Scandinavian multicenter study on the treatment of 168 patients with 230 intruded permanent teeth – a retrospective cohort study

Tsilingaridis, Georgios; Malmgren, B.; Andreasen, Jens Ove; Wigen, Tove Irene; Maseng, Anne-Lise; Malmgren, Olle

doi:10.1111/edt.12266

Cited by 31 publications

(60 citation statements)

References 17 publications

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“…Damage to the periodontium and pulp usually causes severe complications, including external inflammatory resorption, replacement resorption/ankylosis, pulp obliteration and pulp necrosis with infection of the root canal system (RCS). Replacement resorption is the worst complication for healing because there is no treatment that can arrest this type of resorption currently available . The development of replacement resorption in a young patient may influence alveolar growth and the development of malocclusion …”

Section: Introductionmentioning

confidence: 99%

“…If a tooth is intruded more than 7 mm, orthodontic or surgical repositioning should be performed immediately. However, based on a large number of clinical cases, Tsilingaridis et al recommended that all teeth with incomplete root development should be managed by waiting for spontaneous re‐eruption regardless of the degree of intrusion. On the other hand, teeth with complete root formation and intrusion of <3 mm should be allowed 2‐4 weeks for re‐eruption, followed by orthodontic or surgical repositioning if no movement is observed.…”

Section: Introductionmentioning

confidence: 99%

“…If a tooth is intruded by more than 7 mm, then it should be repositioned surgically . Studies on intrusive luxation have previously been published in Europe and North America . Several clinical studies have shown that injury‐related or treatment‐related factors may affect the pulp and periodontal prognosis of these teeth .…”

Section: Introductionmentioning

confidence: 99%

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Clinical outcomes of 79 traumatically intruded permanent teeth in Chinese children and adolescents: A retrospective study

Wang

Chen

Zhao

2019

Dental Traumatology

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Background/Aim Data on the clinical outcomes of traumatically intruded, young, permanent teeth in Chinese children and adolescents are absent. The aim of this study was to examine the probability of spontaneous re‐eruption of injured teeth, to investigate the incidence of pulp necrosis with infection of the root canal system and replacement root resorption and to analyse possible factors related to healing complications after injury. Materials and Methods Clinical data from 6‐ to 18‐year‐old patients who sustained intrusive luxation from 2007 to 2016 were reviewed. Teeth were treated by awaiting re‐eruption, orthodontic repositioning or surgical repositioning. The incidences of spontaneous re‐eruption, pulp necrosis with infection, replacement resorption and marginal bone loss were calculated, and factors related to these complications were analysed using Cox regression and Kaplan‐Meier analyses. Results Data from 79 teeth in 58 patients (mean age 9.19 ± 2.34 years) were examined over follow‐up periods from 7 to 87 months (median 18 months). Of the 50 teeth awaiting re‐eruption, the incidences of complete re‐eruption and partial re‐eruption were 40.0% and 34.0%, respectively. Teeth intruded <3 mm had a higher complete re‐eruption rate (57.1%) than those with a 3‐7 mm of intrusion (18.2%) (hazard ratio [HR] = 4.15). Of the 52 teeth observed for more than 12 months, pulp necrosis with infection, replacement resorption and marginal bone loss occurred in 57.4%, 15.4% and 61.5% of the teeth, respectively. Teeth with 3‐7 mm (60.9%, HR = 2.97) or >7 mm (100%, HR = 6.44) of intrusion and teeth with uncomplicated crown fracture (85.7%, HR = 5.19) were more likely to develop pulp necrosis with infection. Teeth that received orthodontic or surgical repositioning showed higher incidences of replacement resorption (23.1%, HR = 5.72; 25.0%, HR = 11.68, respectively). Conclusions Spontaneous re‐eruption of intruded teeth was significantly related to intrusion depth. Intrusion depth and crown fracture had strong relationships with pulp necrosis with infection, whereas the choice of treatment influenced the development of replacement resorption.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical outcomes of 79 traumatically intruded permanent teeth in Chinese children and adolescents: A retrospective study

Wang

Chen

Zhao

2019

Dental Traumatology

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“…U stalnoj denticiji, najteža komplikacija je gubitak okolne kosti, stvaranje koštanog defekta i posljedični gubitak zuba [17]. Nekroza pulpe predstavlja komplikaciju koja najčešće nastaje nakon povreda stalnih zuba [13,18], a u mliječnoj denticiji se pored nekroze dešava i promjena boje krunice zuba često kao jedini pokazatelj pretrpljene traume [19]. Spontana re-erupcija se dešava najkasnije 6 mjeseci od trenutka povrjeđivanja, ali je kod stalnih zuba najčešće praćena eksternom resorpcijom korjena uz nekrozu pulpe zuba [2].…”

Section: Diskusijaunclassified

“…Spontana re-erupcija se dešava kod 30%-70% intrudiranih zuba i zavisi od stepena intruzije i razvoja korjena zuba [19][20]. Prema podacima iz vodiča za tretman povreda zuba, intrudirani zubi u najvećem broju slučajeva dožive spontanu re-erupciju [21].…”

Section: Diskusijaunclassified

Intrusion of deciduous and permanent teeth: Causes, clinical characteristics and outcome

Šipovac¹,

Galović²,

Pavlović-Trifunović³

et al. 2018

Biomedicinska istraž.

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Kratak sadržajUvod. Povrede zuba su česte u dječijem uzrastu. Dešavaju se u vrijeme intenzivnog opšteg fizičkog i psihičkog razvoja, što posebno komplikuje i otežava kliničku sliku, dijagnostiku, terapiju i prognozu ishoda povrijeđenih zuba. Utisnuće zuba (Intrusio dentis) predstavlja povredu potpornog tkiva koju karakteriše utiskivanje zuba u aksijalnom pravcu u koštano tkivo vilice uz teško oštećenje parodoncijuma. Cilj ovog rada je utvrđivanje etioloških faktora, kliničke slike i ishoda intruzija zuba u cilju predviđanja prognoze na osnovu dosadašnjih podataka.Metode. Istraživanjem su obuhvaćeni medicinski kartoni pacijenata kod kojih je dijagnostikovana intruzija zuba u periodu od 2006. do 2016. godine. Ispitivanjem je obuhvaćeno 17 djevojčica i 37 dječaka, uzrasta od 1 do 15 godina. Na osnovu kliničkih i radiografskih podataka iz medicinskih kartona analizirano je 51 mliječnih i 35 stalnih intrudiranih zuba. Stepen intruzije klasifikovan je kao: blag (manji od 3mm), umjeren (3-7 mm), izražen (veći od 7 mm). U kartonima su se nalazili podaci o komplikacijama i konačnom ishodu intruzija.Rezultati. Intruzija zuba je u najvećem broju slučajeva nastala usljed pada prilikom trčanja (45,59%). Pored intruzije dijagnostikovane su povrede tvrdih zubnih tkiva, mekih tkiva usne duplje i maksile, a od povreda susjednih zuba fraktura krunice zuba (15%), avulzija (13%), luksacija (13%). Postojala je statistički značajna razlika u vremenu proteklom do potpune re-erupcije i mliječnih (p = 0,007) i stalnih zuba (p = 0,001). Najpovoljniji ishod je zabilježen kod zuba čiji je stepen intruzije manji od 3 mm. Komplikacije su se javljale nezavisno od stepena intruzije.Zaključak. Spontana re-erupcija bez komplikacija se najčešće dešava kod zuba čiji je stepen intruzije manji od 3 mm. Komplikacije se javljaju kao posljedica mehaničke traume.

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Dentoalveolar Trauma

2018

Diseases and Conditions in Dentistry

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Scandinavian multicenter study on the treatment of 168 patients with 230 intruded permanent teeth – a retrospective cohort study

Cited by 31 publications

References 17 publications

Clinical outcomes of 79 traumatically intruded permanent teeth in Chinese children and adolescents: A retrospective study

Clinical outcomes of 79 traumatically intruded permanent teeth in Chinese children and adolescents: A retrospective study

Intrusion of deciduous and permanent teeth: Causes, clinical characteristics and outcome

Dentoalveolar Trauma

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