Federal University of Santa Catarina follow‐up management routine for traumatized primary teeth – part 1

Abstract

The objective of this study was to verify if the follow-up management routine of traumatized primary teeth set up by Federal University of Santa Catarina, which performs clinical and radiographic assessments (15 and 45 days; 4, 8 and 12 months) after the oral trauma, enabled an early diagnosis of sequelae which would indicate the need for endodontic intervention, as well as the influence a type of trauma and the child's age could have in the severity of the sequelae. In this study 52 sets of records were used of patients being seen in the last 6 months, with a total of 70 teeth that were receiving follow-up treatment. Patients returned for regular visits set up by the management routine, where clinical and radiographic examinations were performed to check for sequelae, which justified endodontic intervention. Mobility (51.2%) and crown discoloration (25.6%) were the most common sequelae found in the patient's first appointment. In the follow-up visits, replacement root resorption (22.5%) was the second most common sequela found, suggesting endodontic intervention. No significant association was found between severe sequelae, types of trauma and a child's age (chi(2) = 0.3, P = 0.8613). During the intervals of the follow-up visits, it was noticed that between 46 days and 8 months a higher number of sequelae were diagnosed (P < 0.05). The diagnosis of sequelae such inflammatory and replacement root resorption, which can lead to an early loss of a primary tooth, are frequent and that the interval between the follow-up visits has to be changed, suggesting the setting up of management routine 2. The study also concluded that the type of trauma and the child's age are not fundamental factors in the diagnosis of severe sequelae.

Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study

“…However, a darkened tooth should be diagnosed as necrotic only when associated with abscess, swelling, and pathological periapical lesion resorption. 16,17,18 Cardoso, and Rocha 19 showed that among the teeth diagnosed with pulp necrosis and discoloration, 66.7% were grayish and 22.2% were yellowed. Discoloration is an important but not decisive factor in the diagnosis of pulp necrosis in traumatized primary teeth.…”

Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil

“…2,3,4,5,6 The most common age group in which primary tooth injury occurs is 1 to 3 years. 7 Nonetheless, Osuji et al 8 (1996) states that children aged 4 to 5 years are the most likely to suffer trauma. However, the current literature is unanimous in that trauma occurs as a result of psychomotor underdevelopment and poor motor skills, which do not allow the child to perform precise and safe movements.…”

Análise dos Traumatismos e suas Seqüelas na Dentição Decídua: Uma Revisão da Literatura

“…A descoloração coronária é um dos tipos de seqüelas mais observadas após traumatismos dentários com uma freqüência variando de 25 a 63% (BORUM; ANDREASEN, 1998;ROCHA, 2004;ERICKSON, 1995;HOLAM;RAM, 1999;KENWOOD;SEOW, 1989). Pesquisas também mostram serem uma das primeiras seqüelas clinicamente visíveis logo após o trauma (CARDOSO; ROCHA, 2004;KENWOOD;SEOW, 1989), podendo ser do tipo transitória ou permanente e apresentar diferentes tonalidades (LEVINE, 1982).…”

“…Pesquisas também mostram serem uma das primeiras seqüelas clinicamente visíveis logo após o trauma (CARDOSO; ROCHA, 2004;KENWOOD;SEOW, 1989), podendo ser do tipo transitória ou permanente e apresentar diferentes tonalidades (LEVINE, 1982). A coloração para o amarelo geralmente está relacionada à obliteração do canal pulpar e os tons cinza ou azulado podem indicar a necrose pulpar (BENNET, 1964;HOLAN;FUKS, 1996;JACOBSEN;SANGNES, 1978).…”

“…As reabsorções dentárias podem ocorrer em 6 a 33% dos casos decorrentes de traumatismos em dentes decíduos (CARDOSO; ROCHA, 2004;FRIED et al, 1996;GONDIM;MOREIRA NETO, 2005), podendo estar associada a outras alterações, principalmente à necrose pulpar (ROBERTSON; LUNDGREN; ANDREASEN, 1997). Entretanto, em algumas situações, podem ocorrer sem outras evidências de alterações patológicas e, nos casos mais severos, resultar em perda precoce do dente decíduo (RAVN, 1968).…”