The risk of healing complications in primary teeth with root fractures: A retrospective cohort study

Kevci, Mir; Gerds, Thomas Alexander; Lauridsen, Eva; Andersson, Lars

doi:10.1111/edt.12853

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…28,29 In this Issue, Kevci et al assessed the risks of complications such as pulp necrosis, pulp canal obliteration, ankylosis with replacement root resorption, infection-related root resorption, and premature tooth loss in primary teeth with root fracture and the risk of other possible sequelae in the permanent dentition following root fracture in the primary dentition. 30 In order to provide appropriate treatment to children, it is important to understand the risk of healing complications in primary teeth with root fractures.…”

Section: Predictive Factors For Maxillofacial Fractures Sedentary Beh...mentioning

confidence: 99%

Predictive factors for maxillofacial fractures, sedentary behavior, and dental trauma literacy

Sarao,

Levin

2023

Dental Traumatology

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Section: Predictive Factors For Maxillofacial Fractures Sedentary Beh...mentioning

confidence: 99%

Predictive factors for maxillofacial fractures, sedentary behavior, and dental trauma literacy

Sarao,

Levin

2023

Dental Traumatology

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Risk of Healing Complications Following Alveolar Process Fractures in the Primary Dentition: A Retrospective Clinical Cohort Study

Kevci,

Lauridsen,

Andersson

2024

Dental Traumatology

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Background/AimAlveolar bone process fractures in preschool children are not well documented in the literature. Alveolar process fractures are located very close to primary teeth and permanent tooth germs. This study investigates the risk of healing complications following alveolar process fractures in the primary dentition and potential sequelae in the permanent dentition.Materials and MethodsA retrospective cohort study was conducted involving 21 patients with 49 primary teeth involved in an alveolar fracture. The follow‐up protocol included clinical and radiographic examinations at specified intervals up to the age of 6 years. Healing complications in the primary teeth such as pulp necrosis, pulp canal obliteration, ankylosis, infection‐related resorption and premature tooth loss were examined. Sequelae in the permanent dentition was also registered when the permanent incisors had erupted.ResultsOver a 3‐year follow‐up, the incidence of premature tooth loss was 51.2% [95% CI: 34.1%–68.4%], pulp canal obliteration was 42.5% [95% CI: 27.1%–57.8%], and pulp necrosis was 8.9% [95% CI: 0.6%–17.3%] following an alveolar process fracture. No cases of ankylosis were observed. Sequelae in the permanent dentition primarily included demarcated opacities and hypoplasia with a risk estimated at 24% [95% CI: 13%–39%] and 9% [95% CI: 2%–21%] respectively.ConclusionAlveolar process fractures in primary dentition are associated with several healing complications in the primary teeth. Although the likelihood of severe complications in the permanent dentition is low, young children are still susceptible to developing sequelae in their permanent teeth. These results highlight the importance of awareness of dental injuries following alveolar process bone fractures in the primary dentition.

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The risk of healing complications in primary teeth with root fractures: A retrospective cohort study

Cited by 2 publications

References 28 publications

Predictive factors for maxillofacial fractures, sedentary behavior, and dental trauma literacy

Predictive factors for maxillofacial fractures, sedentary behavior, and dental trauma literacy

Risk of Healing Complications Following Alveolar Process Fractures in the Primary Dentition: A Retrospective Clinical Cohort Study

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