Predictors for healing complications in the permanent dentition after dental trauma

Andreasen, Jens Ove; Vinding, Terese Randskov; Christensen, Søren Steno Ahrensburg

doi:10.1111/j.1601-1546.2008.00228.x

Cited by 29 publications

(33 citation statements)

References 43 publications

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“…The stage of root development appears to be a strong outcomes predictor for all types of dental trauma, and it affects both pulpal and periodontal healing. This is not surprising because a good blood supply is essential for pulpal healing and thus the size of the apical foramen is directly related to the revascularization potential of the affected tooth (13, 14).…”

Section: How Big Is the Knowledge Gap Before We Can Have The Necessarmentioning

confidence: 99%

Dental Trauma Guide: A source of evidence‐based treatment guidelines for dental trauma

Andreasen

Lauridsen

Gerds

et al. 2012

Dental Traumatology

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-Diagnosis and treatment for traumatic dental injuries are very complex owing to the multiple trauma entities represented by six luxation types and nine fracture types affecting both the primary and the permanent dentition. When it is further considered that fracture and luxation injuries are often combined, the result is that more than 100 trauma scenarios exist, when the two dentitions are combined. Each of these trauma scenarios has a specific treatment demand and prospect for healing. With such a complexity in diagnosis and treatment, it is obvious that even experienced practitioners may have problems in selecting proper treatment for some of these trauma types. To remedy this situation, an Internet-based knowledge base consisting of 4000 dental trauma cases with long-term follow up is now available to the public and the professions on the Internet using the address http://www.DentalTraumaGuide.org. It is the aspiration that the use of this Guide may lead the practitioner to offer an evidence-based diagnosis and treatment.

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Section: How Big Is the Knowledge Gap Before We Can Have The Necessarmentioning

confidence: 99%

Dental Trauma Guide: A source of evidence‐based treatment guidelines for dental trauma

Andreasen

Lauridsen

Gerds

et al. 2012

Dental Traumatology

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“…Periodontal healing complications were also analysed, and a strong relation was found between root resorption events and the type of luxation (54,55,(66)(67)(68)(69)(70). Furthermore, for intrusions, a relationship was found between the choice of initial treatment and frequency of subsequent root resorption (51)(52)(53).…”

Section: Luxation Injuriesmentioning

confidence: 99%

History of the Dental Trauma Guide

Andreasen

Ahrensburg

2012

Dental Traumatology

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-The history of the Dental Trauma Guide dates back to 1965, where guidelines were developed for trauma records and treatment of various trauma entities at the Department of Oral and Maxillofacial Surgery at the University Hospital in Copenhagen. In 1972, a unique possibility came up at the Serum Institute in Copenhagen to test various dental trauma procedures in monkeys, which served as kidney donors in the polio vaccine production. Over the years, 40 000 dental trauma patients were treated at the Trauma Centre according to established guidelines, and 4000 of these have been enrolled in long-term follow-up of various trauma entities. This has resulted in 79 clinical studies, and 64 studies in monkeys have examined the effect of various treatment procedures and the aetiology of most healing complications.

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“…The strongest predictor for healing appears to be the time of dry storage; however, some cases still show PDL healing even after prolonged extra-oral dry storage. It should be noted that the reliability of healing predictors, such as storage time and storage medium, has not yet been determined (9), implying that active treatment (replantation) deserves the benefit of the doubt.…”

Section: Chance Of Healingmentioning

confidence: 99%

Tooth avulsion in children: to replant or not

Andreasen¹,

Malmgren²,

Bakland³

2006

Endodontic Topics

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Replanting avulsed teeth with a doubtful long‐term prognosis due to unfavorable extra‐alveolar conditions has recently been questioned by Kenny and Barrett (1). Many factors, however, still favor replanting such teeth. First of all, reliability of failure predictors has not yet been tested in prospective studies. Secondly, preservation of even resorbing replanted teeth may offer significant long‐term advantages in preparation for definitive treatment. Also, for psychological reasons, replantation can significantly reduce the anxiety and despair of both the injured child and the parents. Furthermore, decoronation of a resorbing anterior tooth will allow it to serve as a matrix for alveolar bone formation and preserve an otherwise resorbing alveolar process, thereby leaving an environment of bone and soft tissue that is optimal for both single implant insertion or fixed prosthesis. Finally, replantation and subsequent decoronation, if indicated, appears to be cost‐effective in comparison with non‐replantation combined with subsequent repeated prosthetic tooth replacements owing to vertical alveolar growth of adjacent ridge areas, with eventual definitive implant placement or a fixed prosthesis.

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Predictors for healing complications in the permanent dentition after dental trauma

Cited by 29 publications

References 43 publications

Dental Trauma Guide: A source of evidence‐based treatment guidelines for dental trauma

Dental Trauma Guide: A source of evidence‐based treatment guidelines for dental trauma

History of the Dental Trauma Guide

Tooth avulsion in children: to replant or not

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