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dentoalveolar trauma

Nadia Theologie-Lygidakis, Ourania K Schoinohoriti, Minas Leventis, Ioannis Iatrou
OBJECTIVE: To retrospectively analyze dentoalveolar trauma in pediatric patients, propose a modified classification, and delineate an approach for its urgent care from the surgeon's perspective. PATIENTS AND METHODS: Clinical records of patients, attended at the 'A. and P. Kyriakou' Children's Hospital Department of Oral and Maxillofacial Surgery from 2000 to 2015, were retrieved and data were analyzed. RESULTS: A total of 365 cases of dentoalveolar trauma, affecting 363 children and adolescents (221 males and 142 females), with an age range from 1 to 15 years, were treated in the authors' department...
March 21, 2017: Journal of Craniofacial Surgery
Chee Wei Lee, Qi Chao Foo, Ling Vuan Wong, Yiu Yan Leung
The aims of this study were to provide an overview of maxillofacial trauma and its relationship to patient's demographic data and alcohol consumption within the state of Sabah. It was a retrospective study of maxillofacial trauma cases treated by Oral and Maxillofacial Surgery Department, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, from January 1, 2009, until December 31, 2013. A total of 630 maxillofacial trauma cases were included. Details of the trauma were collected from patients' record, including patients' cause of injuries, injuries suffered, treatment indications, and treatment received...
March 2017: Craniomaxillofacial Trauma & Reconstruction
Blanca Serra-Pastor, Miguel Penarrocha-Diago, María Penarrocha-Diago, Rubén Agustín-Panadero
Adult dentoalveolar trauma most often occurs in the context of sports activities and traffic accidents. Coronal fractures are the most common type of lesion, followed by tooth luxation. We present the case of a 25-year-old woman who suffered alveolar bone damage and coronal fractures of the upper incisors, with extrusive luxation of the right central incisor, as the result of a fall. On the first visit, manual reduction of the buccal plate was carried out under local anesthesia, with repositioning of the right central incisor and splinting to the neighboring teeth...
December 2016: Journal of Clinical and Experimental Dentistry
Andrew T DiBiase, Neil R Woodhouse, Spyridon N Papageorgiou, Nicola Johnson, Carmel Slipper, James Grant, Maryam Alsaleh, Martyn T Cobourne
INTRODUCTION: A multicenter parallel 3-arm randomized clinical trial was carried out in 1 university and 2 district hospitals in the United Kingdom to investigate the effect of supplemental vibrational force on orthodontically induced inflammatory root resorption (OIIRR) during the alignment phase of fixed appliance therapy. METHODS: Eighty-one subjects less than 20 years old with mandibular incisor irregularity undergoing extraction-based fixed-appliance treatment were randomly allocated to supplementary (20 minutes a day) use of an intraoral vibrational device (AcceleDent; OrthoAccel Technologies, Houston, Tex) (n = 29), an identical nonfunctional (sham) device (n = 25), or fixed appliances only (n = 27)...
December 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Perumal Jayavelu, R Riaz, A R Tariq Salam, B Saravanan, R Karthick
Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated...
October 2016: Journal of Pharmacy & Bioallied Sciences
Leandro Chambrone
PURPOSE OF REVIEW: This review summarizes recent evidence on the impact of osteoporosis on periodontonlogy and implant dentistry, prevalence of diseases, pathophysiology and treatment outcomes. RECENT FINDINGS: Patients with osteoporosis should be advised about the importance of returning for periodical periodontal maintenance as inadequate oral care may lead to a faster development of periodontitis. There is no definitive information on the development of bisphosphonate-related osteonecrosis of the jaw associated with dental implant therapy...
December 2016: Current Opinion in Endocrinology, Diabetes, and Obesity
Thamer Alkhadra, William Preshing, Tarek El-Bialy
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 Holland et al...
2016: Open Dentistry Journal
A Moule, N Cohenca
Trauma involving the dentoalveolar region is a frequent occurrence which can result in the fracturing and displacement of teeth, crushing and/or fracturing of bone and soft tissue injuries including contusions, abrasions and lacerations. This review describes the assessment of patients with these injuries, not in a didactic sense by repeating excellent already published classifications and treatment options, but by addressing questions that arise during assessment. It covers trauma first aid, examination of the patient, factors that affect treatment planning decisions, and the importance of communicating treatment options and prognosis to traumatized patients...
March 2016: Australian Dental Journal
Amir Chafaie
Dentoalveolar trauma, very frequent during childhood and adolescence, generally results in tooth fracture and/or partial or total luxation. Management of the pulpal and periodontal aspects of these traumatic cases is complex. The prognosis is improved if treatment is initiated promptly. Multidisciplinary management of these situations and regular patient follow-up make it possible to detect complications quickly and take the necessary action to maintain the teeth as long as possible in a healthy periodontal environment that allows harmonious development and the application of appropriate treatment in adulthood...
March 2016: International Orthodontics
Saber Azami-Aghdash, Farbod Ebadifard Azar, Fatemeh Pournaghi Azar, Aziz Rezapour, Mohammad Moradi-Joo, Ahmad Moosavi, Sina Ghertasi Oskouei
BACKGROUND: Dental traumas are common among children and adolescents in many societies posing health and social problems. The aim of this study was to conduct a systematic review and meta-analysis on prevalence, etiology, types, and other epidemiologic aspects of dental trauma in children and adolescents (0-18 years old). METHODS: In this systematic meta-analytical review, data were collected searching for key words including traumatic dental injuries, dental trauma, dental injury, dental trauma, tooth injuries, tooth trauma, traumatized teeth, dentoalveolar trauma, oral trauma, epidemiology, etiology, prevalence, incidence, occurrence, child*, and adolescence in the following databases: Scopus, CINAHL, Science Direct, PubMed and Google scholar...
2015: Medical Journal of the Islamic Republic of Iran
Benjamin Mahmoodi, Roman Rahimi-Nedjat, Jens Weusmann, Adriano Azaripour, Christian Walter, Brita Willershausen
BACKGROUND: Traumatic dental injuries present complex injuries of the dentoalveolar system. Aim of this study was to investigate the frequency and patterns of traumatic dental injuries in a University dental emergency service over four years. METHODS: A retrospective investigation on all dental trauma patients presenting at the dental emergency service of the University Medical Center Mainz, Germany between 01/2010 and 12/2013 was conducted. Demographic data, the cause and type of trauma and the initial therapy were analyzed...
2015: BMC Oral Health
Yeliz Guven, Sevgi Zorlu, Abdulkadir Burak Cankaya, Oya Aktoren, Koray Gencay
The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle...
2015: Case Reports in Dentistry
Karl Maloney
In general, dentoalveolar fractures are a common injury seen in emergency departments, dental offices, and oral and maxillofacial surgery practices. These injuries can be the result of direct trauma or indirect trauma. Direct trauma more often causes trauma to the maxillary dentition due to the exposure of the maxillary anterior teeth. Indirect trauma is usually the result of forced occlusion secondary to a blow to the chin or from a whiplash injury. Falls are the most common mechanism of injury seen in the pediatric group...
September 2015: Craniomaxillofacial Trauma & Reconstruction
Valerie G A Suter, Reinhilde Jacobs, Marcia R Brücker, Alberto Furher, Jim Frank, Thomas von Arx, Michael M Bornstein
OBJECTIVES: Maxillary incisors (MI) are often affected by dentoalveolar injury resulting in tooth devitalization and apical periodontitis. The aim of the present study was to analyze any association between a history of dentoalveolar injury and the shape and size of the nasopalatine canal (NC) using cone beam computed tomography (CBCT). MATERIAL AND METHODS: Patients were allocated to the trauma group if they had a history of dentoalveolar injury and a root filling in at least one MI and/or one missing MI...
April 2016: Clinical Oral Investigations
Vijay Kumar, Raman Kant Sinha
OBJECTIVES: The aim of this paper is to summarize different diagnostic criteria as well as probable aetiopathogenesis of bisphosphonates related osteonecrosis of the jaw. MATERIALS AND METHODS: The electronic search of peer-reviewed journals were performed in MEDLINE (PubMed) database in order to find the relevant articles on bisphosphonates related osteonecrosis of the jaw (BP-related ONJ). The search was restricted to English language articles, published from January 2002 to May 2013...
December 2014: Journal of Maxillofacial and Oral Surgery
Im Geon Jin, Jin Ho Kim, Hong-Gyun Wu, Sook Kyoung Kim, Yongdoo Park, Soon Jung Hwang
PURPOSE: We investigated the effect of rat mesenchymal stem cells (rMSCs) and bone morphogenetic protein-2 (BMP-2) on the osseous healing of osteoradionecrosis in the rat mandible, depending on application time. MATERIAL AND METHODS: One week after irradiation (30 Gy) on the right mandible, all molar teeth were extracted. In Group 1 (n = 25), rMSCs and/or BMP-2 carried with hydrogel were applied immediately after surgery. In Group 2 (n = 25), application was done 4 weeks after surgery, after the occurrence of osteoradionecrosis...
October 2015: Journal of Cranio-maxillo-facial Surgery
Crisnicaw Verissimo, Paulo Victor Moura Costa, Paulo César Freitas Santos-Filho, Alfredo Júlio Fernandes-Neto, Daranee Tantbirojn, Antheunis Versluis, Carlos José Soares
BACKGROUND/AIM: Custom-fitted mouthguards are devices used to decrease the likelihood of dental trauma. The aim of this study was to develop an experimental bovine dentoalveolar model with periodontal ligament to evaluate mouthguard shock absorption, and impact strain and stress behavior. METHODS: A pendulum impact device was developed to perform the impact tests with two different impact materials (steel ball and baseball). Five bovine jaws were selected with standard age and dimensions...
February 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Karen B Tjørnelund, Lena M Jonsson, Hanne Kortegaard, Jens Arnbjerg, Søren S Nielsen, Mads F Bertelsen
Dental ailments, mandibular swelling, and dentoalveolar abscesses are common in tapirs, but knowledge about prevalence or etiology of these lesions in the Tapiridae family in general, and in lowland tapirs (Tapirus terrestris) in particular, is scarce. A recent study identified resorptive lesions of unknown etiology as a common problem in the Malayan tapir (Tapirus indicus). In order to investigate the type and prevalence of dental lesions occurring in lowland tapirs, and to compare these with findings with the Malayan tapir, skulls and teeth from 46 deceased lowland tapirs were visually and radiographically examined...
June 2015: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Neelam N Andrade, Smriti Choradia, Ganapathy Sriram S
BACKGROUND: In maxillofacial surgery, children represent a special group of patients, as they have significant differences from adults as far as the facial skeleton is concerned. The etiology and epidemiology of pediatric trauma involving the facial skeleton has been reported in a large series of patients. Nevertheless, few of these reports review large numbers of pediatric patients, and little is known about treatment protocols for fractures in children. The aims of this study were to retrospectively analyze the treatment methods and outcomes of pediatric mandibular fractures in children and young adolescents up to the age of 15 years, to discuss the findings, and to propose treatment protocols for maxillofacial fractures in childhood...
September 2015: Journal of Cranio-maxillo-facial Surgery
Prashanth Sadashiva Murthy, Avinash Bettahalli Shivamallu, Seema Deshmukh, Bhojraj Nandlal, Srilatha K Thotappa
Traumatic injuries in the primary dentition pose major challenges for management. This emergency treatment requires proper planning so as to achieve favorable results. Trauma causing severe dentoalveolar injuries, especially in children, needs an interdisciplinary approach so as to retain normal functional anatomy for that age. This article describes a clinical innovative technique, which utilizes a resorbable membrane in management of pediatric dentoalveolar trauma. The membrane was shaped to cover the multiple alveolar bone fracture, thereby favoring the healing of the bone defects...
May 2015: Dental Research Journal
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