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VOLUME 16 , ISSUE 1 ( January, 2015 ) > List of Articles

RESEARCH ARTICLE

Post-traumatic Complications of Severe Luxations and replanted Teeth

Thiago Farias Rocha Lima, Juliana Yuri Nagata, Francisco José de Souza-Filho, Adriana de Jesus Soares

Citation Information : Lima TF, Nagata JY, de Souza-Filho FJ, de Jesus Soares A. Post-traumatic Complications of Severe Luxations and replanted Teeth. J Contemp Dent Pract 2015; 16 (1):13-19.

DOI: 10.5005/jp-journals-10024-1628

Published Online: 01-01-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of this study was to evaluate the main posttraumatic complications of severe luxation and replanted teeth using clinical and radiographic analyses.

Materials and methods

Eighty-three patients aged between 7 and 55 years old presenting 180 traumatized teeth that suffered extrusive luxation (n = 67), lateral luxation (n = 69), intrusive luxation (n = 10) and tooth avulsion (n = 34) followed by replantation were evaluated. The follow-up period was 24 months. The complications examined were: pulp canal obliteration, pulp necrosis and root resorption (inflammatory and replacement). Furthermore, the relationship between time elapsed before receiving dental attendance and development of inflammatory resorption was observed.

Results

Pulp necrosis was the main complication, occurring in 147 teeth (82.7%). All of the teeth that suffered intrusive luxation and tooth avulsion were diagnosed with pulp necrosis, with significant difference in comparison with another traumas (p < 0.001/Fisher's exact test). Inflammatory root resorption was observed in 20.5% of the cases and replacement resorption was more related to tooth replantation (94.1%), showing significant prevalence among tooth luxations (p < 0.001/Fisher's exact test). In addition, it was noted that patients who seek treatment 9 weeks after the trauma episode presented 10 times more chance of developing inflammatory resorption when compared with patients who seek treatment soon after dental trauma (Odds ratio test).

Conclusion

It may be concluded that pulp necrosis was the main post-traumatic complication observed in traumatized teeth and that delay in seeking treatment may damage the prognosis of severe luxation and replanted teeth.

Clinical significance

Clinical studies describing the main complications that may affect traumatized teeth present great relevance to make the population aware of the importance of seeking immediate treatment and to alert the professional to the need for follow-up. When traumatic injuries are diagnosed and treated early, post-traumatic complications may be controlled, allowing conservation of the tooth in oral cavity.

How to cite this article

Lima TFR, Nagata JY, de Souza- Filho FJ, de Jesus Soares A. Post-traumatic Complications of Severe Luxations and replanted Teeth. J Contemp Dent Pract 2015;16(1):13-19.


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  1. Traumatic injuries to permanent teeth in Turkish children, Ankara. Dent Traumatol 2009;25(3):309-313.
  2. Prevalence of traumatic injuries to permanent dentition and its association with overjet in a Swiss child population. Dent Traumatol 2012;29(2):1-5.
  3. Etiological factors related to dental injuries in Nowergians aged 7-18 years. Dent Traumatol 2003;19(6):304-308.
  4. Incidence of Pulp Necrosis Susequent to Pulp Canal Obliteration form Trauma of Permanent Incisors. J Endod 1996;22(10):557-560.
  5. Relationship between clinical radiographic evaluation and outcome of teeth replantation. Dental Traumatol 2008;24(2):183-188.
  6. A retrospective study of pulp healing after luxation injuries. Zhonghua Kou Qiang Yi Xue Za Zhi 2008;43(9):520-523.
  7. Late complications of luxation injuries to teeth. Endod Dent Traumatol 1987;3(6):296-303.
  8. Occurence of pulp canal obliteration after luxation injuries in the permanent dentition. Endod Dent Traumatol 1987;3(3):103-115.
  9. Effect of luxation injuries on permanent teeth. Endod Dent Traumatol 1991;7(5):199-206.
  10. A retrospective study of 889 injured permanent teeth. Dent Traumatol 2010;26(6):466-475.
  11. Etiology and pathogenesis of traumatic dental injuries. A clinical study: of 1298 cases. Scand J Dent Res 1970;78(4):329-342.
  12. Prognosis of luxated permanent teeth—the development of pulp necrosis. Dent Traumatol 1985;1(6):207-220.
  13. Longitudinal clinical and radiographic evaluation of severely intruded permanent incisors in a pediatric population. Dent Traumatol 2009;25(5):510-514.
  14. Treatment outcome of 42 replanted permanent incisors with a median follow-up of 2.8 years. Schweiz Monatsschr Zahnmed 2011;121(4):312-320.
  15. Luxation injuries to permanent teeth—a retrospective study of etiological factors. Endod Dent Traumatol 1989;5(4):176-179.
  16. A retrospective study of dento-alveolar injuries. Endod Dent Traumatol 1994;10(1):11-14.
  17. Use of a removable splint in the treatment of subluxated, luxated and root fractured anterior permanent teeth in children. Dent Traumatol 2002;18(2):81-85.
  18. Root resorption in dental trauma: 45 cases followed for 5 years. Dent Traumatol 2003;19(5):262-265.
  19. Clinical outcomes for permanent incisor luxations in a pediatric population. II. Extrusions. Dent Traumatol 2003;19(5):274-279.
  20. Pulp and periodontal healing of laterally luxated permanent teeth: results after 4 years. Dent Traumatol 2008;24(6):658-662.
  21. A study of the management of 55 traumatically intruded permanent incisor teeth in children. Eur Arch Paediatr Dent 2009;10(1):25-28.
  22. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol 2010;26(1):52-59.
  23. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study. Dent Traumatol 2004;20(1):1-5.
  24. Luxation injuries. Dent Clin North Am 1995;39(1):79-91.
  25. Short vs. long-term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth. Endod Dent Traumatol 1995;11(3):124-128.
  26. An analysis of 58 traumatically intruded and surgically extruded permanent teeth. Endod Dent Traumatol 2000;16(1):34-39.
  27. Clinical outcomes for permanent incisor luxations in a pediatric population. III. Lateral luxations. Dent Traumatol 2003;19(5):280-285.
  28. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol 2005;21(5):289-296.
  29. Pulpal prognosis following extrusive luxation injuries in permanent teeth with closed apexes. J Endod 1982;8(9):410-412.
  30. Clinical outcomes for permanent incisor luxations in a pediatric population. I. Intrusions. Dent Traumatol 2003;19(5):266-273.
  31. Intrusive luxation of permanent incisors in Norwegians aged 6-17 years: a retrospective study of treatment and outcome. Dent Traumatol 2008;24(6):612-618.
  32. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol 2010;26(1):52-59.
  33. Traumatic intrusion of permanent teeth. Part 1. An epidemiological study of 216 intruded permanent teeth. Dent Traumatol 2006;22(2):83-89.
  34. Traumatic intrusion of permanent teeth. Part 2. A clinical study of the effect of preinjury and injury factors, such as sex, age, stage of root development, tooth location, and extent of injury including number of intruded teeth on 140 intruded permanent teeth. Dent Traumatol 2006;22(2):90-98.
  35. Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth. Dent Traumatol 2006;22(2):99-111.
  36. Variations in the presenting and treatment features in reimplanted permanent incisors in children and their effect on the prevalence of root resorption. Brit Dent J 2000;189(5):263-275.
  37. Factors affecting the onset of resorption in avulsed and replanted incisor teeth in children. Dent Traumatol 2001;17(5):205-209.
  38. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992;8(2):45-55.
  39. Progression of root resorption following replantation of human teeth after extended extra oral storage. Endod Dent Traumatol 1989;5(1):38-47.
  40. Avulsed human teeth replanted within 15 minutes: a long-term clinical follow-up study. Endod Dent Traumatol 1990;6(1):37-42.
  41. , Jacobsen HL. Andreasen FM Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol 1995d;11(2):76-89.
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