scholarly journals Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Anita Thakur ◽  
Seema Thakur
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Radiographic Evaluation ◽  
Root Fracture ◽  
Anterior Teeth ◽  
Removable Prosthesis ◽  
Tooth Number ◽  
Dentoalveolar Trauma ◽  
Mouth Rinsing

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.

scholarly journals Original Research. The Influence of Desquamative Gingivitis on Periodontal Health

2017 ◽  
Vol 2 (s1) ◽  
pp. 49-52 ◽  
Author(s):  
Monica Monea ◽  
Tudor Hănțoiu ◽  
Alexandra Stoica ◽  
Ramona Vlad ◽  
Alexandru Sitaru
Keyword(s):  
Alveolar Bone ◽  
Radiographic Evaluation ◽  
Control Group ◽  
Original Research ◽  
Gingival Inflammation ◽  
Periodontal Health ◽  
Painful Condition ◽  
Anterior Teeth ◽  
Attached Gingiva ◽  
The Impact

Abstract Background: Desquamative gingivitis (DG) is a non-plaque-induced, blistering and painful condition occurring most frequently on the labial aspect of the attached gingiva of anterior teeth. The incidence of DG is highest around 50 years of age, and usually indicates the presence of oral or systemic diseases. The purpose of our study was to determine the impact of DG on periodontal health by recording the plaque index, gingival index and gingival bleeding index in a group of patients with DG, compared to healthy controls. Materials and methods: Recordings of specific indices were performed in a group of 26 patients with DG and compared with 24 healthy individuals. These were followed by radiographic examinations in order to assess the loss of marginal alveolar bone. Results: The results showed that patients with DG had a statistically significant increase in periodontal indices, with more gingival inflammation and plaque retention compared to the control group (p <0.05). The highest scores for gingival inflammation were recorded in patients with DG, but on radiographic evaluation the difference was related only to gender, men being more affected by alveolar bone loss in both groups (p <0.05). Conclusions: The incidence and severity of gingival inflammation proved to be higher in patients with DG, which calls for better preventive and maintenance treatment protocols in this group of patients. Early diagnosis and initial-phase periodontal treatment are very important in preventing further tissue breakdown.

scholarly journals Prevalence of Traumatic Dental Injuries in Patients Attending University of Alberta Emergency Clinic

2016 ◽  
Vol 10 (1) ◽  
pp. 315-321 ◽  
Author(s):  
Thamer Alkhadra ◽  
William Preshing ◽  
Tarek El-Bialy
Keyword(s):  
Alveolar Bone ◽  
Dental Trauma ◽  
Class Iii ◽  
Root Fracture ◽  
University Of Alberta ◽  
Number Of Patients ◽  
Dentoalveolar Trauma ◽  
Traumatic Dental Injuries ◽  
The University ◽  
Dental Injuries

Objectives:This study evaluated the prevalence of dental trauma for patients attending the emergency dental clinic at the University of Alberta Hospital between 2006-2009. Patients’ examination and treatment charts were reviewed.Methods:Total number of patients’ charts was 1893.The prevalence of different types of trauma was 6.4 % of the total cases (117 patients). Trauma cases were identified according to Ellis classification and as modified by Hollandet al.,1988.Results:Logistic statistical model showed that 21.7% were Ellis class I trauma, 16.7% were Ellis class II trauma, and 6.7% were Ellis class III. In addition, 11.7 % presented with avulsion, 7.5 % presented with dentoalveolar fracture and 7.5% presented with sublaxation. Also, 17.55 % presented with tooth displacement within the alveolar bone, 3.3 % presented with crown fracture with no pulp involvement, 4.16 % presented with crown fracture with pulp involvement and 3.3 % presented with root fracture. In conclusion, the general prevalence of dentoalveolar trauma in patients attending the emergency clinic at the University of Alberta is less than other reported percentages in Canada or other countries.

scholarly journals Severe trauma in young permanent tooth: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Ana Luiza Costa Silva de OMENA ◽  
Ivana Aguiar FERREIRA ◽  
Claudia Lima RAMAGEM ◽  
Kelly Maria Silva MOREIRA ◽  
Isabela FLORIANO ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Root Resorption ◽  
Traumatic Injury ◽  
Severe Trauma ◽  
Permanent Tooth ◽  
Dental Office ◽  
Severe Traumatic Injury ◽  
Dentoalveolar Trauma ◽  
To Receive

ABSTRACT Dentoalveolar trauma is a severe traumatic injury involving alveolar bone and dental structures. Like any trauma, it can leave irreparable sequelae and even cause tooth loss. The aim of this study is to report on the case of a dentoalveolar trauma in a 10-year-old male patient and the treatment performed with 12-month follow-up. The child had lateral luxation and displacement of teeth 11 and 21 in labial direction after a fall from his own height. The patient was examined at a hospital, received medication and was referred to a dental clinic. At the dental office, the teeth were repositioned, as well as received endodontic treatment and dental reanatomization. Two months after the trauma, root resorption was observed externally, which remained stable for 12 months. It was concluded that post-trauma treatment should be immediate and that follow-up sessions should be done carefully to minimize sequelae and to receive better prognosis.

scholarly journals Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Antonello Francesco Pavone ◽  
Marjan Ghassemian ◽  
Manuele Mancini ◽  
Roberta Condò ◽  
Loredana Cerroni ◽  
...  
Keyword(s):  
Case Reports ◽  
Common Occurrence ◽  
Root Fracture ◽  
Crown Root ◽  
The Past ◽  
Anterior Teeth

Trauma of anterior teeth is quite a common occurrence in both children and adults. Various degrees of trauma leading to fracture may affect teeth in different ways depending on the age of the patient and extent of fracture and other factors that will be discussed. Guidelines have been given as to how each of these situations should be treated. In the past, often more aggressive restorations were performed to restore fractured teeth. However improved and more efficient adhesion may affect the type of treatment we decide to carry out, leading to more conservative therapies through an increased preservation of tooth structures.

The Efficacy of a Modified Omega Wire Extension for the Treatment of Severely Damaged Primary Anterior Teeth

2009 ◽  
Vol 33 (4) ◽  
pp. 283-288 ◽  
Author(s):  
Naser Asl Aminabadi ◽  
Ramin Mostofi Zadeh Farahani
Keyword(s):  
Radiographic Evaluation ◽  
Healthy Children ◽  
Restorative Material ◽  
Root Canal Therapy ◽  
Root Fracture ◽  
Anterior Teeth ◽  
Omega Loop ◽  
Loop Technique ◽  
Wire Extension ◽  
Composite Restoration

Objectives: The restoration of the severely damaged anterior teeth is considered a serious challenge in contemporary dental practice. The aim of the present study was the clinical and radiographic evaluation of a modified omega loop technique for the restoration of the severely damaged primary anterior teeth. Study design: A total of 144 anterior teeth in 60 healthy children (male: 32, female: 28) aged 3-4 years, severely damaged by dental caries, were included in the present study. The root canal therapy was performed for the selected teeth. After the construction of the modified omega loop, coronal 4 mm of intracanal ZOE was removed. A thin layer of polycarboxylate cement was placed over ZOE followed by the insertion of the modified omega loop and subsequent restoration of the crown with an internal compomer core and an external composite restoration. The patients were followed at the intervals of 6, 12, and 24 months postoperatively.Results: The partial loss of the restorative material after 6 months occurred in 5.9% of the teeth. The failure rates after 12 and 24 months were 10.8% and 18.5%, respectively. The primary canines exhibited minimum loss of the restorative material. Two teeth exhibited pathological mobility after two years. There were not any signs of root fracture or recurrent caries in any of the restored teeth. Conclusion: It may be concluded that the modified omega loop is an efficient technique for the restoration of the severely damaged anterior teeth. The ease of manipulation and short chair-side time are further advantages of the technique.

Adjunctive Orthodontic Applications in Dental Implantology

2015 ◽  
Vol 41 (4) ◽  
pp. 501-508 ◽  
Author(s):  
Ali Borzabadi-Farahani ◽  
Homayoun H. Zadeh
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Bone Volume ◽  
Randomized Controlled Clinical Trials ◽  
Orthodontic Therapy ◽  
Site Development ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Orthodontic Extrusion

Implant placement is often necessitated for replacement of teeth with pathologically damaged alveolar bone due to periodontitis or traumatic injury. Surgical augmentation of resorbed bone has many limitations, including lower efficacy of vertical augmentation than horizontal augmentation, as well as morbidity associated with grafting procedure. Orthodontic therapy has been proposed as a useful method for augmenting the resorbed alveolar bone and reforming aesthetically appealing gingival margin, prior to implant placement. This narrative review summarizes the available evidence for the application of orthodontic strategies that can be used as adjunct in selected cases to augment bone volume for the future implant site and maintain space for the prosthetic parts of the implant. These are (1) orthodontic extrusion of compromised teeth to generate vertical bone volume and enhance gingival architecture, (2) tooth preservation and postponing orthodontic space opening to maintain bone volume in future implant site, (3) orthodontic implant site switching to eliminate the deficient bone volume or risky implant sites, and (4) the provision of a rigid fixed-bonded retainer to maintain the implant site. Although there are no randomized controlled clinical trials to evaluate the efficacy of orthodontic therapy for implant site development, clinical case reports and experience document the efficacy of orthodontic therapy for this application.

scholarly journals Temporary adhesive bridge restoration of the upper anterior teeth lost due to trauma: Three case reports

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 285-291
Author(s):  
Meryem Şahin ◽  
İsmet Rezani Totancı
Keyword(s):  
Male Patient ◽  
Case Reports ◽  
Dental Trauma ◽  
Lateral Incisor ◽  
Fiber Reinforced ◽  
Incisor Tooth ◽  
Anterior Teeth ◽  
Single Crown ◽  
Temporary Treatment ◽  
Removable Prosthesis

Aim: Traumatic dental injuries at the anterior region of the maxilla occur frequently in children and adults. In this case report, we aimed to describe the temporary aesthetic restoration of the upper lateral incisor with a fiber-reinforced bridge by using the original tooth crown, which had avulsed after dental trauma. Methodology: Case 1: A 14-year-old girl with an avulsion in tooth #11 due to trauma visited our clinic. During the examination, it was seen that the wound had healed, and there was no luxation in teeth #21 and #12. Since the patient could not undergo prosthetic procedures, for reasons including implants, and did not want a removable prosthesis, a single crown supported by acrylic tooth fibers was constructed. Case 2: A 17-year-old male patient was referred to our clinic because of an avulsed left lateral incisor tooth, which was traumatized 15 days before visiting the clinic. His medical history revealed that his parents had found the tooth two hours after the trauma. However, the emergency clinic that he had previously visited did reimplant that tooth and repaired it with fiber-reinforced composite. Case 3: In the examination of a 12-year-old male patient who applied to our clinic due to trauma, it was observed that tooth #11 had an avulsion and tooth #12 had a crown fracture. Root canal treatment was performed. A crown was made for the patient by supporting the fiber inside the canals of tooth #11 and tooth #21. It was revised aesthetically with the support of the crown of the other tooth. Conclusion: Avulsion after anterior trauma affects patients’ appearance aesthetically; thus, patients want to be treated as soon as possible. Function, phonation, and aesthetics must be quickly provided for a loose anterior tooth. Fiber-reinforced adhesive bridge techniques may be considered as a temporary treatment for providing an aesthetically appealing appearance until the completion of permanent prosthetic treatment.   How to cite this article: Şahin M, Toptancı İR. Temporary adhesive bridge restoration of the upper anterior teeth lost due to trauma: Three case reports. Int Dent Res 2021;11(Suppl.1):285-91. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.42   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals “Pyogenic Granuloma - Hyperplastic Lesion of the Gingiva: Case Reports”

2012 ◽  
Vol 6 (1) ◽  
pp. 153-156 ◽  
Author(s):  
Pushpendra Kumar Verma ◽  
Ruchi Srivastava ◽  
HC Baranwal ◽  
TP Chaturvedi ◽  
Anju Gautam ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Surgical Intervention ◽  
Case Reports ◽  
Traumatic Injury ◽  
Pyogenic Granuloma ◽  
Surface Epithelium ◽  
Low Grade ◽  
Anterior Teeth ◽  
Causative Factors ◽  
Reactive Hyperplasia

Pyogenic granuloma is a reactive hyperplasia of connective tissue in response to local irritants. It is a tumourlike growth of the oral cavity, frequently located surrounding the anterior teeth or skin that is considered to be neoplastic in nature. It usually arises in response to various stimuli such as low-grade local irritation, traumatic injury, hormonal factors, or certain kinds of drugs. Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. It overlies a mass of dense connective tissue composed of significant amounts of mature collagen. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Pyogenic granuloma in general, does not occur when excised along with the base and its causative factors. This paper presents some cases of a pyogenic granuloma managed by surgical intervention.

Fixed Orthodontic Treatment in a Child Patient with Dentoalveolar Fracture: A Case Report

2019 ◽  
Vol 829 ◽  
pp. 197-202
Author(s):  
Winny Yohana
Keyword(s):  
Stainless Steel ◽  
Corrosion Resistance ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Bone Structure ◽  
Radiographic Evaluation ◽  
Fixed Appliance ◽  
Antiseptic Solution ◽  
Anterior Teeth ◽  
Child Patient

The incidence of dentoalveolar fracture in children is high about 18% because they are often active, lack of body coordination, and immature mental. The dentoalveolar fractures treatment to the children differs from adults, because of the immature bone structure. The purpose of this study is to investigate the treatment of dentoalveolar fracture in child patient using fixed orthodontic appliance. A 15-year-old boy treated with braces caused by malocclusion class 1 Angle type 1. The child suffers from dentoalveolar fracture of the mandibular anterior tooth and mandibular alveolar bone injury after a motorcycle accident. Fortunately, the patient was using an orthodontic fixed appliance that served as a splinting so that severe damage could be prevented. Treatment: the wound was cleaned by betadine antiseptic solution, and braces bonding on the labial of anterior teeth. The lingual region was splinted with wire as 0.7 SS combined with composite resin to make splinting stronger. The patient was given 500mg amoxicillin and 500mg ibuprofen. Wire SS 0.016 is indicated to have superior strength, and the strength remains a support in fixed orthodontic therapy because the stainless steel alloys are of "18-8" austenitic type contain chromium (7-25%), Nickel (8-25% ) and Carbon (1-2%). Chromium in this stainless steel alloy customs a thin oxide layer which blocks the diffusion of oxygen into the alloy and allows the corrosion resistance of the alloy. Stainless steel is introduced for the use of creating appliances. Archwires have high stiffness, low springiness, corrosion resistance, low range and good formability. These wires are often less expensive than the other ones and they can be readily used as archwires in an orthodontic treatment and splinting as well. After two months of splinting treatment, the tooth position approximately back to normal; there was unification alveolar bone in the radiographic evaluation. Dentoalveolar fracture treatment is to restore the teeth and alveolar bone in order that dentoalveolar structure to function properly, and aesthetic function is achieved.

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