RESUMO
Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
Assuntos
Odontologia/normas , Traumatismos Dentários/terapia , Dente Decíduo/lesões , Tratamento de Emergência/normas , Humanos , Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Traumatismos Dentários/classificação , Traumatismos Dentários/diagnósticoRESUMO
Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Adolescente , Processo Alveolar/lesões , Criança , Pré-Escolar , Consenso , Esmalte Dentário/lesões , Polpa Dentária/lesões , Dentina/lesões , Tratamento de Emergência , Humanos , Fraturas Maxilomandibulares/terapia , Radiografia , Avulsão Dentária/diagnóstico por imagem , Coroa do Dente/lesões , Fraturas dos Dentes/diagnóstico por imagem , Raiz Dentária/lesões , Adulto JovemRESUMO
Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals' opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of avulsed permanent teeth.
Assuntos
Tratamento de Emergência , Avulsão Dentária/terapia , Reimplante Dentário , Anestesia Local , Antibacterianos/administração & dosagem , Consenso , Dentição Permanente , Humanos , Soluções para Preservação de Órgãos , Contenções Periodontais , Tratamento do Canal Radicular , Autocuidado , Ápice Dentário/crescimento & desenvolvimento , Avulsão Dentária/cirurgiaRESUMO
BACKGROUND: Maternal periodontal disease has been associated with an increased risk of preterm birth and low birth weight. We studied the effect of nonsurgical periodontal treatment on preterm birth. METHODS: We randomly assigned women between 13 and 17 weeks of gestation to undergo scaling and root planing either before 21 weeks (413 patients in the treatment group) or after delivery (410 patients in the control group). Patients in the treatment group also underwent monthly tooth polishing and received instruction in oral hygiene. The gestational age at the end of pregnancy was the prespecified primary outcome. Secondary outcomes were birth weight and the proportion of infants who were small for gestational age. RESULTS: In the follow-up analysis, preterm birth (before 37 weeks of gestation) occurred in 49 of 407 women (12.0%) in the treatment group (resulting in 44 live births) and in 52 of 405 women (12.8%) in the control group (resulting in 38 live births). Although periodontal treatment improved periodontitis measures (P<0.001), it did not significantly alter the risk of preterm delivery (P=0.70; hazard ratio for treatment group vs. control group, 0.93; 95% confidence interval [CI], 0.63 to 1.37). There were no significant differences between the treatment and control groups in birth weight (3239 g vs. 3258 g, P=0.64) or in the rate of delivery of infants that were small for gestational age (12.7% vs. 12.3%; odds ratio, 1.04; 95% CI, 0.68 to 1.58). There were 5 spontaneous abortions or stillbirths in the treatment group, as compared with 14 in the control group (P=0.08). CONCLUSIONS: Treatment of periodontitis in pregnant women improves periodontal disease and is safe but does not significantly alter rates of preterm birth, low birth weight, or fetal growth restriction. (ClinicalTrials.gov number, NCT00066131 [ClinicalTrials.gov].).
Assuntos
Raspagem Dentária , Doenças Periodontais/terapia , Complicações na Gravidez/terapia , Resultado da Gravidez , Nascimento Prematuro/prevenção & controle , Adulto , Peso ao Nascer , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Recém-Nascido Pequeno para a Idade Gestacional , Doenças Periodontais/complicações , Gravidez , Nascimento Prematuro/epidemiologia , Aplainamento Radicular , Falha de TratamentoRESUMO
AIM: Determine whether periodontitis progression during pregnancy is associated with adverse birth outcomes. METHODS: We used clinical data and birth outcomes from the Obstetrics and Periodontal Therapy Study, in which randomly selected women received periodontal treatment before 21 weeks of gestation (N=413) or after delivery (410). Birth outcomes were available for 812 women and follow-up periodontal data for 722, including 75 whose pregnancies ended <37 weeks. Periodontitis progression was defined as >or=3 mm loss of clinical attachment. Birth outcomes were compared between non-progressing and progressing groups using the log rank and t tests, separately in all women and in untreated controls. RESULTS: The distribution of gestational age at the end of pregnancy (p>0.1) and mean birthweight (3295 versus 3184 g, p=0.11) did not differ significantly between women with and without disease progression. Gestational age and birthweight were not associated with change from baseline in percentage of tooth sites with bleeding on probing or between those who did versus did not progress according to a published definition of disease progression (p>0.05). CONCLUSIONS: In these women with periodontitis and within this study's limitations, disease progression was not associated with an increased risk for delivering a pre-term or a low birthweight infant.
Assuntos
Periodontite/complicações , Periodontite/terapia , Nascimento Prematuro/etiologia , Raspagem Dentária , Progressão da Doença , Feminino , Idade Gestacional , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Periodontite/fisiopatologia , Pré-Eclâmpsia/fisiopatologia , Gravidez , Complicações na Gravidez/terapia , Modelos de Riscos Proporcionais , Risco , Método Simples-CegoRESUMO
BACKGROUND: Our previous studies reported on the obstetric, periodontal, and microbiologic outcomes of women participating in the Obstetrics and Periodontal Therapy (OPT) Study. This article describes the systemic antibody responses to selected periodontal bacteria in the same patients. METHODS: Serum samples, obtained from pregnant women at baseline (13 to 16 weeks; 6 days of gestation) and 29 to 32 weeks, were analyzed by enzyme-linked immunosorbent assay for serum immunoglobulin G (IgG) antibody to Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans), Campylobacter rectus, Fusobacterium nucleatum, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia (previously T. forsythensis), and Treponema denticola. RESULTS: At baseline, women who delivered live preterm infants had significantly lower total serum levels of IgG antibody to the panel of periodontal pathogens (P = 0.0018), to P. gingivalis (P = 0.0013), and to F. nucleatum (P = 0.0200) than women who delivered at term. These differences were not significant at 29 to 32 weeks. Changes in IgG levels between baseline and 29 to 32 weeks were not associated with preterm birth when adjusted for treatment group, clinical center, race, or age. In addition, delivery of low birth weight infants was not associated with levels of antibody at baseline or with antibody changes during pregnancy. CONCLUSIONS: Live preterm birth is associated with decreased levels of IgG antibody to periodontal pathogens in women with periodontitis when assessed during the second trimester. Changes in IgG antibody during pregnancy are not associated with birth outcomes.
Assuntos
Anticorpos Antibacterianos/imunologia , Periodontite/imunologia , Complicações na Gravidez/imunologia , Resultado da Gravidez , Aborto Espontâneo/imunologia , Adolescente , Adulto , Aggregatibacter actinomycetemcomitans/imunologia , Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/imunologia , Bacteroides/imunologia , Campylobacter rectus/imunologia , Feminino , Seguimentos , Fusobacterium nucleatum/imunologia , Humanos , Imunoglobulina G/sangue , Recém-Nascido de Baixo Peso , Recém-Nascido , Periodontite/sangue , Periodontite/microbiologia , Porphyromonas gingivalis/imunologia , Gravidez , Complicações na Gravidez/sangue , Segundo Trimestre da Gravidez , Nascimento Prematuro/imunologia , Prevotella intermedia/imunologia , Natimorto , Treponema denticola/imunologia , Adulto JovemRESUMO
BACKGROUND: A recent clinical trial (Obstetrics and Periodontal Therapy [OPT] Study) demonstrated that periodontal therapy during pregnancy improved periodontal outcomes but failed to impact preterm birth. The present study evaluated seven target bacteria, Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans), Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia (previously T. forsythensis), Prevotella intermedia, Campylobacter rectus, and Fusobacterium nucleatum, in subgingival dental plaque of pregnant women in the OPT Study and their association with birth outcomes. METHODS: Pregnant women were randomly assigned to receive periodontal treatment before 21 weeks' gestation or after delivery. Subgingival plaque was sampled at baseline (13 to 16 weeks; 6 days of gestation) and at 29 to 32 weeks. We analyzed subgingival plaque samples from women who experienced fetal loss, delivered a live preterm infant (preterm women), or delivered a full-term infant (full-term women). Samples were analyzed using quantitative polymerase chain reaction. Associations between preterm birth and bacterial counts and percentages were tested using multiple linear regression. RESULTS: No significant differences were observed at baseline between preterm and full-term women for any measured bacterial species or group of species, after accounting for multiple comparisons. Changes in bacterial counts and proportions during pregnancy also were not associated with birth outcomes. In full-term and preterm women, periodontal therapy significantly reduced (P <0.01) counts of all target species except for A. actinomycetemcomitans. CONCLUSIONS: In pregnant women with periodontitis, non-surgical periodontal therapy significantly reduced levels of periodontal pathogens. Baseline levels of selected periodontal pathogens or changes in these bacteria resulting from therapy were not associated with preterm birth.
Assuntos
Parto , Periodontite/microbiologia , Complicações na Gravidez/microbiologia , Resultado da Gravidez , Aborto Espontâneo/microbiologia , Aggregatibacter actinomycetemcomitans/isolamento & purificação , Bacteroides/isolamento & purificação , Campylobacter rectus/isolamento & purificação , Contagem de Colônia Microbiana , Parto Obstétrico , Placa Dentária/microbiologia , Raspagem Dentária , Feminino , Seguimentos , Fusobacterium nucleatum/isolamento & purificação , Idade Gestacional , Humanos , Bolsa Periodontal/microbiologia , Periodontite/terapia , Porphyromonas gingivalis/isolamento & purificação , Gravidez , Complicações na Gravidez/terapia , Nascimento Prematuro , Prevotella intermedia/isolamento & purificação , Aplainamento Radicular , Natimorto , Nascimento a Termo , Treponema denticola/isolamento & purificaçãoRESUMO
BACKGROUND: Although clinicians generally consider it safe to provide dental care for pregnant women, supporting clinical trial evidence is lacking. This study compares safety outcomes from a trial in which pregnant women received scaling and root planing and other dental treatments. METHODS: The authors randomly assigned 823 women with periodontitis to receive scaling and root planing, either at 13 to 21 weeks' gestation or up to three months after delivery. They evaluated all subjects for essential dental treatment (EDT) needs, defined as the presence of moderate-to-severe caries or fractured or abscessed teeth; 351 women received complete EDT at 13 to 21 weeks' gestation. The authors used Fisher exact test and a propensity-score adjustment to compare rates of serious adverse events, spontaneous abortions/stillbirths, fetal/congenital anomalies and preterm deliveries (<37 weeks' gestation) between groups, according to the provision of periodontal treatment and EDT. RESULTS: Rates of adverse outcomes did not differ significantly (P> .05) between women who received EDT and those who did not require this treatment, or between groups that received both EDT and periodontal treatment, either EDT or periodontal treatment alone, or no treatment. Use of topical or local anesthetics during root planing also was not associated with an increased risk of experiencing adverse outcomes. CONCLUSIONS: EDT in pregnant women at 13 to 21 weeks' gestation was not associated with an increased risk of experiencing serious medical adverse events or adverse pregnancy outcomes. Data from larger studies and from groups with other treatment needs are needed to confirm the safety of dental care in pregnant women. CLINICAL IMPLICATIONS: This study provides evidence that EDT and use of topical and local anesthetics are safe in pregnant women at 13 to 21 weeks' gestation.
Assuntos
Assistência Odontológica , Raspagem Dentária , Resultado da Gravidez , Gravidez , Aplainamento Radicular , Segurança , Aborto Espontâneo/etiologia , Abscesso/terapia , Adulto , Anestésicos Locais/administração & dosagem , Estudos de Coortes , Anormalidades Congênitas/etiologia , Cárie Dentária/terapia , Feminino , Seguimentos , Idade Gestacional , Humanos , Avaliação das Necessidades , Periodontite/terapia , Complicações na Gravidez/terapia , Nascimento Prematuro/etiologia , Natimorto , Doenças Dentárias/terapia , Fraturas dos Dentes/terapiaRESUMO
Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals' opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate orurgent care of avulsed permanent teeth.
Assuntos
Avulsão Dentária/terapia , Dentição Permanente , Primeiros Socorros , Humanos , Avulsão Dentária/diagnóstico , Reimplante Dentário/métodosRESUMO
Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Dente Decíduo/lesões , Criança , Pré-Escolar , Humanos , Avulsão Dentária/diagnóstico , Fraturas dos Dentes/diagnósticoRESUMO
Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Adolescente , Criança , Dentição Permanente , Humanos , Avulsão Dentária/diagnóstico , Fraturas dos Dentes/diagnóstico , Adulto JovemRESUMO
Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Dente Decíduo/lesões , Criança , Pré-Escolar , Serviços Médicos de Emergência , Humanos , Lactente , Avulsão Dentária/diagnóstico , Fraturas dos Dentes/diagnóstico , Resultado do TratamentoRESUMO
Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Adolescente , Criança , Medicina Baseada em Evidências , Feminino , Humanos , Masculino , Avulsão Dentária/diagnóstico , Fraturas dos Dentes/diagnóstico , Estados Unidos , Adulto JovemRESUMO
Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals' opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate orurgent care of avulsed permanent teeth.
Assuntos
Dentição Permanente , Avulsão Dentária/diagnóstico , Avulsão Dentária/terapia , Adolescente , Adulto , Criança , Serviços Médicos de Emergência , Medicina Baseada em Evidências , Primeiros Socorros , Humanos , Reimplante Dentário , Adulto JovemRESUMO
BACKGROUND: Dens evaginatus, or DE, is an uncommon dental anomaly, in which an extra cusp or tubercle protrudes from the occlusal surface of posterior teeth, as well as the lingual surface of anterior teeth. Tubercles frequently are susceptible to fractures and pulpal complications. CASE DESCRIPTION: A 9-year-old Hispanic girl presented for six emergency visits over a five-week period. Her chief complaint was of pain associated with a maxillary primary second premolar. Clinically, the tooth appeared to be noncarious, but it had an abnormal-appearing root. It was extracted after the patient presented with a left facial cellulitis. CLINICAL IMPLICATIONS: DE often challenges the practitioner with its frequent and early pulpal complications. The signs and symptoms in this case resulted in a difficult diagnosis and limited treatment options.
Assuntos
Dente Pré-Molar/anormalidades , Dente Decíduo/anormalidades , Criança , Cárie Dentária/etiologia , Esmalte Dentário/anormalidades , Necrose da Polpa Dentária/complicações , Feminino , Humanos , Abscesso Periapical/complicações , Fraturas dos Dentes/etiologia , Raiz Dentária/anormalidadesRESUMO
BACKGROUND: Some maternal infections are associated with impaired infant cognitive and motor performance. Periodontitis results in frequent bacteremia and elevated serum inflammatory mediators. OBJECTIVE: The purpose of this study was to determine if periodontitis treatment in pregnant women affects infant cognitive, motor, or language development. METHODS: Children born to women who had participated in a previous trial were assessed between 24 and 28 months of age by using the Bayley Scales of Infant and Toddler Development (Third Edition) and the Preschool Language Scale (Fourth Edition). Information about the pregnancy, neonatal period, and home environment was obtained through chart abstractions, laboratory test results, and questionnaires. We compared infants born to women treated for periodontitis before 21 weeks' gestation (treatment group) or after delivery (controls). In unadjusted and adjusted analyses, associations between change in maternal periodontal condition during pregnancy and neurodevelopment scores were tested by using Student's t tests and linear regression. RESULTS: A total of 411 of 791 eligible mother/caregiver-child pairs participated. Thirty-seven participating children (9.0%) were born at <37 weeks' gestation. Infants in the treatment and control groups did not differ significantly for adjusted mean cognitive (90.7 vs 91.4), motor (96.8 vs 97.2), or language (92.2 vs 92.1) scores (all P > .5). Results were similar in adjusted analyses. Children of women who experienced greater improvements in periodontal health had significantly higher motor and cognitive scores (P = .01 and .02, respectively), although the effect was small (â¼1-point increase for each SD increase in the periodontal measure). CONCLUSION: Nonsurgical periodontitis treatment in pregnant women was not associated with cognitive, motor, or language development in these study children.
Assuntos
Transtornos Cognitivos/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Transtornos das Habilidades Motoras/epidemiologia , Periodontite/diagnóstico , Periodontite/terapia , Complicações Infecciosas na Gravidez/diagnóstico , Adulto , Desenvolvimento Infantil/fisiologia , Pré-Escolar , Transtornos Cognitivos/etiologia , Deficiências do Desenvolvimento/etiologia , Deficiências do Desenvolvimento/fisiopatologia , Feminino , Idade Gestacional , Humanos , Incidência , Desenvolvimento da Linguagem , Modelos Lineares , Masculino , Bem-Estar Materno , Transtornos das Habilidades Motoras/etiologia , Transtornos das Habilidades Motoras/fisiopatologia , Análise Multivariada , Saúde Bucal , Periodontite/complicações , Gravidez , Medição de Risco , Índice de Gravidade de DoençaRESUMO
BACKGROUND: The purposes of this study were to determine: 1) if periodontal treatment in pregnant women before 21 weeks of gestation alters levels of inflammatory mediators in serum; and 2) if changes in these mediators are associated with birth outcomes. METHODS: A total of 823 pregnant women with periodontitis were randomly assigned to receive scaling and root planing before 21 weeks of gestation or after delivery. Serum obtained between 13 and 16 weeks, 6 days (study baseline) and 29 to 32 weeks of gestation was analyzed for C-reactive protein; prostaglandin E(2); matrix metalloproteinase-9; fibrinogen; endotoxin; interleukin (IL)-1 beta, -6, and -8, and tumor necrosis factor-alpha. Cox regression, multiple linear regression, and the t, chi(2), and Fisher exact tests were used to examine associations among the biomarkers, periodontal treatment, and gestational age at delivery and birth weight. RESULTS: A total of 796 women had baseline serum data, and 620 women had baseline and follow-up serum and birth data. Periodontal treatment did not significantly alter the level of any biomarker (P >0.05). Neither baseline levels nor the change from baseline in any biomarker were significantly associated with preterm birth or infant birth weight (P >0.05). In treatment subjects, the change in endotoxin was negatively associated with the change in probing depth (P <0.05). CONCLUSIONS: Non-surgical mechanical periodontal treatment in pregnant women, delivered before 21 weeks of gestation, did not reduce systemic (serum) markers of inflammation. In pregnant women with periodontitis, levels of these markers at 13 to 17 weeks and 29 to 32 weeks of gestation were not associated with infant birth weight or a risk for preterm birth.
Assuntos
Mediadores da Inflamação/sangue , Periodontite/terapia , Complicações na Gravidez/sangue , Resultado da Gravidez , Adolescente , Adulto , Peso ao Nascer , Proteína C-Reativa/análise , Raspagem Dentária , Dinoprostona/sangue , Endotoxinas/sangue , Feminino , Fibrinogênio/análise , Seguimentos , Idade Gestacional , Humanos , Recém-Nascido , Interleucina-1beta/sangue , Interleucina-6/sangue , Interleucina-8/sangue , Metaloproteinase 9 da Matriz/sangue , Periodontite/sangue , Gravidez , Complicações na Gravidez/terapia , Nascimento Prematuro/sangue , Fatores de Risco , Aplainamento Radicular , Fator de Necrose Tumoral alfa/sangue , Adulto JovemRESUMO
Avulsion of permanent teeth is the most serious of all dental injuries. The prognosis depends on the measures taken at the place of accident or the time immediately after the avulsion. Replantation is the treatment of choice, but cannot always be carried out immediately. An appropriate emergency management and treatment plan is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases in which the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence based on literature research and professional opinion. In this second article of three, the IADT Guidelines for management of avulsed permanent teeth are presented.
Assuntos
Avulsão Dentária/terapia , Adolescente , Criança , Teste da Polpa Dentária , Primeiros Socorros , Humanos , Odontogênese/fisiologia , Cooperação do Paciente , Educação de Pacientes como Assunto , Exame Físico , Tratamento do Canal Radicular , Contenções , Fatores de Tempo , Ápice Dentário/fisiopatologia , Avulsão Dentária/cirurgia , Reimplante Dentário/métodos , Resultado do TratamentoRESUMO
Crown fractures and luxations occur most frequently of all dental injuries. An appropriate treatment plan after an injury is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence, based on literature research and professional opinion. In this first article of three, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.
Assuntos
Avulsão Dentária/terapia , Fraturas dos Dentes/terapia , Processo Alveolar/lesões , Colagem Dentária , Teste da Polpa Dentária , Dentição Permanente , Fixação de Fratura , Fraturas Ósseas/terapia , Humanos , Contenções Periodontais , Avulsão Dentária/diagnóstico , Coroa do Dente/lesões , Fraturas dos Dentes/diagnóstico , Raiz Dentária/lesõesRESUMO
Trauma to the primary dentition present special problems and the management is often different as compared with permanent teeth. An appropriate emergency treatment plan is important for a good prognosis. Guidelines are useful for delivering the best care possible in an efficient manner. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases in which the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the current best evidence based on literature research and professional opinion. In this third article out of three, the IADT Guidelines for the management of traumatic injuries in the primary dentition, are presented.