International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition

Abstract

Traumatic injuries to the primary dentition present special problems that often require far different management when compared to that used for the permanent dentition. 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 or majority decisions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. The primary goal of these Guidelines is to provide clinicians with an approach for the immediate or urgent care of primary teeth injuries based on the best evidence provided by the literature and expert opinions. The IADT cannot, and does not, guarantee favorable outcomes from strict adherence to the Guidelines; however, the IADT believes their application can maximize the probability of favorable outcomes.

Do Parents’ Oral Health Literacy Levels Influence Their Response to Interventions to Improve Their Knowledge of Traumatic Dental Injuries?

“…In turn, better performance from the educational intervention of parents with adequate OHL compared to parents with inadequate/marginal OHL is consistent with the results of other studies [16,17,[36][37][38][39][40][41][42], which found an association of lower OHL levels with the highest rates of missing dental appointments, worse oral health conditions in adults, worse perceived oral health of their children, poor oral health outcomes in their children, negative health attitudes, less adherence to recommendations for healthy habits, greater difficulty filling out questionnaires.…”

“…As seen for questions 3 and 8, when the BREALD-30 scores were compared between parents who got these questions right or wrong in the post-test TDIQ2, there was no significant difference between these scores. Perhaps this has happened because, unlike other questions in which the answer is to take some action in the face of trauma, in these two questions (cases of dental intrusion in deciduous and permanent dentition), the appropriate action is to wait rather than intervening immediately [33,42,43]. It is important to reinforce the guidelines regarding emergency care in cases of TDI, especially concerning dental intrusion in deciduous and permanent dentition, since even parents with higher OHL scores did not answer the associated questions correctly.…”

Best practices, challenges and innovations in pediatrics in 2019

“…Nevertheless, an urgent first aid must be guaranteed to avoid adverse outcome. Prognostic factors need to be carefully reported at both initial consultation and during the follow up visits [16]. Attention must be paid also to medicolegal aspect of the injury; a certificate of dental trauma should be appropriately filled.…”

Dentigerous cyst formation following trauma to the primary incisors: A case report

“…When managing traumatic dental injuries (TDIs) to the primary dentition, it is essential to consider the close relationship between the apex of the primary tooth root and the developing permanent tooth germ. Several consequences ranging from hypoplasia to eruption disturbances of the permanent successor teeth have been described 1 . Guidelines have been produced by the International Association of Dental Traumatology to assist dentists in managing TDIs in the primary dentition and minimizing the impact on permanent successor teeth 1 .…”

“…Several consequences ranging from hypoplasia to eruption disturbances of the permanent successor teeth have been described 1 . Guidelines have been produced by the International Association of Dental Traumatology to assist dentists in managing TDIs in the primary dentition and minimizing the impact on permanent successor teeth 1 . Unfortunately, untreated TDIs in the primary dentition may lead to long‐term adverse sequelae which necessitates future complex treatment, including endodontic, restorative and/or orthodontic therapy in the mixed and permanent dentitions.…”