prognosis of tooth replantation.
Collapse
Affiliation(s)
- Zvonimir Uzarevic
- Faculty of Education, University of Osijek, Cara Hadrijana 10, 31000 Osijek, Croatia;
- Correspondence: ; Tel.: +385-9-1167-8478
| | - Zrinka Ivanisevic
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
| | - Matej Karl
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
- Faculty of Medicine Osijek, University of Osijek, 31000 Osijek, Croatia;
| | - Marina Tukara
- Faculty of Education, University of Osijek, Cara Hadrijana 10, 31000 Osijek, Croatia;
| | - Dora Karl
- Faculty of Medicine Osijek, University of Osijek, 31000 Osijek, Croatia;
| | - Marko Matijevic
- Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia; (Z.I.); (M.K.); (M.M.)
| |
Collapse
|
36
|
Magno MB, Nadelman P, Leite KLDF, Ferreira DM, Pithon MM, Maia LC. Associations and risk factors for dental trauma: A systematic review of systematic reviews. Community Dent Oral Epidemiol 2020; 48:447-463. [PMID: 32893395 DOI: 10.1111/cdoe.12574] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 03/04/2020] [Accepted: 08/10/2020] [Indexed: 01/08/2023]
Abstract
OBJECTIVE We sought to revise, qualify and summarize the body of evidence based on current information on the known associations and risk factors for traumatic dental injury (TDI) occurrence with an overview of systematic reviews. METHODS Electronic searches were performed with no language nor date restrictions.According to the PECO strategy, systematic reviews that investigated participants (P) with (E) and without (O) the presentation of factors relating to TDI and these factors' association with TDI episodes (O) as primary or secondary outcomes were included. Quality assessment and bias control were carried out according to the AMSTAR 2 checklist. In cases of systematic review results of discordance, the Jadad decision algorithm was applied. RESULTS After titles, abstracts and full texts were read, 19 systematic reviews were included in this overview. Four were classified with critically low, eleven with low and four with moderate methodological quality, respectively. In all studies, 249 cross-sectional, 34 epidemiological surveys, 22 cohort, 9 case-control, 4 longitudinal, 3 ecological and 30 unspecified studies were included. Male gender, child age, greater overjet, inadequate lip coverage, anterior open bite, caries in the permanent dentition, overweight, a previous history of TDI, tongue piercing, the use of alcoholic beverages and participation in sports were all associated with a greater chance of suffering TDI. CONCLUSIONS Sociodemographic, clinical and environmental factors are associated with a greater chance of TDI occurrence. However, most of the systematic reviews included were of a low quality and may not provide an accurate and comprehensive summary of the available research that addresses the question of interest. Well-designed primary studies on different aspects of TDI are encouraged to provide higher quality scientific evidence.
Collapse
Affiliation(s)
- Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Patricia Nadelman
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Karla Lorene de França Leite
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Daniele Masterson Ferreira
- Central Library of the Health Science Center- Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Matheus Melo Pithon
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.,School of Dentistry. Southwest Bahia State University UESB, Jequié, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
37
|
Comim LD, Dalla Nora Â, Knorst JK, Racki DNDO, Zenkner JEDA, Alves LS. Traumatic dental injury and oral health-related quality of life among 15 to 19 year old adolescents from Santa Maria, Brazil. Dent Traumatol 2020; 37:58-64. [PMID: 32794623 DOI: 10.1111/edt.12594] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 07/03/2020] [Accepted: 07/04/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND/AIMS The literature is scarce on the association between traumatic dental injuries (TDI) and oral health-related quality of life (OHRQoL) among adolescents, and there is no study assessing this relationship using clinical criteria for the assessment of TDI in this age group. The aim of this study was to assess the association between TDI and OHRQoL among 15 to 19yearold adolescents from Santa Maria, Brazil. MATERIALS AND METHODS A population-based cross-sectional study was conducted including a representative sample of 1197 15 to 19yearold adolescents attending 31 public and private schools. The Oral Health Impact Profile-14 (OHIP-14) was used to evaluate the OHRQoL, and clinical examinations were performed to diagnose TDI based on the O'Brien classification. Demographic information, socioeconomic status, and clinical characteristics (caries experience, malocclusion, and gingivitis) were also collected as adjusting variables. Multilevel Poisson regression models were used to assess the association between TDI and OHRQoL. Rate ratios (RR) and 95% confidence intervals (95% CI) were estimated. RESULTS The overall prevalence of TDI was 17%, mild trauma was 12%, and severe trauma was 5%. In the adjusted models, adolescents with TDI had poorer OHRQoL than those without TDI (RR = 1.10; 95% CI = 1.05-1.16). This negative effect was related to the psychological disability domain (RR = 1.16; 95% CI = 1.02-1.32), to the social disability domain (RR = 1.34; 95% CI = 1.13-1.59), and to the handicap domain (RR = 1.35; 95% CI = 1.10-1.66). CONCLUSIONS Despite its low severity, TDI negatively affected the OHRQoL of 15 to 19yearold adolescents from Santa Maria, Brazil.
Collapse
Affiliation(s)
- Letícia Donato Comim
- Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Ângela Dalla Nora
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | | | | | - Luana Severo Alves
- Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| |
Collapse
|
38
|
Liu F, Wu TT, Lei G, Fadlelseed AFA, Xie N, Wang DY, Guo QY. Worldwide tendency and perspectives in traumatic dental injuries: A bibliometric analysis over two decades (1999-2018). Dent Traumatol 2020; 36:489-497. [PMID: 32170848 DOI: 10.1111/edt.12555] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 03/07/2020] [Accepted: 03/09/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries (TDIs) are considered to be a public dental health problem worldwide. The aim of the current study was to provide the worldwide tendency and perspectives in TDIs in the last two decades via bibliometric analysis. METHODS ''Tooth injuries'' was searched as the Medical Subject Headings term within PubMed with the date range from 1999 to 2018. Two investigators perused information in the articles according to the inclusion and exclusion criteria. The articles were independently categorized according to the following aspects: (a) annual scholarly output; (b) leading countries or regions; (c) leading journals; (d) productive authors; (e) citations; (f) study design; (f) distribution of topics; and (g) the type of dentition and TDIs. VOSviewer 1.6.7 and Citespace 5.2 were used for analyzing and visualizing bibliometric networks. RESULTS A total of 2627 articles about traumatic dental injuries were published and indexed in PubMed during the two decades, and the number of publications on traumatic dental injuries was rising in general. The research outputs were mainly concentrated in developed countries and affiliated hospitals of universities. Brazil was the most productive country. The journal Dental Traumatology had the most contributions to the scientific research of traumatic dental injuries. "Case report" was the most frequent type of article (36.50%), followed by cross-sectional studies (19.57%) and case-control studies (13.67%). Most studies focused on the treatment of TDIs (38.94%), especially for avulsion (21.01%), crown fracture (9.71%), and intrusion (5.25%). Permanent teeth (66%) were the dominant dentition. CONCLUSION There is a lack of high-quality well-designed studies such as cohort studies. The number of publications on prevention and the primary dentition is disproportionate in relation to their significance.
Collapse
Affiliation(s)
- Fei Liu
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.,Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Tian-Tian Wu
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.,Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Gang Lei
- College of Medicine & Forensics, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Anas Fadlelseed Ahmed Fadlelseed
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.,Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Na Xie
- Department of Oral Medicine, School of Stomatology, Xi'an Medical University, Xi'an, China
| | - Dan-Yang Wang
- Department of Prosthodontics, School of Stomatology, Xi'an Medical University, Xi'an, China
| | - Qing-Yu Guo
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.,Department of Pediatric Dentistry, Affiliated Stomatology Hospital of Xi'an Jiaotong University, Xi'an, China
| |
Collapse
|
39
|
Jeong JS, Pang NS, Choi Y, Park KM, Kim T, Xu X, Park W. Importance of Photography Education to Improve Image Quality for Accurate Remote Diagnoses in Dental Trauma Patients: Observational Study. JMIR Mhealth Uhealth 2020; 8:e15152. [PMID: 32213475 PMCID: PMC7146236 DOI: 10.2196/15152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 12/03/2019] [Accepted: 01/24/2020] [Indexed: 01/22/2023] Open
Abstract
Background High-quality photos are critical for the remote diagnosis of dental trauma and thus are beneficial to the prognosis. The quality of the images obtained using a cell phone depends on the level of dental and photography knowledge of the person who is taking the photos. Objective This study aimed to determine the efficacy of photography education in improving images used for the remote diagnosis of dental trauma. Methods The subjects comprised 30 laypeople and 30 dentists who were randomly assigned to 15 subgroups with 2 subjects in each. Each subject was asked to take photos of their own anterior teeth and those of their partner on the assumption that an accident occurred using both an iPhone 4s and iPhone 6. Education about how to take an appropriate photo of the anterior teeth for teleconsultation purposes was then provided, after which photos were taken again. Photos were assessed by a dentist for their usefulness in diagnosis. Results This study analyzed 965 photos: 441 taken by laypeople and 524 taken by dentists. Photos taken after providing education had significantly higher scores for all assessment items than those taken before education (P<.05). The scores were also significantly higher for photos taken using the rear camera than those taken using the front camera (P<.02). The iPhone 6 did not have overwhelming advantages. The photos taken by dentists had significantly higher scores than those taken by laypeople for most of the evaluated items. Conclusions Both laypeople and dentists might find photography education useful for when they are taking photos to be used in teleconsultations. The type of cell phone does not significantly affect the usefulness of such photos.
Collapse
Affiliation(s)
- Jin-Sun Jeong
- School and Hospital of Stomatology, Shandong University, Jinan, China.,Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Nan-Sim Pang
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Yiseul Choi
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea.,Human Identification Research Institute, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Kyeong-Mee Park
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea.,Human Identification Research Institute, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Taekbin Kim
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Xin Xu
- School and Hospital of Stomatology, Shandong University, Jinan, China.,Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Wonse Park
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| |
Collapse
|
40
|
da Silva GS, Moreira MS, Fukushima KA, Raggio DP, V Mello-Moura AC, Lara JS, Gimenez T, Junior SA, Morimoto S, Tedesco TK. Current evidence of tissue engineering for dentine regeneration in animal models: a systematic review. Regen Med 2020; 15:1345-1360. [PMID: 32148166 DOI: 10.2217/rme-2019-0005] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Aim: The aim of this study is to verify the type of scaffold effect on tissue engineering for dentine regeneration in animal models. Materials & methods: Strategic searches were conducted through MEDLINE/PubMed, Web of Science and Scopus databases. The studies were included with the following eligibility criteria: studies evaluating dentine regeneration, and being an in vivo study. Results: From 1392 identified potentially relevant studies, 15 fulfilled the eligibility criteria. All studies described characteristics of neoformed dentine, being that the most reported reparative dentine formation. Most of included studies presented moderate risk of bias. Conclusion: Up to date scientific evidence shows a positive trend to dentine regeneration when considering tissue engineering in animal models, regardless the type of scaffolds used.
Collapse
Affiliation(s)
- Gabriela S da Silva
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Maria Stella Moreira
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Karen A Fukushima
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Daniela P Raggio
- Department of Orthodontic & Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, 05508-000, Brazil
| | | | - Juan S Lara
- Department of Cariology, Operative Dentistry & Dental Public Health, School of Dentistry, Indiana University, Indianapolis, IN 46202-2876, USA
| | - Thais Gimenez
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | | | - Susana Morimoto
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Tamara K Tedesco
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| |
Collapse
|
41
|
Silveira ALNDMES, Magno MB, Soares TRC. The relationship between special needs and dental trauma. A systematic review and meta-analysis. Dent Traumatol 2019; 36:218-236. [PMID: 31724811 DOI: 10.1111/edt.12527] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 11/08/2019] [Accepted: 11/11/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIMS Understanding the risk factors for dental injuries is essential to develop prevention strategies. The aim of this study was to perform a systematic review and meta-analysis to determine whether people with special needs (SN) have a higher incidence of traumatic dental injury (TDI). MATERIALS AND METHODS Electronic searches were performed with no language or date restrictions in the following databases: PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library and Open Gray. According to the PECOS strategy, observational studies that investigated subjects with and without SN and its association with TDI episodes were included. Quality assessment and bias control were carried out according to Fowkes and Fulton guidelines. A meta-analysis was performed by sub-grouping studies according to the type of SN, with the odds ratio (OR) also being calculated (P ≤ .05). The evidence was quality tested using the GRADE approach. RESULTS After titles and abstracts were examined, and full texts were read, 28 studies were included in the qualitative synthesis and 27 in the meta-analysis. Three studies were classified with high methodological quality and the others had methodological problems. No associations were determined between TDI and autism spectrum disorder, epilepsy and mental disability (OR 1.12 [0.70, 1.78], OR 1.28 [0.13, 12.27] and OR 1.04 [0.20, 5.35], respectively, P > .05). A positive association (P < .05) was found between TDI and hyperactivity disorder, cerebral palsy, 21 trisomy, various conditions of SN and in pooled results (OR 2.67 [1.22, 5.87], OR 1.89 [1.06, 3.37], OR 6.18 [2.24, 17.05], OR 1.69 [1.18, 2.41], OR 1.61 [1.16; 2.22], respectively).The certainty of evidence ranged from very low to low. CONCLUSIONS In general, people with SN had a higher chance of having TDI with very low certainty of evidence. People with ADHD and cerebral palsy had a higher chance of TDI.
Collapse
Affiliation(s)
| | - Marcela Baraúna Magno
- Post Doctoral Research of Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Thais Rodrigues Campos Soares
- School of Dentistry, Universidade Salgado de Oliveira, Niterói, RJ, Brazil.,Post Doctoral Research of Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| |
Collapse
|
42
|
Feldens CA, Senna RA, Vargas-Ferreira F, Braga VS, Feldens EG, Kramer PF. The effect of enamel fractures on oral health-related quality of life in adolescents. Dent Traumatol 2019; 36:247-252. [PMID: 31715061 DOI: 10.1111/edt.12526] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 11/08/2019] [Accepted: 11/09/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM Enamel fractures are the most common type of traumatic dental injury (TDI) in children and adolescents. Recognizing the impact of these fractures on oral health-related quality of life (OHRQoL) could contribute to the establishment of treatment protocols. The aim of this study was to assess and quantify the impact of enamel fractures on overall OHRQoL and domain scores in adolescents. MATERIALS AND METHODS A cross-sectional study was conducted with 775 adolescents aged 11 to 14 years in the city of Santo Ângelo in southern Brazil. Sociodemographic variables were collected from parents/caregivers using a structured questionnaire. The adolescents answered the Child Perceptions Questionnaire (CPQ11-14 ). Physical examinations were performed by an examiner who had undergone training and calibration exercises for the investigation of TDI (Andreasen criteria), dental caries (WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involved Poisson regression with robust variance. RESULTS The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3% of all injuries. In the multivariate analysis, adolescents with enamel fractures had 29% higher CPQ11-14 scores (worse OHRQoL) than those without TDI, even after adjustment for sociodemographic and clinical variables (mean ratio = 1.29; 95% CI: 1.09-1.53; P = .003). Enamel fractures exerted a negative impact on the functional limitation, emotional well-being, and social well-being domains. CONCLUSIONS Enamel fractures exert a negative impact on the OHRQoL of adolescents, suggesting that subjective measures should be incorporated in the evaluation of patients with this traumatic injury.
Collapse
Affiliation(s)
| | - Rita Azevedo Senna
- Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
| | - Fabiana Vargas-Ferreira
- Department of Social and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Vanessa Simas Braga
- Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
| | | | | |
Collapse
|
43
|
Randhawa SS, Marcenes W, Stansfeld SA, Bernabé E. Depressive symptoms and traumatic dental injuries among adolescents. Dent Traumatol 2019; 36:192-197. [PMID: 31667970 DOI: 10.1111/edt.12524] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 10/28/2019] [Accepted: 10/28/2019] [Indexed: 12/30/2022]
Abstract
BACKGROUND/AIM A previous cross-sectional study found that young adults with depression were more likely to have traumatic dental injuries (TDIs). The aim of this study was to determine the relationship between depressive symptoms during early and middle adolescence, and TDIs at age 15-16 years. METHOD This study used longitudinal data from phases 1 and 3 of the Research with East London Adolescents Community Health Survey (RELACHS), a school-based survey following a representative, multi-ethnic sample of adolescents attending public schools in East London (England). Information on depressive symptoms was collected using the Short Moods and Feelings Questionnaire (SMFQ) during early (age 11-12 years) and middle adolescence (age 15-16 years). TDIs were identified during clinical examinations in phase 3 when pupils were 15-16 years old. Logistic regression was used to test the association between depressive symptoms at different stages of adolescence and TDIs adjusting for confounders (age, gender, ethnicity, parental employment and overjet). RESULTS Depressive symptoms were reported by 24% and 32% of adolescents in early and middle adolescence, respectively. Evidence of TDIs was found in 18% of adolescents at age 15-16 years. Adolescents with depressive symptoms, either in early or middle adolescence, had greater odds of experiencing TDIs. However, these estimates were not statistically significant. In regression models adjusted for confounders, the odds of having TDIs were 1.23 (95% CI: 0.77-1.96) and 1.23 (95% CI: 0.76-1.95) among pupils with depressive symptoms in early and middle adolescence, respectively. CONCLUSION There was no association between depressive symptoms and TDIs in early and middle adolescents.
Collapse
Affiliation(s)
- Shanza S Randhawa
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Wagner Marcenes
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Stephen A Stansfeld
- Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Eduardo Bernabé
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| |
Collapse
|
44
|
Christensen RE, Baekgaard JS, Rasmussen LS. Dental injuries in relation to general anaesthesia-A retrospective study. Acta Anaesthesiol Scand 2019; 63:993-1000. [PMID: 31016717 DOI: 10.1111/aas.13378] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 03/07/2019] [Accepted: 03/08/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND Dental injuries may occur during general anaesthesia, especially during airway management. The aim of this study was to describe cases of dental injury related to general anaesthesia, focusing on the type and extent of the injuries as well as the timing of recognition. METHOD We reviewed the nationwide electronic database available at the Danish Patient Compensation Association and scrutinized all claims classified as possible dental injuries in relation to general anaesthesia between 2007 and 2017. RESULTS During the 10-year study period, there were 2523 claims for compensation related to anaesthesia. Of these, 552 (21.9%) were cases of possible dental injuries following general anaesthesia. The most commonly injured teeth were the central maxillary incisors with 174 (25.3%) cases related to the left and 118 (17.2%) cases related to the right incisor. The most common injuries were fractures (41.2%) and subluxations (25.9%). Airway management included the use of Macintosh laryngoscope in 296 (64.4%) cases and a supraglottic airway device in 69 (15%) cases. Claims were more frequently approved if more than two intubation attempts were used (100% vs 82.8%, RR = 0.83, 95% CI [0.78-0.88], P = 0.0037). Injuries recognized in-hospital were more frequently approved than injuries recognized after discharge (91.6% vs 70.7%, RR = 0.83, 95% CI [0.70-0.86], P < 0.0001). CONCLUSION The most commonly reported dental injury related to general anaesthesia in the Danish Patient Compensation Association database was a fracture. Claims were more frequently approved if more than two intubation attempts were used and if the injury was recognized in-hospital.
Collapse
Affiliation(s)
| | - Josefine S. Baekgaard
- Department of Anaesthesia Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen Copenhagen Denmark
| | - Lars S. Rasmussen
- Department of Anaesthesia Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen Copenhagen Denmark
| |
Collapse
|
45
|
de Amorim CS, Americano GCA, Moliterno LFM, de Marsillac MDWS, Andrade MRTC, Campos V. Frequency of crown and root dilaceration of permanent incisors after dental trauma to their predecessor teeth. Dent Traumatol 2018; 34:401-405. [PMID: 30117639 DOI: 10.1111/edt.12433] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 08/08/2018] [Accepted: 08/09/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIMS Dental trauma to the predecessor teeth can cause crown and root dilacerations to the successor teeth, which can interfere with the normal development of permanent teeth. The aims of this study were to verify the types of trauma more frequent to the predecessor teeth that cause dilaceration to their successor teeth, to determine the frequency of crown and root dilacerations in permanent incisors, taking into account the child's age at the time of trauma, and to describe the types of treatment performed. MATERIALS AND METHODS Details of 815 anterior primary teeth with dental injury were obtained from 483 dental records of children aged 0-9 years at the time of trauma. RESULTS Of 815 traumatized primary teeth, 161 successor teeth were clinically and radiographically reviewed until complete eruption and had some type of sequel. Avulsion and intrusive luxation were the most frequent types of trauma to the predecessor teeth that caused dilaceration to their successor teeth. Enamel discoloration (30.4%), hypoplasia (23.6%), root (14.3%) and crown (9.9%) dilacerations were the most common sequelae observed in the successor teeth. Root and crown dilacerations were more frequent in children aged more than and up to 3 years, respectively. Tooth extraction and orthodontic treatment were the most common treatments. CONCLUSIONS Dentists must be aware of the relationship between the child's age at the time of trauma to the predecessor tooth and the type of sequel to the successor tooth in order to diagnose, monitor, and treat the sequel properly.
Collapse
Affiliation(s)
- Camila Silva de Amorim
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | | | - Luiz Flávio Martins Moliterno
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | | | | | - Vera Campos
- Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil
| |
Collapse
|
46
|
Todero SRB, Cavalcante-Leão BL, Fraiz FC, Rebellato NLB, Ferreira FM. The association of childhood sleep problems with the prevalence of traumatic dental injury in schoolchildren. Dent Traumatol 2018; 35:41-47. [PMID: 30300474 DOI: 10.1111/edt.12448] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 10/01/2018] [Accepted: 10/02/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Sleep quality exerts an influence on attention level and motor skills and is associated with accidental injuries in children. The aim of this study was to evaluate the association between traumatic dental injury and sleep behaviour in children. MATERIAL AND METHODS A cross-sectional study was conducted in a small city in southern Brazil with a representative sample of schoolchildren aged 8-10 years (n = 537). Weight and height were measured, and examinations were performed for the determination of clinical occlusion and traumatic dental injury. The parents answered the Sleep Behaviour Questionnaire and questions addressing socio-demographic characteristics. RESULTS The prevalence of traumatic dental injury was 22% (95% CI: 19-26) and was higher among children who woke three to four times per night (PR = 3.30; 95% CI: 2.47-4.39), those who fell asleep in the parental bed (PR = 1.41; 95% CI: 1.09-1.83), those who were not in a good mood on waking up in the morning (PR = 1.30; 95% CI: 1.02-1.65), those who became sleepy while sitting and/or studying (PR = 1.57; 95% CI: 1.09-2.24) and while watching TV (PR = 1.41; 95% CI: 1.0005-1.97) and those who had bad dreams (PR = 1.35; 95% CI: 1.04-1.76). The Poisson multiple regression model with a multilevel approach revealed that the prevalence of traumatic dental injury was 1.51-fold higher among children with daytime drowsiness (PR = 1.51; 95% CI: 1.11-2.04) after adjusting for socio-demographic, occlusal and anthropometric variables. CONCLUSION Sleep problems were associated with a higher prevalence of traumatic dental injury among the children analysed.
Collapse
Affiliation(s)
- Sara R B Todero
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Bianca L Cavalcante-Leão
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.,Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Fabian C Fraiz
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Nelson L B Rebellato
- Department of Stomatology, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Fernanda M Ferreira
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| |
Collapse
|
47
|
Abstract
OBJECTIVE To explore the association between illicit drug use and traumatic dental injuries (TDI) among adolescents. METHOD We used data from 618 adolescents who participated in Phases I and III of Research with East Adolescents Community Health Survey (RELACHS), a longitudinal school-based study of adolescents in East London. Illicit drug use was collected when participants were 11-12 and 15-16 years old (Phases I and III, respectively). Clinical examinations for TDI were conducted in Phase III only. The association of lifetime prevalence of illicit drug use at ages 11-12 and 15-16 years with TDI was evaluated in crude and adjusted binary logistic regression models. RESULTS Overall, 6.3% and 25.4% of adolescents reported having ever used illicit drugs at ages 11-12 (Phase I) and 15-16 years (Phase III), respectively. Also, 8.7% of adolescents were found to have TDI at age 15-16 years. There was no significant association between lifetime prevalence of illicit drug use reported at age 11-12 years (Odds Ratio: 1.07; 95% Confidence Interval: 0.45-2.54) or age 15-16 years (OR: 1.19; 95%CI: 0.74-1.93) and TDI. CONCLUSION This study found no support for an association between illicit drug use and TDI among adolescents from East London.
Collapse
Affiliation(s)
- Mareeshty Damarasingh
- Division of Population and Patient Health, King’s College London Dental Institute at Guy’s, King’s College and St Thomas Hospitals, London, UK
| | - Wagner Marcenes
- Division of Population and Patient Health, King’s College London Dental Institute at Guy’s, King’s College and St Thomas Hospitals, London, UK
| | - Stephen A. Stansfeld
- Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Eduardo Bernabé
- Division of Population and Patient Health, King’s College London Dental Institute at Guy’s, King’s College and St Thomas Hospitals, London, UK
| |
Collapse
|
48
|
Borges TS, Chaffee BW, Kramer PF, Feldens EG, Vítolo MR, Feldens CA. Relationship between overweight/obesity in the first year of age and traumatic dental injuries in early childhood: Findings from a birth cohort study. Dent Traumatol 2018; 33:465-471. [PMID: 28965356 DOI: 10.1111/edt.12377] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2017] [Indexed: 01/19/2023]
Abstract
BACKGROUND/AIM The impact of traumatic dental injuries (TDI) in the primary dentition on oral health-related quality of life indicates the need for the planning of prevention strategies. The aim of this study was to assess whether anthropometric characteristics in early life are associated with TDI by preschool age. MATERIALS AND METHODS A birth cohort was recruited from the public healthcare system in the city of Porto Alegre, Brazil. Socio-demographic variables, type of birth, head circumference, weight, and length were collected at birth (WHO standards). Head circumference, body mass index for age, and height for age were collected at 12 months. TDI (Andreasen criteria) at three years of age (n = 458) were recorded by two examiners who had undergone training and calibration exercises. Multivariable analysis was carried out with Poisson regression with robust variance. RESULTS A total of 31.0% of the children (142/458) exhibited TDI at three years of age. In the final model, the risk of TDI was 47% higher among children with a smaller head circumference upon birth and nearly 60% higher among those who were overweight/obese at 12 months of age (RR: 1.58; 95% CI: 1.15-2.17). The risk of TDI was also significantly higher among boys (RR 1.50; 95% CI: 1.13-2.00), but the outcome was not significantly associated with socioeconomic variables or other anthropometric variables. CONCLUSION Overweight/obesity in early life is a risk factor for TDI in preschool children.
Collapse
Affiliation(s)
| | - Benjamin W Chaffee
- Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, USA
| | | | | | - Márcia Regina Vítolo
- Department of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
| | | |
Collapse
|
49
|
Díaz S, Vélez MP, Martínez LM, Ramos K, Boneckër M, Martins Paiva S, Abanto J. Parental perceptions of impact of oral disorders on Colombian schoolchildren's oral healthrelated quality of life. Acta Odontol Latinoam 2018; 31:82-90. [PMID: 30383071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
There is no study assessing the impact of dental caries (DC), dental fluorosis (DF) and traumatic dental injuries (TDI) on oral healthrelated quality of life (OHRQoL) in school children from Colombia. The purpose of this study was to assess the impact of DC, DF and TDI on Colombian schoolchildren´s OHRQoL using their parents as proxies. The parents of 338 children aged 6 to 14 years from public and private schools of Cartagena, Colombia answered the ParentalCaregiver Perception Questionnaire (PCPQ) on child's OHRQoL adapted to Colombian Spanish language and a socioeconomic questionnaire. Three calibrated examiners performed the clinical assessment for DC, DF and TDI. Poisson regression associated clinical and socioeconomic conditions to the outcome. Overall, 90.24% of parents reported children's oral impact (total PCPQ score ≥ 1). The mean (standard deviation) PCPQ scores were 12.49 (14.04). The multivariate adjusted model showed that children from public schools and who have dental caries experience (RR= 1.28; p=0.04 and RR= 1.37; p= 0.018, respectively) were more likely to experience negative impact on total PCPQ scores. DC was found to be associated to parentalcaregiver perception of impact on their children's oral healthrelated quality of life, but DF and TDI were not.
Collapse
Affiliation(s)
- Shyrley Díaz
- Universidad de Cartagena, Facultad de Odontología, Departamento de Odontología Preventiva y Social, Cartagena, Colombia.
| | - María Paula Vélez
- Universidad de Cartagena, Facultad de Odontología, Departamento de Odontología Preventiva y Social, Cartagena, Colombia
| | - Luz Mariela Martínez
- Universidad de Cartagena, Facultad de Odontología, Departamento de Odontología Preventiva y Social, Cartagena, Colombia
| | - Ketty Ramos
- Universidad de Cartagena, Facultad de Odontología, Departamento de Odontología Preventiva y Social, Cartagena, Colombia
| | - Marcelo Boneckër
- Universidade de São Paulo, Faculdade de Odontologia, Departamento de Odontopediatria, Sao Paulo, Brazil
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais, Faculdade de Odontologia, Departamento de Odontopediatria, Minas Gerais, Brazil
| | - Jenny Abanto
- Universidade de São Paulo, Faculdade de Odontologia, Departamento de Odontopediatria, Sao Paulo, Brazil
- Universidade de Sao Paulo, Faculdade de Saúde Pública, Sao Paulo, Brazil
| |
Collapse
|
50
|
Juneja P, Kulkarni S, Raje S. Prevalence of traumatic dental injuries and their relation with predisposing factors among 8-15 years old school children of Indore city, India. ACTA ACUST UNITED AC 2018; 91:328-335. [PMID: 30093813 PMCID: PMC6082603 DOI: 10.15386/cjmed-898] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Revised: 01/21/2018] [Accepted: 02/13/2018] [Indexed: 11/23/2022]
Abstract
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 3 mm, 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.
Collapse
Affiliation(s)
- Preene Juneja
- Department of Pediatric and Preventive Dentistry, Sri Aurobindo College of Dentistry, India
| | - Sadanand Kulkarni
- Department of Pediatric and Preventive Dentistry, Sri Aurobindo College of Dentistry, India
| | - Sapna Raje
- Department of Periodontics, Sri Aurobindo College of Dentistry, India
| |
Collapse
|