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1.
Dent Traumatol ; 35(6): 376-379, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31121083

RESUMO

Dental implants are reliable to replace teeth lost because of traumatic dental injury. However, dental implants behave like ankylosed teeth and should not be placed in growing individuals because of the risk of infraposition. This risk may be reduced by ensuring arrested skeletal growth and ideal incisal support. The timing of implant placement may be immediate, early, conventional, or late and is determined by the extent of the trauma, remaining growth, and conditions of the hard and soft tissues. Timing should allow an observation period to properly evaluate the prognosis of concomitantly traumatized neighboring teeth. Orthodontic alignment is often necessary after traumatic dental injury in young individuals to provide symmetric dental conditions around the facial midline, to allow implant placement in the correct 3-dimensional position for the later prosthetic reconstruction, and to ensure sufficient mesiodistal space that leaves a minimum of 1.5 mm of healthy alveolar bone between the future implant and neighboring teeth. Space and stable occlusion should be maintained by bonded retainers and a splint used during the night. A partial prosthesis is usually recommended as a temporary replacement. If a fixed provisional prosthesis is required, it is crucial that it does not interfere with the remaining growth and incisal support and allows proper oral hygiene.


Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Traumatismos Dentários/reabilitação , Implantação Dentária Endo-Óssea , Prótese Dentária Fixada por Implante , Humanos , Anquilose Dental , Resultado do Tratamento
2.
Dent Traumatol ; 35(4-5): 241-250, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31038825

RESUMO

BACKGROUND/AIM: There is a lack of research into orthodontic movement and management strategies of traumatized teeth. The aim of this survey was to assess the knowledge of UK-based orthodontists in the orthodontic management of traumatized teeth. MATERIALS/METHODS: A 24-item questionnaire survey was electronically distributed to all members of the British Orthodontic Society. RESULTS: A total of 213 respondents completed the survey with the majority of these being UK registered specialists in orthodontics. Three responses were excluded as one was not based within the UK and two were orthodontic trainees with <1 year of experience, leaving a total of 210 respondents. The majority had orthodontically treated up to three patients with a history of dental trauma in the preceding 3 months. Obtaining a trauma history was done by the majority of respondents. A wide variation in times waited by respondents before orthodontically treating teeth with different types of traumatic injuries was observed. Similarly, the preferred orthodontic management strategies of traumatized teeth differed substantially among respondents. Almost all respondents were interested in further training in the management of dental trauma. CONCLUSIONS: The study showed a wide variation in the orthodontic management of traumatized teeth among UK-based orthodontists. Further training and national guideline establishment are indicated for orthodontic management of traumatized teeth in the UK.


Assuntos
Ortodontia , Ortodontistas , Traumatismos Dentários/reabilitação , Humanos , Sociedades Odontológicas , Inquéritos e Questionários , Reino Unido
3.
Dent Traumatol ; 35(3): 163-170, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30758139

RESUMO

BACKGROUND/AIMS: The aim of this study was to evaluate the accessibility of proper and on-time treatment after dental trauma in children and to explore the affecting factors via parents' and health professionals' perspectives. The study is important to understand how to improve access to dental treatment after trauma. MATERIALS AND METHOD: The method included quantitative and qualitative parts. For the quantitative method, parents of dental trauma patients who applied to Ege University, Department of Pedodontics during January 2015-June 2016 were the target group. One hundred and forty parents answered the questionnaire on trauma experiences. The participation rate was 62.78%. Questions covered variables such as first admitted health institution, time to go there, access to diagnostics, treatment methods, referral from institution, and sociodemographic characteristics of the family. On-time and proper treatment access was defined using an algorithm for treatment priority of the case, total time to reach treatment, and the correct intervention. For the qualitative method, ten parents and thirty health professionals were interviewed in-depth using a semi-structured question guide. Thematic analysis was applied to the interview texts. RESULTS: The percentage of patients who accessed on-time and proper treatment was 19.29%. Logistic regression analysis showed that admission to the university clinic first increased the access to treatment by 14.135 times. For the qualitative evaluation, treatment access was summarized into three main themes: (a) physical accessibility of dental health services, (b) a quality dental health service as an outcome, and (c) communication among parties. CONCLUSION: The level of accessing proper and on-time treatment was quite inadequate. It is suggested that distribution of dental care centers should be increased and dental centers where competent dentists work should be established. Performance-based payment should be reorganized and cooperation between medical and dental institutions should be encouraged.


Assuntos
Assistência Odontológica para Crianças , Acesso aos Serviços de Saúde , Traumatismos Dentários/reabilitação , Criança , Odontólogos , Humanos , Pais , Inquéritos e Questionários
4.
Dent Traumatol ; 35(3): 153-162, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30748076

RESUMO

BACKGROUND/AIMS: Traumatic dental injuries (TDI) could have negative effects on the physical and psychosocial well-being of children. The aim of this study was to assess the prevalence of TDI and the impact of treated/untreated TDI on the quality of life of children among 12-year-old schoolchildren in Amman. MATERIALS AND METHODS: A cross-sectional study was conducted with 1652 schoolchildren aged 12 years enrolled in schools in Amman. OHRQol was assessed using the Arabic version of the Child Perceptions Questionnaire (CPQ11-14 ). Diagnosis of traumatic dental injury was based on Andreasen's classification. Dental caries and malocclusion were also recorded and analyzed along with social class. Statistical analysis included ANOVA and multiple logistic regression. RESULTS: The prevalence of TDI was 14.6%. There was a statistically significant impact of untreated TDI on all items of CPQ11-14 . When children with treated TDI were compared with those who had not suffered TDI, the only statistically significant impact was difficulty in chewing. Compared to children with treated TDI and those who had not suffered TDI, children with untreated TDI experienced significantly higher impacts related to the overall OHRQol, oral symptoms, the emotional and social well-being domains. Regarding functional limitation domain, children with untreated TDI experienced a significantly higher impact than children who had not suffered TDI, but children with treated TDI still had some limitations. CONCLUSIONS: The prevalence of TDI was 14.6%. Untreated TDI had a negative impact on OHRQol compared to absence of or treated TDI among 12-year-old schoolchildren in Amman.


Assuntos
Cárie Dentária , Qualidade de Vida , Traumatismos Dentários , Brasil , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Feminino , Humanos , Masculino , Saúde Bucal , Prevalência , Inquéritos e Questionários , Traumatismos Dentários/psicologia , Traumatismos Dentários/reabilitação
5.
Dental Press J Orthod ; 23(1): 87-96, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29791692

RESUMO

INTRODUCTION: Treatment of maxillofacial injuries is complex and requires the establishment of a comprehensive and accurate diagnosis and correct treatment planning. OBJECTIVE: The objective of this case report was to describe the re-treatment of a 27-year-old woman who was involved in a severe car accident that resulted in the loss of five anterior teeth and alveolar bone, and whose previous orthodontic and surgical treatments had been unsuccessful. CASE REPORT: In this case, the space for the missing mandibular molar was reopened to allow for rehabilitation. The positions of the mandibular incisors were improved. The right mandibular canine was moved to the mesial, allowing for correction of the Class II canine relationship on that side, and implants were placed to replace the maxillary anterior teeth. CONCLUSION: Anterior aesthetic and functional rehabilitation using a multidisciplinary approach was essential to improve the patient's facial aesthetics, to obtain great improvement in function and to achieve occlusal stability after 2 years of follow-up.


Assuntos
Perda do Osso Alveolar/reabilitação , Prótese Dentária Fixada por Implante , Arcada Parcialmente Edêntula/reabilitação , Adulto , Perda do Osso Alveolar/etiologia , Transplante Ósseo , Implantação Dentária Endo-Óssea/métodos , Feminino , Humanos , Maxila , Traumatismos Maxilofaciais/complicações , Traumatismos Maxilofaciais/reabilitação , Traumatismos Dentários/reabilitação
6.
N Z Dent J ; 112(1): 5-9, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27164740

RESUMO

BACKGROUND AND OBJECTIVES: Among other restorative strategies, the Accident Compensation Corporation (ACC) provides benefits for dental implant treatment to replace teeth lost as a result of trauma. While ACC has funded over 15,000 dental implants since 2002, the outcomes of this treatment and patient perceptions of this treatment have not been investigated. The aim of this study was to investigate the perceptions of the dental implant treatment outcomes and reasons for failure to complete restorative treatment in patients who had undergone trauma-related implant surgery funded by ACC between February 2006 and September 2009, but had not completed the prosthetic component of the treatment. METHODS: A randomly selected sample of 399 patients, who had undergone dental implant surgery but not completed the crown restoration, was identified from the ACC database. These individuals were contacted by mail for expressions of interest and 181 clients were interviewed by telephone. Responses to open-ended questions were entered into an Excel spreadsheet and analysed using a general inductive technique. RESULTS: A common emergent theme was the high level of satisfaction expressed by participants with the implant process, however just under half of those responding felt they had been pushed into having implants and were given the impression that this was the only treatment ACC paid for. The cost of the prosthetic phase of the treatment and surgical complications were identified as the primary reasons why participants failed to complete the restorative phase of treatment, after completing the surgical phase. CONCLUSIONS: The results highlighted the need to better inform patients of their treatment options and to allow time for them to process this information before progressing with care. A patient decision tool may help to give greater ownership of the treatment options. Newly implemented protocols to assist dentists to better assess treatment needs may also assist in achieving improvements in perceived treatment outcomes for patients.


Assuntos
Implantes Dentários , Seguro de Acidentes , Traumatismos Dentários/reabilitação , Perda de Dente/reabilitação , Adulto , Idoso , Atitude Frente a Saúde , Protocolos Clínicos , Implantes Dentários/economia , Implantes Dentários/psicologia , Prótese Dentária Fixada por Implante/economia , Prótese Dentária Fixada por Implante/psicologia , Feminino , Custos de Cuidados de Saúde , Humanos , Benefícios do Seguro , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Nova Zelândia , Satisfação do Paciente , Complicações Pós-Operatórias , Resultado do Tratamento , Adulto Jovem
7.
Eur J Paediatr Dent ; 16(4): 290-4, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26637252

RESUMO

BACKGROUND: When treating children, a conservative and minimally invasive approach is mandatory. In dental traumas with partial coronal destruction, veneers represent the fastest and most effective method to rehabilitate front teeth of a young patient, since these no- or minimal-preparation restorations were proved to have predictable results without reducing the enamel layer. Indirect additive anterior composite restorations, besides being quick and minimally invasive, have to be considered a good treatment option for rehabilitating children, because they are inexpensive and repairable over time. Current laboratory techniques, associated with a strict clinical protocol, satisfy patients' restorative and aesthetic needs in few appointments and in a short time. CASE REPORT: The cases reported describe the minimally invasive treatment of two lateral incisors with nano-hybrid resin composite veneers after traumatic events. The patient satisfaction and good integration of indirect restorations confirmed the success of this rehabilitation.


Assuntos
Resinas Compostas , Facetas Dentárias , Traumatismos Dentários/reabilitação , Criança , Técnica de Moldagem Odontológica , Humanos , Masculino
8.
Dent Update ; 42(1): 68-70, 72-4, 76-7, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26062281

RESUMO

Patients who suffer dento-alveolar trauma present a unique challenge for the dentist. There are numerous options to consider when attempting to restore the dentition. This article reviews the role of dental implants and how thorough planning and execution of such treatment could result in an optimal outcome. Clinical Relevance: Knowledge of the role of dental implants and factors imperative for a successful treatment outcome will assist the clinician in achieving optimal restorative results.


Assuntos
Processo Alveolar/lesões , Implantes Dentários , Traumatismos Dentários/reabilitação , Fatores Etários , Aumento do Rebordo Alveolar/métodos , Implantação Dentária Endo-Óssea/métodos , Planejamento de Prótese Dentária , Gengiva/anatomia & histologia , Gengivoplastia/métodos , Humanos , Arcada Parcialmente Edêntula/reabilitação , Planejamento de Assistência ao Paciente , Doenças Periodontais/complicações , Medição de Risco , Sorriso , Fumar , Dente/anatomia & histologia , Alvéolo Dental/cirurgia , Resultado do Tratamento
9.
MEDISUR ; 13(3)2015. ilus
Artigo em Espanhol | CUMED | ID: cum-62159

RESUMO

Los traumas dentarios en niños y niñas son frecuentes, razón por la cual el estomatólogo debe estar capacitado para darles solución. En el presente trabajo se expone el diagnóstico, tratamiento y evolución del caso de un niño con resalte de 12 mm, hábito de respiración bucal y cierre bilabial incompetente, que sufrió trauma severo en el diente 11, lo que le causó movilidad de este. Se aplicó una férula al diente afectado y posteriormente se realizó tratamiento pulporadicular, todo ello con una evolución satisfactoria. Aunque estos traumas son comunes, la presentación de este caso es de interés, por su utilidad en el contexto docente(AU)


Dental traumas in children are common; therefore the dentist should be trained to solve them. This paper presents the diagnosis, treatment and outcome of a child with a 12 mm overjet, mouth breathing habit and bilabial incompetence who suffered a severe trauma to tooth number 11, causing its mobility. A splint was applied to the affected tooth and subsequently, a root canal filling was performed, all with a satisfactory outcome. Although these traumas are common, the presentation of this case is important due to its use in the teaching context(AU)


Assuntos
Humanos , Criança , Traumatismos Dentários/diagnóstico , Traumatismos Dentários/reabilitação , Traumatismos Dentários/terapia , Placas Oclusais
10.
Br Dent J ; 217(11): 627-33, 2014 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-25476636

RESUMO

Traumatic dental injuries are relatively common causes of emergency presentation to general dental practitioners. There are well established guidelines for the management of traumatised teeth, which practitioners should be familiar with and able to deliver. Some teeth, however, are either lost at the time of injury or are found to have a hopeless long-term prognosis despite appropriate treatment. The first article in this two-part series covers the important aspects of maintaining teeth where possible, to preserve the supporting hard and soft tissues. It then describes the replacement of a single tooth lost due to trauma and the relative challenges faced. The second article covers more extensive trauma, involving multiple teeth and where significant supporting tissues are lost. It describes the replacement of teeth, including the hard and soft tissues with implant supported restorations, whilst highlighting the need for a multidisciplinary team in severe cases.


Assuntos
Implantes Dentários para Um Único Dente , Prótese Dentária Fixada por Implante , Traumatismos Dentários/reabilitação , Perda de Dente/reabilitação , Humanos
13.
Dent Update ; 39(6): 422-4, 426, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22928455

RESUMO

UNLABELLED: Planning the final aesthetic result of restorative treatment is a key skill needed by the clinician to ensure predictable success. This paper aims to review current techniques that may be used by clinicians for an aesthetic preview, whilst also highlighting a simple technique that may be readily utilized in practice. CLINICAL RELEVANCE: It is considered good practice to give patients an aesthetic preview of the end result prior to commencing active treatment. This article demonstrates the different techniques available and those that are easily utilized in general practice. The aesthetic preview is of benefit to both the clinician and technician in defining treatment goals and improving communication.


Assuntos
Técnica de Moldagem Odontológica , Restauração Dentária Permanente/métodos , Estética Dentária , Modelos Dentários , Humanos , Planejamento de Assistência ao Paciente , Fotografia Dentária , Traumatismos Dentários/reabilitação , Ceras
14.
RGO (Porto Alegre) ; 59(2): 311-305, abr.-jun. 2011. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-874571

RESUMO

Os traumatismos dentários constituem, na atualidade, uma das principais causas da procura pelo cirurgião-dentista. O objetivo deste artigo é apresentar um caso clínico de traumatismo dental, abordando as diferentes reações pulpares dos dentes afetados e uma proposta de tratamento. Foram identificados dois tipos distintos de respostas pulpares ocorridas em dentes que foram sujeitos a um mesmo traumatismo (dente 21 e 11). Após o exame clínico e radiográfico, foi feito o diagnóstico diferencial entre lesão periapical no dente 21 e a imagem radiolúcida do orifício do nervo nasopalatino. Foi diagnosticado necrose pulpar no dente 21, sem lesão periapical e polpa viva no dente 11, apresentando este reabsorção interna e externa da raiz. Foi realizado o planejamento com indicação de tratamento de canal dos dentes 21 e 11, bem como a restauração estética dos mesmos com recurso de técnicas de clareamento interno e externo. O tratamento seleccionado mostrou um ótimo resultado estético com um custo relativamente baixo. O follow-up de dois anos permitiu confirmar o êxito e a longevidade do tratamento proposto.


Presently, dental trauma is one of the main causes for seeking a dental surgeon. The present paper presents a case report of dental trauma, addressing the different pulp reactions of the affected teeth and a treatment plan. The authors identified two distinct types of pulp reactions in teeth (tooth 21 and 11) subject to the same trauma. After clinical and radiographic examination, the differential diagnosis between periapical lesion on tooth 21 and radiolucency of the nasopalatine foramen was performed. Pulpal necrosis, without periapical lesion, was diagnosed in tooth 21, and live pulp in tooth 11, with internal and external root resorption. A treatment plan was designed, which included root canal treatment of teeth 21 and 11, as well as aesthetical restoration of both using internal and external bleaching techniques. This treatment resulted in optimal aesthetic outcome with relatively low cost. The 2-year follow-up confirmed the success and longevity of the treatment.


Assuntos
Feminino , Adulto , Clareamento Dental , Reabsorção da Raiz/complicações , Reabsorção da Raiz/diagnóstico , Reabsorção da Raiz/patologia , Reabsorção da Raiz/terapia , Traumatismos Dentários/complicações , Traumatismos Dentários/diagnóstico , Traumatismos Dentários/prevenção & controle , Traumatismos Dentários/reabilitação , Traumatismos Dentários/terapia , Incisivo
15.
RGO (Porto Alegre) ; 59(2)abr.-jun. 2011. ilus
Artigo em Português | LILACS | ID: lil-611937

RESUMO

Os traumatismos dentários constituem, na atualidade, uma das principais causas da procura pelo cirurgião-dentista. O objetivo deste artigo é apresentar um caso clínico de traumatismo dental, abordando as diferentes reações pulpares dos dentes afetados e uma proposta de tratamento. Foram identificados dois tipos distintos de respostas pulpares ocorridas em dentes que foram sujeitos a um mesmo traumatismo (dente 21 e 11). Após o exame clínico e radiográfico, foi feito o diagnóstico diferencial entre lesão periapical no dente 21 e a imagem radiolúcida do orifício do nervo nasopalatino. Foi diagnosticado necrose pulpar no dente 21, sem lesão periapical e polpa viva no dente 11, apresentando este reabsorção interna e externa da raiz. Foi realizado o planejamento com indicação de tratamento de canal dos dentes 21 e 11, bem como a restauração estética dos mesmos com recurso de técnicas de clareamento interno e externo. O tratamento seleccionado mostrou um ótimo resultado estético com um custo relativamente baixo. O follow-up de dois anos permitiu confirmar o êxito e a longevidade do tratamento proposto.


Presently, dental trauma is one of the main causes for seeking a dental surgeon. The present paper presents a case report of dental trauma, addressing the different pulp reactions of the affected teeth and a treatment plan. The authors identified two distinct types of pulp reactions in teeth (tooth 21 and 11) subject to the same trauma. After clinical and radiographic examination, the differential diagnosis between periapical lesion on tooth 21 and radiolucency of the nasopalatine foramen was performed. Pulpal necrosis, without periapical lesion, was diagnosed in tooth 21, and live pulp in tooth 11, with internal and external root resorption. A treatment plan was designed, which included root canal treatment of teeth 21 and 11, as well as aesthetical restoration of both using internal and external bleaching techniques. This treatment resulted in optimal aesthetic outcome with relatively low cost. The 2-year follow-up confirmed the success and longevity of the treatment.


Assuntos
Feminino , Adulto , Clareamento Dental , Reabsorção da Raiz/complicações , Reabsorção da Raiz/diagnóstico , Reabsorção da Raiz/patologia , Reabsorção da Raiz/terapia , Traumatismos Dentários/complicações , Traumatismos Dentários/diagnóstico , Traumatismos Dentários/prevenção & controle , Traumatismos Dentários/reabilitação , Traumatismos Dentários/terapia , Incisivo
16.
Int J Comput Dent ; 13(4): 351-65, 2010.
Artigo em Inglês, Alemão | MEDLINE | ID: mdl-21323015

RESUMO

With the aid of an innovatively structured ceramic block, it is possible to achieve results at a high esthetic level with relatively simple means. In the three-dimensionally structured Vitablocs RealLife, translucent enamel ceramic is arranged around a conically structured, opaque dentin core. The virtual restoration can be positioned freely in all three dimensions with the aid of the Cerec/inLab software. The restorations are milled fully anatomically and only minimally glazed or characterized with stains. Results that otherwise can be achieved only with much more complex layering processes are possible.


Assuntos
Desenho Assistido por Computador , Coroas , Porcelana Dentária , Planejamento de Prótese Dentária , Facetas Dentárias , Adolescente , Esmalte Dentário , Dentina , Humanos , Masculino , Pigmentação em Prótese , Traumatismos Dentários/reabilitação
18.
Dent Traumatol ; 25(1): 2-11, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19208005

RESUMO

Dento-alveolar trauma often leads to a need for reconstruction of the alveolar crest before an implant can be placed. Although autogenous bone grafts is considered the 'gold standard', this may be associated with patient morbidity and graft resorption. Consequently, the use of bone substitutes has increased. Today, a substantial number of biomaterials are available on the market, but only a few are well documented. The user should be aware that these biomaterials have different properties: resorbable or non-resorbable, time of resorption and resorption mechanism. The purpose of this review is to describe the function of various bone substitutes and indications for their use in reconstructive implant surgery and to give an overview of the current situation.


Assuntos
Processo Alveolar/cirurgia , Regeneração Óssea , Substitutos Ósseos , Procedimentos Cirúrgicos Pré-Protéticos Bucais , Traumatismos Dentários/reabilitação , Processo Alveolar/lesões , Aumento do Rebordo Alveolar , Regeneração Óssea/fisiologia , Transplante Ósseo/métodos , Implantação Dentária Endo-Óssea/métodos , Regeneração Tecidual Guiada Periodontal , Humanos , Seio Maxilar/cirurgia , Osteogênese por Distração
19.
Pract Proced Aesthet Dent ; 20(3): 167-75, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18567485

RESUMO

Clinicians carry a significant obligation to young patients with single missing teeth to ensure that they are prepared for a lifetime of healthy dental function and long-term aesthetic success. Adolescents and young adults in need of implant treatment embody a large and growing patient population that requires distinctly different treatment approaches than those that apply to older patient groups. The primary causes of single missing teeth in young patients are trauma and congenital absence, whereas older populations typically lose teeth due to failure of traditional dental procedures. This article provides an effective approach to meet the challenges that young patients present.


Assuntos
Implantes Dentários para Um Único Dente , Estética Dentária , Equipe de Assistência ao Paciente , Adolescente , Adulto , Fatores Etários , Anodontia/reabilitação , Implantação Dentária Endo-Óssea , Planejamento de Prótese Dentária , Feminino , Humanos , Masculino , Desenvolvimento Maxilofacial/fisiologia , Ortodontia Corretiva , Planejamento de Assistência ao Paciente , Mantenedor de Espaço em Ortodontia , Fatores de Tempo , Traumatismos Dentários/reabilitação , Resultado do Tratamento
20.
Dent Traumatol ; 24(3): 320-7, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18489479

RESUMO

Ten immature autotransplanted lower premolars from six patients from 7 to 12 years of age were studied and assessed clinically and radiographically at Regional Clinical Hospital in Temuco between January 2004 and April 2006. All transplantations were performed both because of a missing anterior tooth by dental trauma or by healing complications after injuries. The mean age at the time of the surgery was 10 years (range 7-12 years) and the postoperative follow-up period varied from 5 to 27 months with a mean of 16.9 months. All teeth were stabilized with flexible composite resin wire splints. Within the follow-up period, clinical evaluation was made through percussion and mobility tests. At radiographic evaluation, pulpal canal obliteration (PCO), presence of perirradicular area, inflammatory root resorption (IRR), replacement resorption (RR), stage of root development, lamina dura formation, outline of the periodontal membrane, and arrest in root growth were registered. Pulp healing was observed in 6 of 10 teeth; the other transplanted teeth developed pulp necrosis after 6-8 months possibly related to operative aesthetic procedures. Four teeth showed different grades of PCO at radiographic examination. None of transplanted teeth developed replacement resorption or ankylosis. In this 27-month follow-up period, the survival rate was 100%, regarding aesthetics, function, clinical appearance, and radiographic image of alveolar process.


Assuntos
Dente Pré-Molar/transplante , Traumatismos Dentários/reabilitação , Perda de Dente/reabilitação , Criança , Polpa Dentária/irrigação sanguínea , Polpa Dentária/fisiologia , Calcificações da Polpa Dentária/etiologia , Necrose da Polpa Dentária/etiologia , Feminino , Seguimentos , Humanos , Incisivo/lesões , Masculino , Doenças Periapicais/etiologia , Ligamento Periodontal/fisiologia , Reabsorção da Raiz/etiologia , Contenções , Traumatismos Dentários/complicações , Perda de Dente/etiologia , Mobilidade Dentária/etiologia , Raiz Dentária/crescimento & desenvolvimento , Transplante Autólogo/efeitos adversos , Cicatrização
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