Orthodontic Considerations for Traumatized Permanent Teeth

Mohammed, Jaradat; Rahhal, Ahmad

doi:10.9734/bjmmr/2016/25492

Cited by 4 publications

(26 citation statements)

References 16 publications

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“…Fibrotomy can then be performed to obtain retention by a month approximately and to intervene against the occurrence of relapses. 17 Finally, previous investigations in the literature have reported that root resorptions are rare to be observed in these types of fractures. [21][22][23]…”

Section: Crown and Crown-root Fracturesmentioning

confidence: 89%

“…Besides, it has been previously recommended that the orthodontics movement should be initiated in patients who have been observed to avoid having a complete root development and even before the development of the affected retained root. 17 On the other hand, complicated crown fractures might need special approaches. For instance, capping for the affected pulp from the traumatized tooth is recommended to cover the soft tissue of the affected pulp that is usually exposed and can lead to some complications.…”

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

“…For instance, capping for the affected pulp from the traumatized tooth is recommended to cover the soft tissue of the affected pulp that is usually exposed and can lead to some complications. 17 Moreover, the orthodontic movement of the affected crowns is not recommended until the adequate appearance of the hard capping of the affected pulp has been designed to protect the pulp tissue. Previous investigations recommended radiological follow-up.…”

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

“…Moreover, it has been recommended that follow-up should be conducted for these patients after being orthodontically treated at six months and after one and two years. 17 Crown-root fractures can be identified as traumatic injuries that involve the dentin, enamel or cementum. They are also divided into complicated and noncomplicated fractures as crown fractures.…”

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

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Orthodontic management of traumatized teeth: a literature review

Hifny

Hawsawi

Baraat

et al. 2021

Int J Community Med Public Health

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Traumatic dental injuries can significantly impact the appearance and the functions of the affected teeth and can induce significant damages to the surrounding structures within the oral cavity including both the soft and hard ones. This present literature review aimed to discuss the appropriate orthodontic management of dental traumatic events and to present evidence from previous studies in the literature. The search took place in the relevant databases l, such as PubMed, Web of Science, Scopus and Google Scholar to find the relevant articles that have previously discussed the topic to retrieve all the potentially related information that will help to formulate strong evidence. The literature review was focused on the orthodontic management considerations for patients that had dental traumas including crown and crown-root fractures, in addition to intrusion and extrusion luxation injuries. Overall, orthodontists should be able to deal with all the possible traumatic lesions as early as possible to avoid the development of any complications which might affect the prognosis of the affected teeth and the surrounding structures. Moreover, the evidence suggested that aforementioned lesions which was a period of at least three months should be recommended after applying the orthodontic treatment to early screen against any potential complications and maintain stabilization.

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Section: Crown and Crown-root Fracturesmentioning

confidence: 89%

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

Section: Crown and Crown-root Fracturesmentioning

confidence: 99%

See 2 more Smart Citations

Orthodontic management of traumatized teeth: a literature review

Hifny

Hawsawi

Baraat

et al. 2021

Int J Community Med Public Health

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“…During orthodontic treatment, additional checkups need to be scheduled in order to follow up the traumatized teeth closely. 22 This should include careful monitoring of the pulp status and signs of root resorption throughout active tooth movement. 23 Two out of three general dentists plan this sometimes or never, while over 80% of pediatric dentists organize additional review appointments.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists

Gorp

Bormans

Vanham

et al. 2019

Dental Traumatology

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Background/Aim Traumatized teeth are more susceptible to complications during orthodontic tooth movement. The aim of this study was to explore current practices among Belgian dental practitioners regarding orthodontic treatment of children with a history of dental trauma. Material and Methods A questionnaire survey was organized among general dentists, pediatric dentists, and orthodontists in Flanders (Belgium). Questionnaires were distributed at the occasions of annual meetings or symposia. They consisted of questions regarding exposure to dental trauma and orthodontic treatment approach for patients with a dental trauma history. Results The questionnaire was completed by 121 general dentists, 47 pediatric dentists, and 99 orthodontists. A history of dental trauma influenced referral for orthodontic treatment by general dentists and pediatric dentists moderately (median VAS scores of 5 and 6, respectively, on a scale of 0 (not at all) to 10 (utmost)), indicating uncertainty and doubt. Additional checkups during tooth movement were usually not organized by general dentists in 33.6% and by pediatric dentists in 19.1% of cases (P = 0.006). One‐third of the orthodontists (33.3%) experienced tooth loss linked to orthodontic movement of a tooth with dental trauma history in at least one patient. Only a minority of the practitioners knew of the existence of specific guidelines (7.6%, 15.6% and 22.7%, respectively, of general dentists, pediatric dentists, and orthodontists) (P = 0.007). The Dental Trauma Guide was the guideline mentioned most frequently, although this tool does not contain recommendations regarding orthodontic treatment after trauma. Conclusion In the group of Belgian general dental, pediatric and orthodontists surveyed, there was uncertainty regarding the orthodontic management of patients with a history of dental trauma especially among general practitioners. Further educational training is recommended.

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Experts consensus on management of tooth luxation and avulsion

Huang,

Zhou,

Zhan

et al. 2024

Int J Oral Sci

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Traumatic dental injuries (TDIs) of teeth occur frequently in children and adolescents. TDIs that impact the periodontal tissues and alveolar tissue can be classified into concussion, subluxation, extrusive luxation, intrusive luxation, lateral luxation, and avulsion. In these TDIs, management of injured soft tissue, mainly periodontal ligament, and dental pulp, is crucial in maintaining the function and longevity of the injured teeth. Factors that need to be considered for management in laxation injuries include the maturation stage of the traumatic teeth, mobility, direction of displacement, distance of displacement, and whether there are alveolar fractures. In avulsion, the maturation stage of the permanent tooth, the out-socket time, storage media/condition of the avulsed tooth, and management of the PDL should also be considered. Especially, in this review, we have subdivided the immature tooth into the adolescent tooth (Nolla stage 9) and the very young tooth (Nolla stage 8 and below). This consensus paper aimed to discuss the impacts of those factors on the trauma management and prognosis of TDI to provide a streamlined guide for clinicians from clinical evaluation, diagnostic process, management plan decision, follow-up, and orthodontic treatment for tooth luxation and avulsion injuries.

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Orthodontic Considerations for Traumatized Permanent Teeth

Cited by 4 publications

References 16 publications

Orthodontic management of traumatized teeth: a literature review

Orthodontic management of traumatized teeth: a literature review

Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists

Experts consensus on management of tooth luxation and avulsion

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