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1.
BMJ Case Rep ; 14(1)2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33509889

RESUMEN

Electronic cigarettes (also known as e-cigarettes or electronic nicotine delivery systems) were invented in China in 2003 then introduced to the British market in 2007. They remain popular among the public and are deemed to be effective in reducing tobacco smoking (the UK being one of the first countries to embrace them in a harm reduction policy). However, reports in the media of e-cigarettes exploding are of concern, considering the potential functional and psychological impairment that lifelong disfigurement will cause, especially given their uptake among people of any age. We present a case of this rare, but dramatic, effect of e-cigarette use as a warning to the public.


Asunto(s)
Quemaduras/etiología , Sistemas Electrónicos de Liberación de Nicotina , Explosiones , Fracturas Conminutas/etiología , Fracturas Maxilares/etiología , Fracturas de los Dientes/etiología , Fracturas Conminutas/diagnóstico por imagen , Humanos , Imagenología Tridimensional , Masculino , Fracturas Maxilares/diagnóstico por imagen , Traumatismos Maxilofaciales/diagnóstico por imagen , Traumatismos Maxilofaciales/etiología , Mucosa Bucal/lesiones , Tomografía Computarizada por Rayos X , Fracturas de los Dientes/diagnóstico por imagen , Traumatismos de los Dientes/diagnóstico por imagen , Traumatismos de los Dientes/etiología , Raíz del Diente/lesiones , Adulto Joven
2.
Dent Traumatol ; 37(1): 4-16, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33350579

RESUMEN

The life and professional contributions to dental traumatology of Dr. Jens Ove Andreasen are described in terms of his research, writing, teaching, and leadership.


Asunto(s)
Avulsión de Diente , Fracturas de los Dientes , Traumatismos de los Dientes , Traumatología , Humanos , Traumatismos de los Dientes/terapia , Reimplante Dental
3.
Rev. Asoc. Odontol. Argent ; 108(3): 143-152, dic. 2020. ilus
Artículo en Español | LILACS | ID: biblio-1147970

RESUMEN

Las fuerzas ejercidas durante el tratamiento ortodóncico son consideradas un tipo particular de traumatismo dental. El movimiento ortodóncico de una pieza dentaria puede producir inflamación o necrosis pulpar y reabsorción radicular. Estos efectos colaterales indeseables son difíciles de tratar, especialmente cuando las fuerzas aplicadas son excesivas y no controladas. Diferentes estudios han evaluado el impacto de las fuerzas excesivas durante el movimiento dentario. Sin embargo, los resultados son confusos y contradictorios. La predisposición genética y la variabilidad biológica individual de los pacientes son factores importantes que deben ser tenidos en cuenta. Por eso es necesario contar con una historia clínica completa, utilizar imágenes 3D y realizar diferentes pruebas clínicoradiográficas con el fin de obtener información precisa acerca del diagnóstico, la indicación de tratamiento y el posible pronóstico a distancia. El objetivo de este artículo es realizar una revisión de la patología pulpar y la reabsorción radicular en relación con el tratamiento ortodóncico (AU)


Orthodontic forces are recognised as a particular type of dental trauma. During orthodontic tooth movement, the occurrence of pulp inflammation or necrosis and subsequent root resorption are undesirable side effects that are difficult to treat, especially when uncontrolled excessive forces are applied. Several studies have evaluated the impact of excessive forces during teeth movement. However their results are confused and contradictory. Genetic disposition and individual biological variability are important factors that must be always considered. Therefore, a complete clinical history, the use of 3D images along with different clinical and radiographic diagnostic methods are necessary to provide accurate diagnosis and prognosis of the treatment. The objective of this article is to review the possibility of pulp pathology and root resorption related to orthodontic treatment (AU)


Asunto(s)
Resorción Radicular , Técnicas de Movimiento Dental , Enfermedades de la Pulpa Dental , Pronóstico , Traumatismos de los Dientes , Necrosis de la Pulpa Dental
4.
J Clin Pediatr Dent ; 44(6): 429-435, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33378467

RESUMEN

OBJECTIVES: To compare the prevalence of parafunctional habits, erosive tooth wear and occurrence of tooth injuries among children being under the care of Social Welfare Centre and children treated in the Department of Children's Dentistry of the Medical University of Warsaw. STUDY DESIGN: The study contains environmental and medical interviews, record-based analysis and clinical examination. Parafunctional habits were rated on the base of dental interviews and clinical examinations. The occlusal surfaces were evaluated by visual examination using modified tooth wear index (TWI). Tooth injuries were reported from a medical interview labeled using Andreasen classification. The consent of the bioethics committee and guardians of children participated in the study was obtained. RESULTS: The study involved 782 patients, including 404 children from dysfunctional families (average age 11,4 ± 3,7) and 378 from ordinary families-control group (8,53 ± 3,92). In the study group we observed higher prevalence of erosive tooth wear (44,66% vs 18,02% p=0,000), dental trauma (9,4% vs 3,44% p=0,001) and a presence of parafunctional habits (67,8% vs 20,4 % p=0,000). CONCLUSION: The occurrence of parafunctional habits, erosive tooth wear and tooth injuries may be an indicator of domestic violence and a component of maltreated child syndrome.


Asunto(s)
Violencia Doméstica , Erosión de los Dientes , Traumatismos de los Dientes , Desgaste de los Dientes , Adolescente , Niño , Hábitos , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Traumatismos de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
5.
Prog Orthod ; 21(1): 41, 2020 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-33164157

RESUMEN

PURPOSE: The aim of this longitudinal prospective study was to evaluate if schoolchildren with large overjet experience a greater risk of traumatic dental injuries (TDI) compared to children with normal or small overjet. METHODS: A sample of children aged 6­13 years was prospectively evaluated after 1 year: from the initial sample, data concerning trauma cases of 1413 children were collected to determine the number and types of injuries, the influence of overjet on the risk of TDI, and the relationships between trauma, age, and gender. RESULTS: The observed prevalence of trauma was higher for boys, with the largest frequency between the ages of 8 to 12 years: 67.9% of all injuries were hard tissue injuries and 32.1% subluxation and luxation injuries. Children with an overjet of 6 mm or more showed a statistically increased risk of getting trauma [RR = 3.37 with CI (1.81; 6.27)]. CONCLUSION: In this prospective study, overjet stood out among variables as the most significant risk factor of TDI: an increased overjet of 6 mm or more had a major impact on the risk of trauma, which would speak in favor of early orthodontic correction of an increased overjet to reduce the prevalence of dental trauma.


Asunto(s)
Traumatismos de los Dientes , Niño , Estudios Transversales , Humanos , Estudios Longitudinales , Masculino , Prevalencia , Estudios Prospectivos , Factores de Riesgo , Traumatismos de los Dientes/epidemiología
6.
Indian J Dent Res ; 31(4): 601-614, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33107464

RESUMEN

Objective: The aim of this systematic review and meta-analysis was to estimate the prevalence of traumatic dental injuries (TDI) in India. The secondary objective was to evaluate the prevalence rate according to the differences in gender, age, regions, type of TDI and risk factors associated with TDI. Methods: The PubMed, LILACS, Web of Science, Cochrane, CINHAL, and Scopus databases, along with the Public Health Electronic Library, TRoPHI and DoPHER were searched from 1st March to 15thApril 2019 without any restriction of language and year of publication. The qualitative synthesis was done regarding the demographics, study methods, cause of trauma, geographic location, increased overjet and inadequate lip coverage. The meta-analysis was undertaken with STATA-14 software (USA). The pooled prevalence of TDI was calculated using data extracted from 48 studies included in qualitative synthesis and meta-analysis. A sub-group meta-analysis was done by extraction of the data for age groups of 6 years and >6 years. Results: The pooled prevalence of TDI in Indian population was 13 cases in 100 individuals. The prevalence of TDI for age groups of ≤6 was 15% (males, 15%; females, 16%) and for >6 years was 12% (males, 13%; females, 8%). The most common cause of TDI was falls, and most frequent location was home. The odds ratio for occurrence of TDI and inadequate lip-coverage was 3.35 and overjet greater than 3 mm was 3.53. Conclusions: The pooled prevalence of TDI was 13% and slightly higher in children less than 6 years of age. Inadequate lip coverage and increased overjet are the risk factors associated with TDI. Heterogeneity was observed among the studies in terms of design, variables recorded, sampling, study methods and statistical methods. Majority of them also suffered from moderate to high risk of bias.


Asunto(s)
Sobremordida , Traumatismos de los Dientes , Accidentes por Caídas , Niño , Femenino , Humanos , India/epidemiología , Masculino , Prevalencia , Traumatismos de los Dientes/epidemiología
7.
J Indian Soc Pedod Prev Dent ; 38(3): 216-221, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004718

RESUMEN

Aim: According to the WHO, 16%-40% of children aged 6-12 years experience dental traumas. Long-term treatment success depends on immediate emergency care and early professional management after the injury occurred. The primary school teachers can play a crucial role in managing traumatic dental injuries (TDIs) because they are often in proximity to children and often need to assist when dental trauma occurs. The aim of the present study was to assess primary school teachers' knowledge and attitude regarding TDI and describe their behavior in emergency situations. Materials and Methods: A four-part anonymous questionnaire comprised questions on demographic data, attitude, knowledge toward TDI, and behavior in case of accident and self-assessment questions were distributed among 147 teachers from 16 schools. The data were obtained from 106 participants (72.1%). The Kruskal-Wallis and independent t-tests served for statistical analysis. Results: More than half of teachers (56.6%) have witnessed TDI. Almost all respondents (94.3%) indicated that in case of dental trauma is important to take emergency management as soon as possible. However, two-thirds of them (75.5%) thought that teachers cannot provide appropriate emergency management in case of TDI. In addition, teachers had little knowledge regarding TDI and the proper emergency management: 91.3% of participants do not know the right storage media for the avulsed tooth, 40.6% have thought that tooth replantation is impossible, and 17.1% would throw an avulsed tooth away, when it fells on the ground. Conclusion: The study revealed inappropriate knowledge and attitude regarding TDI among primary school teachers and their behavior in first-aid management.


Asunto(s)
Avulsión de Diente/terapia , Traumatismos de los Dientes/terapia , Niño , Conocimientos, Actitudes y Práctica en Salud , Humanos , Maestros , Instituciones Académicas
8.
Rev. Cient. CRO-RJ (Online) ; 5(1): 58-63, Jan.-Apr. 2020.
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1130177

RESUMEN

The purpose of this case report was to describe the surgical exposure and orthodontic management of an unerupted and ectopic maxillary right central incisor after trauma to the primary predecessor. Case report: An 11-year-old girl was referred to the Pediatric Dentistry Clinic due to eruption failure of the maxillary right central incisor. Radiographs showed the impacted central incisor located below the anterior nasal spine and its apex parallel to the palatal plane and the presence of an odontoma. General surgery was performed to remove the odontoma and two perforations in the crown of the impacted tooth were made to carry out orthodontic traction. Correct alignment was achieved after 18 months and no significant clinical or radiographic alterations were founded. Conclusion: The orthodontic management was performed successfully, and a positive esthetic outcome combined with adequate occlusion demonstrated the satisfactory results of this case.


Objetivo: O objetivo deste relato de caso foi descrever a exposição cirúrgica e o tratamento ortodôntico de um incisivo central superior direito ectópico e não irrompido após trauma do predecessor decíduo. Relato do caso: Uma menina de 11 anos de idade foi encaminhada à Clínica de Odontopediatria devido ao atraso na erupção do incisivo central superior direito. As radiografias mostraram o incisivo central impactado localizado abaixo da espinha nasal anterior e seu ápice paralelo ao plano palatino e a presença de um odontoma. A cirurgia para remoção do odontoma foi realizada sob anestesia geral e duas perfurações na coroa do dente impactado foram realizadas para a tração ortodôntica. O alinhamento correto foi alcançado após 18 meses e não foram encontradas alterações clínicas ou radiográficas significativas. Conclusão: O manejo ortodôntico foi realizado com sucesso, e um resultado estético positivo combinado à oclusão adequada demonstrou os resultados satisfatórios deste caso.


Asunto(s)
Ortodoncia , Cirugía Bucal , Diente , Enfermedades Dentales , Diente no Erupcionado , Odontoma , Enfermedades Estomatognáticas , Niño , Traumatismos de los Dientes , Incisivo
9.
Rev. Cient. CRO-RJ (Online) ; 5(1): 87-91, Jan.-Apr. 2020.
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1139982

RESUMEN

The management of fractured permanent teeth due to dental trauma in young patients is a challenge that requires an efficient approach. Objective: Describe a conservative and multidisciplinary treatment of a case of dental trauma in a 13 years-old boy. Case report: At clinical examination was verified enamel and dentin fracture in the left upper central incisor and a fracture with pulp exposure in the right upper lateral incisor, with subgingival extension of its margin at lingual surface, and no swelling or tooth displacement was observed. At radiographic evaluation, no pulp or periradicular disturbances were verified. It was proposed the surgical lengthening of the clinical crown of the right upper lateral incisor for later performing endodontic treatment. It was decided to make direct composite resin restorations in both fractured teeth, instead of doing a prosthetic treatment in the affected lateral incisor, such as the placement of a full ceramic crown, in an attempt to perform a less invasive treatment, mainly due to the age of the patient. At a two years follow-up visit was observed the maintenance of the health of periapical tissues and the absence of clinical alterations. Conclusion: The restorations were kept in good conditions and aesthetics was considered satisfactory by professionals, patient and parents.


Introdução: O manejo de dentes permanentes fraturados por traumatismo dentário em pacientes jovens é desafiador e requer uma abordagem eficiente. Objetivo: Descrever o tratamento conservador e multidisciplinar em um caso de traumatismo dentário de um menino de 13 anos de idade. Relato do caso: Ao exame clínico foi verificada uma fratura de esmalte e dentina no incisivo central superior esquerdo e uma fratura complicada no incisivo lateral superior direito, com extensão subgengival da margem na face palatina, e não foram observados edema ou deslocamento dentário. Ao exame radiográfico, não foram verificadas alterações pulpares ou perirradiculares. Foi proposta realização de aumento da coroa clínica do incisivo lateral superior direito para posterior realização do tratamento endodôntico. Para os dois dentes traumatizados foi proposta a realização de restauração direta com resina composta, proporcionando um tratamento menos invasivo ao incisivo lateral superior direito, ao invés de submetê-lo a um tratamento protético, como a colocação de uma coroa total cerâmica, principalmente devido à pouca idade do paciente. Na visita de dois anos de acompanhamento, observou-se a manutenção da saúde dos tecidos periapicais e ausência de alterações clínicas. Conclusão: As restaurações se mantiveram em boas condições e a estética foi considerada satisfatória pelos profissionais, paciente e pais.


Asunto(s)
Traumatismos de los Dientes , Dentición Permanente , Enfermedades Dentales , Fracturas de los Dientes , Enfermedades Estomatognáticas , Adolescente , Tratamiento Conservador , Incisivo
10.
Quintessence Int ; 51(9): 763-774, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32901237

RESUMEN

When dental trauma occurs, initial management on the day of injury has a determining influence on healing and thus on the prognosis of the affected teeth. Improper, delayed, and/or inconsistent treatment often has far-reaching consequences that cannot be reversed later, even with great effort, especially in children and adolescents. In most cases, it is unrealistic or impossible for the patient to get to a specialized dental trauma facility in time. Therefore, it is every dental practitioner's duty to provide adequate initial diagnosis and treatment of dental trauma at their dental practice, even if they do not have routine experience in this area. This article serves as a guide to the initial management of dental trauma. It utilizes a three-tiered approach to illustrate which initial management measures are absolutely essential (MUSTS), which should ideally be performed (SHOULDS), and which are not top priorities but can be performed (CANS) if the necessary time, training and experience, and equipment and facilities are available. For further treatment, dental practitioners should realistically assess the limits of their ability to treat complex dental trauma cases and, if necessary, they should refer the patient to a specialist or specialized treatment center. (Quintessence Int 2020;51:763-774; doi: 10.3290/j.qi.a45103; modified from a previously published article (in German) Quintessenz 2019;70(9):990-1002).


Asunto(s)
Avulsión de Diente , Traumatismos de los Dientes , Adolescente , Niño , Odontólogos , Humanos , Rol Profesional , Pronóstico
11.
Oral Health Prev Dent ; 18(1): 707-712, 2020 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-32895653

RESUMEN

PURPOSE: Investigate dental trauma among adolescents aged 15-19 years and associated factors. METHODS: The study was conducted in Recife, Brazil and the sample comprised 1485 adolescents of both sexes. The data was collected by clinical examination and interviews were conducted in-between classes by a single trained assessor. Two questionnaires (AUDIT and ASSIT 2.0) were used to investigate the involvement of adolescents with alcohol, tobacco and illicit drugs. The classification proposed by Andreasen was used to identify dental injuries. The sample size was calculated using 95% interval level. Pearson's chi-square test and Fisher's exact test were used to confirm the association between the variables. RESULTS: The prevalence of dental injuries was 17.8%. The main causes of trauma were playing with others (20.8%) and falls (25.4%). A statistically significant percentage of adolescents reported using illicit drugs (13.9%), 15.9% used tobacco and 56.8% used alcoholic beverages. However, no statistically significant difference between the consumption of this drugs and dental injuries (p >0.005) was found. CONCLUSION: The prevalence of dental trauma in adolescents was high, with no association with drugs use.


Asunto(s)
Accidentes por Caídas , Traumatismos de los Dientes , Adolescente , Adulto , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Encuestas y Cuestionarios , Adulto Joven
12.
Med. oral patol. oral cir. bucal (Internet) ; 25(5): e592-e598, sept. 2020. tab, graf, ilus
Artículo en Inglés | IBECS | ID: ibc-196514

RESUMEN

BACKGROUND: While traumatic dental injuries (TDI) are an increasingly frequent occurrence in everyday dental practice, little research on TDIs has been published in Spain. The aim of this study was to determine the incidence of TDIs in a population in Valencia (Spain) and investigate influential variables. In addition, a protocol for TDI data collection is proposed. MATERIAL AND METHODS: This retrospective study compiled data from patients attending a private dental clinic between January 2003 and December 2014. The data were collected using a specially-elaborated protocol entitled "Emergency care of acute dental trauma". Patients responded to each item, and data was added from case radiographs and photographs. Data were entered in a Microsoft Office Excel spreadsheet and submitted for analysis by SPSS 15.0 software (Chicago, IL) applying 2-way analysis of variance (ANOVA) (p < 0.01). RESULTS: 481 TDIs in 251 patients were examined at a private dental practice in Valencia. The population comprised 62.5% men and 37.5% women, aged 1 to 78 years. The highest frequency of tooth injuries occurred in children aged 9 years or younger. The most frequent injury was non-complicated crown fracture (43.2%). Upper central incisors were the most commonly affected teeth. The most frequent place where TDI was produced was in the street (28.7%), tripping over an immobile object being the most common cause (29%). CONCLUSIONS: Thanks to the protocol elaborated for the purposes of this work, it was possible to compile a large quantity of data on TDI, facilitating future prevention and comparison with other regions. The results obtained concur with those published in the literature


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Traumatismos de los Dientes/epidemiología , Estudios Transversales , Estudios Retrospectivos , Traumatismos de los Dientes/etiología , Incidencia , Análisis de Varianza , Factores de Tiempo , Maloclusión/etiología , España/epidemiología
13.
Br Dent J ; 229(3): 169-175, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32811936

RESUMEN

COVID-19 (also known as coronavirus) has had a profound impact on dentistry, with all elective treatment grinding to a halt initially and a slow phased return to normal services. The guidance available regarding treating dental emergencies is currently advice, analgesia and antimicrobials, where indicated in the first instance. Some patients cannot be managed successfully with this approach and require face-to-face consultation. Unless dental practices have the appropriate PPE and follow strict infection prevention and control guidance, face-to-face consultation may not be possible. If treatment is required, this is based on minimum intervention and avoidance of aerosol generating procedures (AGPs) on patients who are free of COVID-19. COVID-19-positive or suspected patients still require treatment at designated Urgent Dental Care centres.The aim of this article is to provide an insight into the COVID-19 pandemic and its implications on current emergency dental care. Commonly presenting dental conditions which require endodontic management will be discussed. Finally, an endodontic management protocol is suggested. The intention of the protocol is to describe practical techniques to minimise potential viral load and reduce risk of COVID-19 transmission when AGPs are instigated.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Atención Odontológica , Endodoncia , Pandemias , Neumonía Viral , Humanos , Traumatismos de los Dientes
14.
Wiad Lek ; 73(4): 737-742, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32731707

RESUMEN

OBJECTIVE: The aim: To determine the structure of acute injuries of temporary and permanent frontal teeth in children, to analyze the applied diagnostic and treatment measures for acute tooth trauma and to investigate their effectiveness. PATIENTS AND METHODS: Materials and methods: The subject of the study were 31 children aged 2-12 years with acute temporary and permanent tooth trauma. Methods: clinical (radiological, thermodiagnosis), medical and statistical. RESULTS: Results: The number of injured permanent teeth was greater than the number of injured temporary teeth. The pattern of temporary and permanent tooth injuries differed, so in temporary teeth dislocations were observed, and in permanent teeth fractures prevailed over dislocations. In our opinion, this is due to the peculiarities of the anatomy of the temporary teeth. Usually, the therapeutic tactics of acute temporary teeth injuries is to remove them, despite their important role in the growth and development of jaws, physiological formation and eruption of permanent teeth. The therapeutic tactics of dynamic observation in the case of intrusive dislocation of the temporary tooth were selected in the clinic of the Department of Pediatric Dentistry. In some cases, with a slight change in the position of the temporary tooth, self-regulation of its position was observed, in other cases the tooth remained dystopic, but its viability remained in 50% of cases. Therapeutic tactics of acute injuries of permanent teeth were selected according to the type of trauma. In the case of permanent tooth dislocation, with a slight change in its position, tooth immobilization was carried out by splinting with fiberglass tape and photopolymer composite material. CONCLUSION: Conclusions: Our observations have shown that the complex of modern specialized medical care for the affected children with acute traumatic injuries of the teeth should be guided by their preservation, which ensures the subsequent normal formation of the dental-jaw apparatus. To ensure these conditions, a long, reliable immobilization of the damaged tooth is required as soon as possible after injury.


Asunto(s)
Traumatismos de los Dientes , Niño , Preescolar , Humanos , Raíz del Diente , Diente Primario
15.
Alerta (San Salvador) ; 3(2)ago.12, 2020. ilus
Artículo en Español | LILACS, BISSAL | ID: biblio-1117081

RESUMEN

En la práctica odontológica se presentan casos de fracturas corono radiculares complicadas, que representan un dilema al momento del abordaje del tratamiento; ya que el segmento coronal se encuentra con movilidad, pero el remanente cuenta con suficiente tejido dental para retenerse. La porción radicular de la fractura es capaz de soportar la rehabilitación, pero es difícil la preparación porque existe pobre visibilidad y es imposible su acceso. Objetivo. Implementar la técnica de extrusión quirúrgica intencional como tratamiento alternativo a la exodoncia, para mantener por más tiempo en cavidad oral al órgano dental afectado. Metodología. Se presenta el manejo clínico de un paciente masculino de 26 años de edad, que acude a la consulta odontológica tras sufrir un accidente de tránsito. Conclusiones. La técnica de extrusión quirúrgica intencional es efectiva para dientes fracturados que cumplen los criterios de selección, ya que permite la conservación del órgano dental y reestablece sus funciones


In dental practice, there are cases of complicated crown root fractures, which represent a dilemma when approaching treatment; since the coronal segment is mobile, but the remnant has enough dental tissue to be retained. The root portion of the fracture is capable of supporting rehabilitation, but preparation is difficult because there is poor visibility and access is impossible. Objective. Implement the intentional surgical extrusion technique as an alternative treatment to extraction, to keep the affected dental organ in the oral cavity for a longer time. Methodology. The clinical management of a 26-year-old male patient is presented, who comes to the dental office after suffering a traffic accident. Conclusions. The intentional surgical extrusion technique is effective for fractured teeth that meet the selection criteria, as it allows the preservation of the dental organ and restores its functions


Asunto(s)
Traumatismos de los Dientes , Odontología
16.
Ned Tijdschr Tandheelkd ; 127(5): 292-301, 2020 May.
Artículo en Holandés | MEDLINE | ID: mdl-32609100

RESUMEN

It is estimated that, in the Netherlands, 20-30% of 18-year-olds have suffered some form of dental trauma. A third of them must bear the consequences for the rest of their lives. Adequate care and treatment can make a difference and considerably improve the prognosis of a traumatised tooth. Knowledge about the various types of injuries, forms the basis of optimal treatment. Based on the literature currently available, this article provides an overview of the ways in which details in clinical research can be helpful in more effectively estimating the risk of losing teeth and thus in determining treatment options, in such a way that they are immediately applicable in daily practice.


Asunto(s)
Traumatismos de los Dientes , Humanos , Países Bajos , Pronóstico , Factores de Tiempo
17.
Niger J Clin Pract ; 23(6): 798-804, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32525114

RESUMEN

Aims: The aim of this study was to evaluation the treatment success of the short post technique (mushroom restoration) using a composite resin in severely decayed primary anterior teeth after 6, 12, and 18 months after treatment. Methods: Eighteen children aged 3-5 years with severely decayed primary maxillary anterior teeth (60 anterior maxillary primary teeth in total) were included. Patients were treated under general anesthesia (GA). After pulpectomy, a "mushroom shape" was formed in the root canals for the purpose of retention, and the root canals were filled with zinc oxide-eugenol (ZOE), and the teeth were restored with composite resin. The status of treatment was evaluated clinically and radiographically for periapical radiolucency, pathological root resorption, marginal fracture, and loss of restoration for each treated tooth. All findings were recorded. Results: As a result of the evaluation criteria, the success rates at 6, 12 and 18 months were 86%, 80%, and 71%, respectively. None of the teeth showed apical radiolucency or pathological root resorption at the end of the 18th month period. Conclusion: The short-post (mushroom restorations) technique is a clinically acceptable alternative method for restoration of severely decayed primary teeth. This study supports the feasibility of treatment with this technique for pediatric patients treated under GA.


Asunto(s)
Restauración Dental Permanente/métodos , Técnica de Perno Muñón , Pulpectomía/métodos , Materiales de Obturación del Conducto Radicular/uso terapéutico , Diente Primario/cirugía , Cemento de Óxido de Zinc-Eugenol/uso terapéutico , Anestesia General , Preescolar , Resinas Compuestas/química , Caries Dental/complicaciones , Preparación de la Cavidad Dental , Extravasación de Materiales Terapéuticos y Diagnósticos/complicaciones , Femenino , Humanos , Masculino , Maxilar , Pulpectomía/efectos adversos , Resorción Radicular , Traumatismos de los Dientes/complicaciones , Resultado del Tratamiento
18.
Dent Traumatol ; 36(4): 314-330, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32475015

RESUMEN

Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations of these teeth are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning, and follow up are important for achieving a favorable outcome. Guidelines should assist dentists and patients in decision making and in providing the best care possible, both effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed these Guidelines as a consensus statement after a comprehensive review of the dental literature and working group discussions. Experienced researchers and clinicians from various specialties and the general dentistry community were included in the working group. In cases where the published data did not appear conclusive, recommendations were based on the consensus opinions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. These Guidelines represent the best current evidence based on literature search and expert 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 cover the management of fractures and luxations of permanent teeth. The IADT does not, and cannot, guarantee favorable outcomes from adherence to the Guidelines. However, the IADT believes that their application can maximize the probability of favorable outcomes.


Asunto(s)
Fracturas Óseas , Avulsión de Diente , Fracturas de los Dientes , Traumatismos de los Dientes , Traumatología , Niño , Dentición Permanente , Humanos , Adulto Joven
19.
Rev Bras Epidemiol ; 23: e200051, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32520102

RESUMEN

INTRODUCTION: Oral health-related quality of life (OHRQoL) is affected by different clinical conditions. The aim of this study was to evaluate the impact of gingivitis on OHRQoL in adolescents. METHODOLOGY: This cohort study consisted of a random sample of 1,134 schoolchildren enrolled during 2012, in Santa Maria, Brazil. After two years, 743 adolescents were follow-up (response rate: 65.5%). Clinical, socioeconomic and OHRQoL data were collected. OHRQoL was assessed by the short Brazilian version of the Child Perceptions Questionnaire 11-14 (CPQ11-14), and gingival bleeding through Community Periodontal Index. Gingivitis was considered with the presence of 15% or more bleeding sites. Poisson regression models were used to evaluate the association between gingivitis and overall and domain-specific CPQ11-14 scores. Prevalence of gingivitis at baseline was considered the main predictor for the OHRQoL at follow-up. RESULTS: Gingivitis at baseline was associated with higher overall CPQ 11-14 score (RR = 1.07; 95%CI 1.01 - 1.14), and emotional well-being (RR = 1.17; 95%CI 1.04 - 1.31), independently of other oral conditions and socioeconomic variables. CONCLUSIONS: The findings indicate that gingivitis negatively impacts the adolescents' OHRQoL. Moreover, gender, maternal schooling and household income were also associated with OHRQoL.


Asunto(s)
Gingivitis/psicología , Calidad de Vida , Adolescente , Brasil/epidemiología , Niño , Estudios de Cohortes , Caries Dental/psicología , Femenino , Hemorragia Gingival/psicología , Gingivitis/epidemiología , Humanos , Estudios Longitudinales , Masculino , Salud Bucal , Factores Socioeconómicos , Encuestas y Cuestionarios , Traumatismos de los Dientes/psicología
20.
Compend Contin Educ Dent ; 41(5): 264-270; quiz 271, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32369383

RESUMEN

The sequelae associated with anterior oral trauma during childhood growth may require a protracted period of clinical management to achieve an optimal foundation for future prosthetic therapy. This article presents two case examples of long-term ridge development and preservation in children after anterior dental and alveolar trauma. These two patients were managed for periods of 11 years, one from age 8 to 19 and the other from age 9 to 20, until they were old enough to receive implantsupported restorations. Two different treatment plans were prescribed based on whether or not the teeth in question were ankylosed. In one case, fractured roots that were not ankylosed were retained; in the other, decoronation of an ankylosed tooth was performed.


Asunto(s)
Anquilosis del Diente , Avulsión de Diente , Traumatismos de los Dientes , Proceso Alveolar , Niño , Humanos , Corona del Diente
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