RESUMO
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
OBJECTIVES: To describe the use of open-source software for the post-processing of CBCT imaging for the assessment of periapical lesions development after endodontic treatment. METHODS: CBCT scans were retrieved from endodontic records of two patients. Three-dimensional virtual models, voxel counting, volumetric measurement (mm3) and mean intensity of the periapical lesion were performed with ITK-SNAP v. 3.0 software. Three-dimensional models of the lesions were aligned and overlapped through the MeshLab software, which performed an automatic recording of the anatomical structures, based on the best fit. Qualitative and quantitative analyses of the changes in lesions size after treatment were performed with the 3DMeshMetric software. RESULTS: The ITK-SNAP v. 3.0 showed the smaller value corresponding to the voxel count and the volume of the lesion segmented in yellow, indicating reduction in volume of the lesion after the treatment. A higher value of the mean intensity of the segmented image in yellow was also observed, which suggested new bone formation. Colour mapping and "point value" tool allowed the visualization of the reduction of periapical lesions in several regions. CONCLUSIONS: Researchers and clinicians in the monitoring of endodontic periapical lesions have the opportunity to use open-source software.
Assuntos
Tomografia Computadorizada de Feixe Cônico , Doenças Periapicais/diagnóstico por imagem , Doenças Periapicais/terapia , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tratamento do Canal Radicular , Feminino , Humanos , Imageamento Tridimensional , Masculino , Pessoa de Meia-Idade , Software , 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
Avulsão Dentária/terapia , Dentição Permanente , Primeiros Socorros , Humanos , Avulsão Dentária/diagnóstico , Reimplante Dentário/métodosRESUMO
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 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.