Longitudinal study of severe traumatisms on primary teeth: clinical and radiographic complications
Abstract
The objective is to evaluate the frequency of trauma in primary teeth, the sequelae resulting from injuries involving the supporting tissues, as well as the association of these injuries with clinical and radiographic sequelae. This was a longitudinal clinical study, in which 342 traumatized teeth, assisted at the dental service of a public institution, were evaluated after the trauma and after 24 months. The data were submitted to a descriptive analysis and the Chi-square test (p≤0.05). The highest frequency of trauma occurred at age 24-35 months, the main etiological factor being the decrease of height (77.8%), male gender (59.5%), dental arch (96.5%), tooth 51 (43.1%); 70.6% had more than one affected tooth and 8.2% had a history of trauma; the most prevalent injury was lateral luxation (33.6%). In the proservation, there was an association between type of injury to the supporting tissue with the presence of radiographic sequelae (p = 0.02) and early loss (p = 0.01). In conclusion, the main sequelae observed were tooth crown discoloration and inflammatory root resorption and there was a significant association between the type of support tissue injury and the presence of radiographic sequelae and the early loss of the traumatized deciduous tooth.References
Mendoza-Mendoza A, Iglesias-Linares A, Yanez-Vico R., Abalos-Labruzzi C. Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe. Dental Traumatol. 2015;31(2):144-9.
Costa VPP, Goettems ML, Baldissera EZ, Bertoldi AD, Torriani DD. Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study. Braz Oral Res. 2016; 18;30(1): e89.
Assunção LRS, Cunha RF, Ferelle A. Análise dos traumatismos e suas seqüelas na dentição decídua: Uma Revisão da Literatura. Pesq Bras Odontoped Clin Integr. 2007;7(2):173-9.
Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with extrusive or lateral luxation - A retrospective cohort study. Dental Traumatol. 2017;33(4):307-316.
Jesus MA, Antunes LAA, Risso PA, Freire MV, Maia LC. Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil Braz Oral Res. 2010;24(1):89-94.
Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol. 2002;18(6):287-98.
Fracasso MLC, Santin GC, Terra GMO, Martioli G, Provenzano MGA, Camilo A, et al. Injúrias dentárias em dentes decíduos: Estudo longitudinal. Revista Saúde e Pesquisa. 2016;9(3):461-71.
Rodrigues I, Silva BS, Ceron LC, Lopes TS, Venante HS, Santin, GC, et al. Tratamento da luxação lateral em dentes decíduos - Importância da proservação. Braz J Surg Clin. Res 2017; 19(1):90-95.
Cardoso M, Rocha MJC. Federal University of Santa Catarina follow-up management routine for traumatized primary teeth – part 1. Dent Traumatol. 2004;20(6):307-13.
Amorim LFG, Costa LRRS, Estrela C. Retrospective study of traumatic dental injuries in primary teeth in a Brazilian specialized pediatric practice. Dent Traumatol. 2011;27(5):368-73.
Malmgren, B.; Andreasen, JO.; Flores, MT; Robertson, A; Diangellis, AJ. et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28(3):174-82.
Andreasen JO, Andreasen FM, Andersson L. Editors. Textbook and color atlas of traumatic injuries to the teeth, 4th edn. Oxford: Blackwell; 2007.
Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: A retrospective cohort study. Dent Traumatol. 2017;33(5):329-336.
Lauridsen E, Blanche P, Amaloo C, Andreasen JO. The risk of healing complications in primary teeth with concussion or subluxation injury - A retrospective cohort study. Dent Traumatol. 2017;33(5):337-344.
Kramer PF, Zembruski C, Ferreira SH, Feldens CA. Traumatic dental injury in Brazilian preschool children. Dent Traumatol. 2003;19(6):299-303.
Rocha VG, Jacomo DRES, Campos V, Moliterno FM. Frequência dos traumatismos na dentição decídua: Estudo longitudinal descritivo. Arq bras odontol. 2008; 4(1):3-10.
Losso EM, Tavares MCR, Bertoli FMP, Baratto-Filho F. Traumatismo dentoalveolar na dentição decídua. Revista Sul-Brasileira de Odontologia. 2011; 8(1): e1-20.
Holan G. Long-term effect of different treatment modalities for traumatized primary incisors presenting dark coronal discoloration with no other signs of injury. Dent Traumatol. 2006;22(1):14-7.
Holan G, Needleman H. Premature loss of primary anterior teeth due to trauma - potential short - and long-term sequelae. Review article. Dent Traumatol. 2014;30(2):100-6.
Qassem A, Martins NM, Costa VPP, Torriani DD, Pappen FG. Long-term clinical and radiographic follow up of subluxated and intruded maxillary primary anterior teeth. Dent Traumatol. 2015;31(1):57-61.
Tewari N, Pandey RK. Root hypoplasia: an unusual sequel to primary tooth trauma. Dent Traumatol. 2010;26(1):115-7.
Goettems ML, Brancher LC, Costa CT, Bonow MLM, Romano AR. Does dental trauma in the primary dentition increases the likelihood of trauma in the permanent dentition? A longitudinal study. Clin Oral Investig. 2017;21(8):2415-2420.
Qassem A, Goettems M, Torriani DD, Pappen FG. Radicular maturity level of primary teeth and its association with trauma sequelae. Dent Traumatol. 2014;30(3):227-31.
Andreasen JO, Andreasen FM, Andersson L. (Eds). (2013). Textbook and color atlas of traumatic injuries to the teeth. John Wiley & Sons.
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