1,946 results match your criteria Dental Avulsed Tooth

Antibiotics at replantation of avulsed permanent teeth? A systematic review.

J Evid Based Dent Pract 2022 06 2;22(2):101706. Epub 2022 Mar 2.

Belgian Health Care Knowledge Centre, Brussels, Belgium.

Objectives: At present there is no clear consensus whether systemic antibiotics should be administered at replantation of an avulsed permanent tooth. This systematic review and meta-analysis assessed the evidence on effectiveness and harms of the administration of systemic antibiotics at replantation of avulsed permanent teeth.

Methods: In August 2020 a systematic literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, for systematic reviews, randomized controlled trials (RCT) and observational controlled studies in MEDLINE, PreMedline, Embase, and the Cochrane databases. Read More

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Fibrillin protein, a candidate for creating a suitable scaffold in PDL regeneration while avoiding ankylosis.

Kyoko Oka

Genesis 2022 Jun 9:e23486. Epub 2022 Jun 9.

Section of Pediatric Dentistry, Department of Oral Growth and Development, Oral Medicine Research Center, Fukuoka Dental College, Fukuoka, Japan.

The tooth is stabilized by fiber-rich tissue called the periodontal ligament (PDL). The narrow space of the PDL does not calcify in the physiological state even thought it exists between two calcified tissues, namely, the cementum of the root and alveolar bone. Two situations that require PDL regeneration are periodontitis and dental trauma. Read More

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Apparent missing tooth due to traumatic dental intrusion during airway management.

Anaesth Rep 2022 Jan-Jun;10(1):e12168. Epub 2022 Jun 3.

Department of Anaesthesia and Intensive Care Nehru Hospital Chandigarh India.

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Effect of systemic antibiotic therapy on pulp repair following extrusive luxation and avulsion in a murine model: A histomorphological study.

Dent Traumatol 2022 Jun 4. Epub 2022 Jun 4.

Surgery and Integrated Clinic, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, Brazil.

Background/aim: The evidence for any benefit of systemic antibiotic therapy on pulp survival following extrusive luxation and avulsion is inconclusive. The aim of this study was to evaluate the effect of systemic antibiotic therapy with amoxycillin and tetracycline for 7 days on different aspects of dental pulp repair in a murine model.

Material And Methods: The right maxillary incisor of 180 4 to 8-week-old male Wistar rats underwent extrusive luxation or avulsion. Read More

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What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses.

Healthcare (Basel) 2022 May 1;10(5). Epub 2022 May 1.

Division of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido 061-0293, Japan.

Background: Autotransplantation is the surgical repositioning of a tooth within the same patient. It can be thought of as the controlled avulsion and re-implantation of a tooth and can be a viable alternative to other dental rehabilitation options. This review aimed to evaluate the survival rate (SR), major complications such as ankylosis rate (AR) and infection-related root resorption (RR), and overall success and failure rate (FR) in autotransplanted teeth. Read More

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Treatment of an Avulsed and Ankylosed Incisor through Single Tooth Alveolar Osteotomy and Conventional Orthodontic Mechanisms.

Children (Basel) 2022 May 17;9(5). Epub 2022 May 17.

Private Orthodontic Practice, Ahilleos Kirou 74, 11525 Athens, Greece.

We present the treatment of an injured and avulsed incisor (which was afterwards ankylosed), by subapical osteotomy and conventional orthodontic mechanisms. A 9-year-old boy presented for orthodontic treatment with an injured and avulsed central incisor, which, after initial repositioning, ended up with ankylosis and severe root resorption. The case was treated by single tooth alveolar osteotomy and distraction osteogenesis through conventional orthodontics, advocating for the floating bone concept due to the short vertical distance by which the tooth alveolus part had to be relocated. Read More

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The status of knowledge, attitude and practice towards emergency management of avulsed tooth among dental students: A single center cross-sectional study.

J Pak Med Assoc 2022 Apr;72(4):721-724

Final Year BDS Student, Jinnah Medical and Dental College, Karachi, Pakistan.

Objective: To evaluate the awareness of emergency trauma management and the potential role of dentists in handling tooth avulsion injuries.

Methods: The cross-sectional study was conducted at the Dental Outpatients Department of Jinnah Medical and Dental College, Karachi, from December 2020 to March 2021, and comprised dentists and final year dental students of either gender. Data was collected using a 17-item questionnaire to assess the awareness level regarding the knowledge of traumatic dental emergencies and the role of a dentist in handling a traumatic tooth injury. Read More

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An Interdisciplinary Management of Avulsed Maxillary Incisors: A Case Report.

Cureus 2022 Apr 6;14(4):e23891. Epub 2022 Apr 6.

Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND.

The current case report presents a case of a road traffic accident comprising dental avulsion of maxillary incisors. A 30-year-old male reported missing teeth following trauma in his upper front tooth region. The avulsion of maxillary right central and lateral incisors along with laceration in upper and lower lips was evident. Read More

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Differential gene expression profiles of periodontal soft tissue from rat teeth after immediate and delayed replantation: a pilot study.

J Periodontal Implant Sci 2022 Apr;52(2):127-140

Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University, Seoul, Korea.

Purpose: In dental avulsion, delayed replantation usually has an uncertain prognosis. After tooth replantation, complex inflammatory responses promote a return to periodontal tissue homeostasis. Various types of cytokines are produced in the inflammatory microenvironment, and these cytokines determine the periodontal tissue response. Read More

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The Impact of Autologous Platelet Concentrates on the Periapical Tissues and Root Development of Replanted Teeth: A Systematic Review.

Materials (Basel) 2022 Apr 10;15(8). Epub 2022 Apr 10.

Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand.

Introduction: In many cases, the replanted teeth may undergo resorption or ankyloses. Recent studies show that autologous platelet concentrates (APCs) may improve the outcomes of tooth replantation. The aim of this systematic review was to summarize and critically appraise the currently available literature on the use of APCs before tooth replantation. Read More

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A Novel Approach to Repositioning and Stabilization of a Luxated Tooth With Displacement Using a 3D Printed Guide.

J Endod 2022 Apr 8. Epub 2022 Apr 8.

Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

The management of traumatic dental injury aims at functional and esthetic rehabilitation. After luxation injury, a displaced tooth must be replaced into its normal position as soon as possible. Incorrect tooth repositioning can cause discomfort to the patient and compromise the outcome. Read More

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[Expert consensus on stabilization with splint in traumatic dental injuries of permanent tooth].


Zhonghua Kou Qiang Yi Xue Za Zhi 2022 Apr;57(4):326-333

Stabilization with splint is an important surgical technology in traumatic dental injuries of permanent tooth. In order to standardize the clinical application of the technique and to improve the therapeutic effects of traumatic injured teeth, the Society of Stomatological Emergency, Chinese Stomatological Association organized relevant professional experts and put forward an expert consensus on the basis of considerable discussion. The contents of the present expert consensus covered indications for tooth fixation, material selection of splints and operation methods, applying to the treatment of tooth loosening, tooth displacement and tooth avulsion replantation caused by traumatic injuries. Read More

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Management of 3 Avulsed Permanent Teeth: Case Report of a 3-Year Follow-up.

Case Rep Dent 2022 16;2022:2081684. Epub 2022 Mar 16.

Department of Conservative Dentistry and Endodontics, School of Dentistry, Hassan II University of Casablanca, Morocco.

Dental avulsion is one of the most serious dental injuries. When the tooth is knocked out, the blood supply to the pulp is interrupted and the periodontal ligament cells are exposed to injuries caused by the external environment. In recent years, research findings have shown the possibility of complete healing under favorable conditions: replanting the tooth according to the criteria required by the guideline such as the extra oral time which should be very short, the time of pulp removal after replantation, and the appropriate storage medium. Read More

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An evaluation of efficacy of ViaSpan, gatorade solution, and propolis storage media for maintaining the periodontal ligament cell viability.

Ann Afr Med 2022 Jan-Mar;21(1):34-38

Department of Pediatric and Preventive Dentistry, Sharavathi Dental College, Shimoga, Karnataka, India.

Background: Replantation is a commonly performed method for avulsed tooth. A vital periodontal membrane (periodontal ligament [PDL]) is significant for the successful healing of replanted teeth. Hence, various storage media are used to preserve the viability of periodontal cells before replantation. Read More

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Replantation of a Iatrogenically Avulsed Mandibular Premolar Undergoing Orthodontic Therapy: A 5 Year Follow-Up.

J Clin Pediatr Dent 2022 Jan;46(1):20-23

******Nitesh Tewari, MDS, Additional Professor, Division of Pedodontics & Preventive Dentistry, Centre for Dental Education & Research, All India Institute of Medical Sciences.

The succedaneous permanent teeth develop in close proximity to primary teeth. They can get accidentally luxated or avulsed during the extraction of primary teeth. The purpose of this paper was to describe a case of a 14-year-old boy with an "iatrogenic avulsion" of an immature mandibular second premolar during the extraction of a primary mandibular second molar. Read More

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January 2022

Awareness of Dental Trauma Management among School Teachers in Dammam, Saudi Arabia.

Saudi J Med Med Sci 2022 Jan-Apr;10(1):49-55. Epub 2022 Jan 17.

Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Background: Children and young adolescents commonly suffer traumatic dental injuries. Teachers are frequently first responders and responsible for the initial management of the injury; the prognosis of a traumatized tooth is dependent on the initial management.

Aim: To evaluate intermediate school teachers' level of knowledge and attitudes toward dental trauma. Read More

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January 2022

Knowledge, attitude, and practice of Chennai school teachers on traumatic dental injuries management - A cross-sectional study.

J Conserv Dent 2021 Jul-Aug;24(4):364-368. Epub 2022 Jan 13.

Department of Conservative Dentistry and Endodontics, Sri Venkateswara Dental College and Hospital, Chennai, Tamil Nadu, India.

Aim: To assess the knowledge, attitude, and practice of traumatic dental injury (TDI) management among school teachers of Chennai.

Materials And Methods: Forty-seven schools were selected from various parts of Chennai for the cross-sectional survey by simple random sampling. Four hundred school teachers who participated were from 26 regular schools and 21 special schools. Read More

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January 2022

Influence of clinical factors, IL4 and IL6 genes polymorphisms in functional healing in late replantation.

Braz Dent J 2022 Jan-Feb;33(1):13-21

Department of Dentistry, Universidade Tuiuti do Paraná - UTP, Curitiba, PR, Brazil.

To investigate the genetic association in a sample of replanted teeth, it is necessary to observe the extreme phenotypes, such as, teeth that underwent functional healing and those extracted due to severe external root resorption. Thus, this study aimed to investigate the association of age of the patients, root development, storage media, and polymorphisms in the interleukin 4 (IL4) and interleukin 6 (IL6) genes with teeth that presented extreme outcomes, as functional healing or extraction, in a group whose replantation techniques did not follow the International Association of Dental Traumatology (IADT) 2012 guidelines. Forty-three avulsed and replanted teeth that did not follow IADT 2012 guidelines and underwent functional healing or were extracted were included. Read More

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Effect of Low-Level Er: YAG (2940 nm) laser irradiation on the photobiomodulation of mitogen-activated protein kinase cellular signaling pathway of rodent cementoblasts.

Front Biosci (Landmark Ed) 2022 02;27(2):62

AALZ-Aachen Dental Laser Center, RWTH Aachen University, 52074 Aachen, Germany.

Backgrounds: Dental avulsion due to trauma, especially in young patients, is a worldwide problem, requiring tooth replacement. Delayed replantation could cause tooth loss when the cementum is severely damaged. A small number of studies has reported that photobiomodulation (PBM) therapy using Er: YAG laser irradiation activates cellular signaling responses in different cell types, resulting in a variety of favorable biological effects. Read More

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February 2022

Quality and accuracy of patient-oriented Web-based information regarding tooth avulsion.

Dent Traumatol 2022 Feb 28. Epub 2022 Feb 28.

Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

Background/aim: Tooth avulsion (TA) is a severe form of traumatic dental injury. The tooth's prognosis depends on the immediate measures taken. First responders are often laypeople, and the Internet is a favored platform to access health-related information. Read More

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February 2022

A new direction in managing avulsed teeth: stem cell-based de novo PDL regeneration.

Stem Cell Res Ther 2022 01 28;13(1):34. Epub 2022 Jan 28.

Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN, USA.

Management of avulsed teeth after replantation often leads to an unfavorable outcome. Damage to the thin and vulnerable periodontal ligament is the key reason for failure. Cell- or stem cell-based regenerative medicine has emerged in the past two decades as a promising clinical treatment modality to improve treatment outcomes. Read More

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January 2022

Replacement Resorption in Children: The Root of All Evil?

Prim Dent J 2021 Dec;10(4):52-56

Consultant in Paediatric Dentistry, Birmingham, UK.

Replacement resorption is a common complicating factor in teeth that have been avulsed or intruded. Poor short- and long-term management of dental injuries in children can have a significant impact on a child's dental function, aesthetics and ultimately their quality of life. This article aims to provide clarity on the physiological process of replacement resorption, the clinical presentation and an overview of interceptive treatment that is available. Read More

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December 2021

IADT 2020 Guidelines: What should the dental professional know?

Prim Dent J 2021 Dec;10(4):95-99

Specialty Registrar in Paediatric Dentistry, King's College Hospital, London, UK.

Traumatic dental injuries are a common occurrence among children. Effective acute and long-term management of traumatic dental injuries can improve patient outcomes, especially in the paediatric patient. It is important that all dental professionals follow up-to-date, evidence-based guidance when treating patients. Read More

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December 2021

Developmental Dental Defects in Permanent Teeth Resulting from Trauma in Primary Dentition: A Systematic Review.

Int J Environ Res Public Health 2022 01 10;19(2). Epub 2022 Jan 10.

Department of Integrated Pediatric Dentistry, School of Dentistry, University of Murcia, Biomedical Research Institute of Murcia, 30008 Murcia, Spain.

The objective was to determine whether trauma in primary dentition causes alterations in the development of permanent dentition. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year of publication, were included. Read More

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January 2022

Odontoma malformation and disturbances of eruption subsequent to traumatic dental injuries: A literature review and a case report.

Dent Traumatol 2022 Apr 7;38(2):98-104. Epub 2022 Jan 7.

Section of Pediatric Dentistry, University of California Los Angeles School, Los Angeles, California, USA.

Due to the close proximity of the primary teeth with the developing permanent successors, several developmental alterations in the permanent successors have been reported as consequences of traumatic dental injuries to the primary dentition. When they occur at a very young age such trauma could disturb normal tooth development and cause rare anomalies, including sequestration of the permanent tooth germ and odontoma-like malformations. A literature review of case reports with a history of trauma and odontoma formation is discussed in this paper. Read More

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Aesthetic rehabilitation with immediate implant placement in anterior maxilla after traumatic avulsive injury: A case report.

J Pak Med Assoc 2021 Oct;71(10):2464-2466

Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Traumatic oral injuries present their own unique restorative challenges to the clinician due to their variable clinical presentation. In such cases, achieving optimum aesthetics and function in the maxillary aesthetic zone is challenging. This case report describes the rehabilitation of a patient with immediate implant placement after suffering trauma to the oral cavity resulting in a complete loss (avulsion) of a permanent central incisor tooth. Read More

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October 2021

Anterior Tooth Replacement of Avulsed Deciduous Tooth: Resin-Reinforced Fiber With Natural Tooth Pontic.

Cureus 2021 Nov 15;13(11):e19605. Epub 2021 Nov 15.

Emergency Medicine, DY Patil School of Medicine, Navi Mumbai, IND.

Sudden tooth loss can be a traumatic experience that affects a child psychologically and hampers social skills in today's world, in which appearances seem to matter from a young age. The child becomes afraid to smile freely. Besides appearances, missing anterior teeth can hamper clarity in speech. Read More

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November 2021

What is the impact of primary dental avulsion injuries on the permanent dentition?

Rachel Osborne

Evid Based Dent 2021 12 16;22(4):136-137. Epub 2021 Dec 16.

Newcastle Dental Hospital, Newcastle, NE2 4AZ, UK.

Design Retrospective cohort study.Cohort selection Records of 2,922 patients, who attended a reference centre between 1998 and 2019 with primary dental trauma and who had radiographs and photographs, were screened to identify primary dental avulsion injuries that were followed-up until complete eruption of the permanent successors. 240 records were eligible and 194 fulfilled the inclusion criteria. Read More

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December 2021

Dental and general injuries among ski and snowboard instructors in Switzerland, Germany, and Austria-A questionnaire-based study.

Clin Exp Dent Res 2022 02 14;8(1):37-44. Epub 2021 Dec 14.

Department of Oral Surgery and Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.

Objectives: Data on the injury rate of skiers and snowboarders are currently limited. The aim of this study was, therefore, to assess the frequency of general and dental injuries among snow sports instructors, to investigate the use of protective gear and mouthguards, and to evaluate snow sports instructors' dental first aid know-how.

Material And Methods: A questionnaire-based, cross-sectional study comprising 603 ski and snowboard instructors from Austria, Germany, and Switzerland was conducted in the timeframe December 2019 to May 2020. Read More

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February 2022

Present status and future directions: Endodontic management of traumatic injuries to permanent teeth.

Int Endod J 2021 Dec 4. Epub 2021 Dec 4.

Department of Conservative Dentistry and Periodontology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

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. Read More

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December 2021