Prevalence of sequelae after traumatic dental injuries to anterior primary teeth: A systematic review and meta‐analysis

Abstract

Background/Aim: Clinical and radiographic sequelae are common following traumatic dental injuries to primary teeth. The aim of this systematic review was to assess the prevalence of such sequelae. Materials and Methods:Searches were conducted in the PubMed, Scopus, Embase, Web of Science, and BBO/LILACS databases as well as the gray literature. The outcome of interest was the prevalence of the most common sequelae following traumatic dental injuries to anterior primary teeth. Observational studies that evaluated such sequelae were included. Data were extracted, and methodological quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The number of sequelae per tooth and the total number of teeth evaluated in each study were considered to calculate pooled prevalence rates with 95% confidence intervals (CI). The quality of the evidence was determined using the GRADE approach.Results: Twenty-five articles were included in this systematic review and metaanalysis. The prevalence of each complication in descending order was as follows:

Analysis of Pediatric Pulpotomy, Pulpectomy, and Extractions in Primary Teeth Revealed No Significant Association with Subsequent Root Canal Therapy and Extractions in Permanent Teeth: A Retrospective Study

“…However, recent evidence suggests that an ever-growing number of pediatric patients are requiring the invasive treatment of root canal therapy (RCT) in their permanent dentition, albeit with little information about risk factors such as prior invasive treatments of pulpotomy or pulpectomy in their primary dentition [ 14 , 15 ]. Although some studies have reviewed alternative factors, such as dental trauma or periapical status, and the need for subsequent endodontic treatment, few (if any) studies to date have evaluated the potential associations between pediatric deciduous vital pulp therapy or pulpotomy and pulpectomy and the subsequent need for root canal treatment in permanent teeth among pediatric patients [ 16 , 17 ].…”

A 14-Year Follow-Up Study of Sequelae in Primary Teeth and Permanent Successors After Dental Trauma

“…After TDI, follow-up is essential to early detection of sequelae and to minimize their consequences since some PT sequelae do not appear immediately [12]. A recent systematic review reinforces the need for further analytical observational studies that standardize diagnostic methods, the evaluation of sequelae, the sampling process, and with considerable sample [13]. Careful clinical and radiographic examinations at regular intervals are important to follow PT and PS.…”