2,143 results match your criteria: "Dental Avulsed Tooth"

Dental avulsion, the complete displacement of a tooth from its socket, presents a significant challenge in dental practice due to its potential impact on aesthetics, function, and child well-being. This case presentation, reports the management of a traumatic dental avulsion in a 11-year-old male patient, detailing the clinical presentation, diagnostic process, treatment protocol, and follow-up outcomes. The case underscores the importance of prompt intervention for the avulsed tooth, and timely replantation to optimize treatment outcomes.

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Introduction: Traumatic Dental Injuries (TDIs) are a common oral health problem worldwide. Prompt and accurate diagnosis and treatment maximises the chances of favourable outcomes. This study aimed to evaluate the knowledge and attitudes of Irish Dentists regarding the management of TDIs based on different trauma scenarios.

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Aim: To describe radiographic features, clinical signs and symptoms, and chronological patterns of post-traumatic transient apical breakdown (TAB) in luxated permanent teeth.

Methodology: Records from 56 patients treated at the Dental Trauma Clinic of the School of Dentistry of the Federal University of Minas Gerais from 1993 to 2024 were accessed to collect demographic, clinical, and imaging features of 89 teeth that presented with radiographic signs of TAB after traumatic dental injury (TDI). Kaplan-Meier curves were built to illustrate the time elapsed between trauma until TAB onset and resolution for the whole sample and for each one of the TAB patterns.

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Background: Nowadays, traumatic dental injuries (TDIs) have a growing prevalence and incidence worldwide, reaching their highest numbers in school-age children. The management of dental avulsion requires an important challenge for the clinicians and the prognosis depends on an immediate and an appropriate emergency action. In this regard, primary school teachers are in a privileged position to assist injured children.

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Article Synopsis
  • Efficient treatment for patients with replanted teeth is challenging due to damage to periodontal tissue; this study evaluates the effectiveness of enamel matrix derivative (EMD) in improving clinical outcomes after replantation.
  • Analysis of 375 replanted teeth from 329 patients revealed that EMD did not significantly enhance normal periodontal ligament (PDL) healing but was associated with a lower risk of tooth extraction and improved survival rates in teeth with root resorption.
  • The study concludes that while EMD may not increase normal PDL healing, it could help prevent tooth loss in early resorption cases; further high-quality research is needed to confirm these findings.
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Article Synopsis
  • - The study aimed to clarify and standardize the varying terminologies used for the time between tooth avulsion and replantation, recognizing that differences in terms could affect prognosis.
  • - A thorough review identified 92 studies, categorizing terminology into five groups, with most accurate explanations linked to those discussing the total time of dry and wet conditions surrounding the tooth.
  • - The expert consensus, reached through a Delphi study, strongly supported the term "total extra-alveolar period," which effectively describes both the nonphysiologic and physiologic conditions affecting tooth prognosis after avulsion.
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Dental trauma is highly prevalent in children and adolescents, alongside tooth decay. This condition mainly induces pulp contamination, pulp necrosis, and tooth avulsion in the clinical context. The disturbance to root growth is prone to occur in immature permanent teeth.

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Background: Traumatic dental injuries (TDIs) are a common complication in sports, with an overall prevalence ranging from 0.71% to 60%. Kickboxing is a high-risk combat sport for trauma to the facial region.

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Article Synopsis
  • Transient apical breakdown (TAB) is a temporary type of dental injury seen after tooth luxation, indicating root damage and subsequent healing, affecting about 4.2% of such injuries, according to a 1986 study.
  • This retrospective study analyzed data from 56 mature teeth of 49 patients aged 9-30 over 10 years to assess the incidence and healing of TAB after different types of dental luxation injuries.
  • Results showed high rates of TAB occurrence in various luxation injuries (subluxation 43.8%, extrusive 62.5%, lateral 75%), suggesting that mild injuries may heal spontaneously, allowing for delayed endodontic treatment until infection signs
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Potential for pulp revascularization in mature anterior teeth with lateral luxation in relation to the patient's age at the time of injury-a retrospective cohort study.

Eur Arch Paediatr Dent

December 2024

Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.

Article Synopsis
  • The study aimed to explore the possibilities of pulp revascularization in mature anterior teeth affected by luxation injuries, particularly focusing on how patient age at the time of injury influences outcomes.
  • A total of 93 teeth from 70 patients were analyzed, with participants grouped by age, and risks of conditions like pulp canal obliteration (PCO) and pulp necrosis (PN) were calculated using specific statistical methods.
  • Results indicated that younger age groups had a lower risk of PN after 12 months compared to older groups, suggesting the potential for revascularization in patients up to 25 years old, but highlighting that the risk of PN increases with age.
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Article Synopsis
  • The study aimed to assess how effective CAD/CAM technology is in designing and manufacturing 3D-printed dental models for creating splints for children with dental trauma.
  • Researchers treated 28 patients, splitting them into two groups: one received CAD/CAM-based splints and the other wire-composite splints, with follow-ups over 24 months.
  • Results indicated that while both splint types had similar outcomes, the CAD/CAM splint showed higher pulp survival and periodontal healing rates, suggesting its potential for reducing treatment-related injuries.
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Dental avulsion is a traumatic dental injury with complete displacement of the tooth outside the bony socket. Both primary and permanent teeth are predisposed to such traumatic incidents. The most effective treatment in such cases is tooth replantation.

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Regeneration of Pulp and Radicular Tissues in a Nonvital Avulsed Tooth with Open Apex: A Case Report.

Int J Clin Pediatr Dent

May 2024

Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

Aim And Background: The management of avulsed immature teeth poses a significant challenge to clinicians, as prolonged dry time before reimplantation may lead to replacement resorption or ankylosis.

Case Description: Recent studies have shown promising results with the use of an intracanal proprietary pharmaceutical preparation, followed by sealing of the orifice with mineral trioxide aggregate (MTA). Angiography suggested the presence of vascularized tissue after 1 year, indicating successful regeneration of pulpal tissue in the radicular area.

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Background: Dental traumas, particularly tooth avulsion, represent a significant dental emergency among children, frequently occurring in schools. The knowledge and immediate response of schoolteachers are crucial for the prognosis of such emergencies.

Materials And Methods: This interventional study assessed the knowledge and attitudes of 248 primary school teachers in Rajasthan, India, regarding dental trauma management.

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Experts consensus on management of tooth luxation and avulsion.

Int J Oral Sci

September 2024

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

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.

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Surgical-orthodontic approach of two palatally impacted canines with maxillary lateral incisor anomalies in a growing class II patient: A case report.

Int Orthod

December 2024

Unit of Orthodontics and Paediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy; Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy. Electronic address:

Article Synopsis
  • Maxillary canines are often impacted, and surgical-orthodontic disimpaction can effectively restore smiles, as highlighted in a case report involving a 13-year-old patient.
  • This treatment involved the extraction of primary canines and the application of a surgical technique to reposition the impacted permanent canines, followed by orthodontic adjustments.
  • The results showed successful disimpaction and positioning of the canines, significantly improving the aesthetics and function of the patient's smile.
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This retrospective analysis reviewed the demographics of patients sustaining dental avulsion injuries at a tertiary dental hospital in Sydney, Australia. Data were extracted from dental records of patients who presented with avulsed permanent anterior teeth and were treated between 1 January 2001 and 30 June 2021. Demographic, clinical and radiographic data from 91 patients with 117 avulsed permanent anterior teeth were available for analysis.

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The goal of autotransplantation of teeth (ATT) is to provide the patient with a functioning tooth to replace a missing one. In dentistry, this surgery has gained significant approval and popularity; nonetheless, there is still a shortage of thorough evidence about its long-term effects. Tooth transplantation has a rich historical pedigree, and the main factors determining its success are the extra-alveolar period, proper splinting, periodontal ligament treatment, and root growth stage.

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Background: Regenerative endodontic procedures (REPs) is effective for treating young permanent teeth with pulp necrosis. However, its efficacy on delayed replanted avulsed teeth is unclear.

Aim: This retrospective study aimed to assess the efficacy of REPs in treating delayed replanted immature permanent teeth with apical periodontitis.

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Article Synopsis
  • The study focuses on understanding how dental pulp changes after death to help estimate the post-mortem interval (PMI), particularly beyond the first week, using both qualitative and quantitative analysis of dental histomorphology.
  • A total of 27 sound teeth from 16 healthy patients were analyzed, considering various time intervals post-tooth extraction to simulate time elapsed since death.
  • Initial findings indicate that dental pulp shows signs of degeneration as soon as 7 hours post-mortem, though the specific histological changes exhibit significant variability.
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Avulsion occurs when the tooth is completely knocked out of its alveolar socket. The maxillary central incisors are more vulnerable to avulsion due to their prominent position in the dental arch. This case report describes a successful permanent maxillary incisor replantation in an 11-year-old child.

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In children and young adults, traumatic dental injuries are common. Children's tooth loss is mostly caused by dentoalveolar trauma. Owing to anatomical variations and developmental phases, treating such injuries is difficult.

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Article Synopsis
  • * Among the 29 children, various treatments were applied using MTA: pulp regeneration in 25 teeth, external closure in 3, root canal filling in 4, and apical plug creation in 4, with follow-up durations ranging from 1 to 9 years.
  • * Results indicated that out of 36 treated teeth, only one required extraction after 9 years, while most showed positive healing outcomes, including root growth and stabilization of issues like external inflammatory root resorption, showcasing MTA
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Article Synopsis
  • The paper discusses long-term complications of dental trauma in adults, focusing on issues like discolored, displaced, or missing teeth.
  • It outlines various management options including bleaching, veneers, and crowns for discoloration, and different techniques for displaced teeth depending on the injury's severity.
  • The paper emphasizes the importance of a thorough assessment and tailored management plan to achieve a successful and aesthetically pleasing treatment outcome for patients.
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