Management Of Dentoalveolar Trauma Research Articles

Incidence of Dentoalveolar Trauma and its Correlation with Temporomandibular Disorders – A Systematic Review

Abstract Temporomandibular disorders (TMDs) represent a diverse set of conditions affecting the temporomandibular joint, masticatory muscles and associated structures. Previous studies suggested a notable correlation between dentoalveolar trauma (DAVT) and the incidence of TMDs. This systematic review aims to further elucidate this relationship. A comprehensive search was conducted in electronic databases to identify relevant studies published up to 2023. The included studies investigated the association between DAVT and TMDs in diverse populations. Data were extracted based on study characteristics, participant demographics and key findings. The quality of the included studies was evaluated using the established assessment tools. Five studies were included in the final review. The studies revealed a strong association between DAVT and TMDs across different populations, including adolescents, students and high-contact sports practitioners. The correlation was evident in the form of significantly higher odds ratios, increased prevalence of specific TMD subtypes and more severe symptoms in individuals with a history of DAVT. Furthermore, the studies highlighted the significant role of high-contact sports and trauma history in TMD’s prevalence and severity. The findings from this systematic review provide compelling evidence of the significant correlation between DAVT and TMD. The results underline the importance of early detection and management of DAVT, particularly in high-risk groups such as high-contact sports practitioners, to prevent the development and progression of TMDs. Future research should focus on understanding the underlying mechanisms of this association and developing effective preventive and therapeutic strategies.

Use of splinting in traumatized primary teeth: A systematic review of case reports

The aim of this study was to explore the use of splinting in the management of traumatized primary dentition in case reports published in the literature. Systematic searches were performed in the main health databases to identify case reports (a) with children presenting trauma in primary teeth, and (b) those that described any outcomes related to the use of splints in the management of traumatized primary teeth. The stages of study selection, data extraction and risk of bias analysis were performed. Descriptive data analysis was described. The reporting of information from this review was based on the PRISMA 2020 guidelines. Of the total number of studies initially found (n=246), eight were case reports. Outcomes of splint immobilization in primary teeth with luxation (intrusion, extrusion, and lateral displacement), intra-alveolar root fracture and/or alveolar fracture were reported. All case reports described splinting as a viable technique for immobilizing traumatized primary teeth, regardless of the type of traumatic dental injury (TDIs) and splinting technique used. Only case report verified the effectiveness of the splinting in the management of dentoalveolar trauma and demonstrated the clinical effectiveness of the contentive approach. Based on low evidence studies with a moderate risk of bias, it was observed that the use of splints for the management of alveolar bone fractures and intrusive root fractures, and in specific cases of teeth with lateral luxation, can bring additional benefits to the dento-alveolar health of traumatized primary teeth.

Management of dentoalveolar trauma in adult with nylon splinting and 15 days’ delay in treatment-Case report

Root fracture is relatively rare and represents only 0.5-7% of all dental trauma, its incidence is higher in children than in adults and depending on the way it occurs it can be vertical or horizontal,

A New Technique For Splinting Traumatized Anterior Dental or Dento Alveolar Segment . A Clinical Study

A New Technique For Splinting Traumatized Anterior Dental Or Dento alveolar Segment. A Clinical Study Running Title: Splinting Traumatized Anterior Teeth Abstract Back ground: Many different splinting techniques have been described in dental trauma articles. Wire-composite splint, Orthodontic splint, TTS splint, Resin splint, Kevlar/fiberglass splint (fiberglass), Self-etching and bonding material, Suture splint. We describe here a new technique for splinting traumatized teeth and alveolar bone. To evaluate the simplicity and reliability of cold-cured acrylic resin immediate splinting in the management of traumatized anterior teeth. Results: A total number of (46) patients with traumatized dental or dento-alveolar segment due to accident or operation were managed with immediate cold-cured acrylic resin splint without the need for anesthesia for fixation, the study carried out from January (2008–2014). Forty four dento-alveolar trauma patients, 2 patients following upper dento-alveolar osteotomy, 2 splints dropped down (2) days post-splinting, the splints removed (14-21) days. Conclusion: this new technique in the management of dento-alveolar trauma is a reliable, simple, easy, less technical, painless and less time consuming procedure.

Undergraduate experience and self-assessed confidence in paediatric dentistry at the University of Jordan Dental School.

The aims of the study were to audit the number and types of clinical procedures completed by the undergraduate dental students in the paediatric dentistry course at the University of Jordan Dental School and to present data on self-reported confidence in a variety of aspects of paediatric dentistry. A retrospective audit of clinical logbooks for the entire class of 120 dental students in their fifth clinical year was performed. Key clinical procedures performed in the paediatric clinics were recorded including treatment performed on both primary and permanent teeth. Students were requested to complete an anonymous questionnaire to assess confidence related to six activities using a visual analogue scale (VAS). All students performed restorations in primary teeth with the majority providing approximal restorations (91%), pit and fissure restorations (89%) followed by stainless steel crowns (81%). In addition, all students performed a pulpotomy for a primary tooth, extraction of a primary tooth and fissure sealants. Only a quarter of the students treated a traumatised incisor. Students considered themselves most confident (VAS ≥ 7) in performing operative dentistry, examination, diagnosis and treatment planning and providing preventive therapy. They were least confident in the management of dento-alveolar trauma (VAS = 3.8). Students at the University of Jordan Dental School were found to have good experience of clinical paediatric operative dentistry with the majority performing pulp therapy, preformed crowns and extractions. Deficiencies have been reported in student exposure to dental trauma, and these are being addressed.

Knowledge of dental trauma in a group of Chilean primary school teachers.

Aim: To determine the knowledge and management of dentoalveolar trauma by primary school teachers in rural and urban schools in the city of Paillaco, Chile, in 2014. Methods: An observational study was conducted in 167 teachers in the city of Paillaco. A survey developed from the questionnaires proposed by McIntyre et al. and Yassen et al. was used. The survey, previously approved by 2 experts, was applied in person in the school facilities, after the application of a pilot test. Demographic characteristics of the participants and the frequency of correct responses by geographical location of the educational establishment (rural / urban) were analyzed. For the inferential analysis, the chi-square and t-tests (p <.05) were used. Results: 130 valid questionnaires (41.21 ± 0.95 years, 68.4% women) were obtained. Participating teachers achieved an 83.3% of correct diagnosis of dentoalveolar trauma and a 55.5% of correct answers regarding its management. There were with no statistically significant differences in relation to geographical location. Conclusion: Primary school teachers in the city of Paillaco have a high level of knowledge of dentoalveolar trauma, but not of its management.

Management of Dentoalveolar Trauma in Late Mixed Dentition

Dentoalveolar trauma leading to intrusion and lateral luxation of maxillary lateral and central permanent incisor in late mixed dentition phase is reported. The laterally luxated central incisor tooth was splinted for 3 weeks. Endodontic treatment of the same with intracanal calcium hydroxide dressing and subsequent obturation with gutta-percha was accomplished after splint removal. The intruded lateral incisor was kept under observation to allow spontaneous re-eruption. Clinical and radiographic follow-up to 9 months revealed satisfactory periodontal healing of the repositioned maxillary central incisor and passive re-eruption of intruded lateral incisor. The central incisor was esthetically restored and mouthgaurd was fabricated to prevent future injuries to the dentition.

Update on the management of dentoalveolar trauma

Dentoalveolar injuries are the most common type of facial injury and are often associated with concomitant facial fractures. These injuries may initially be seen by surgeons who do not have formal dental training. This article reviews the assessment and management of dentoalveolar fractures. Semi-flexible splinting of traumatized teeth for shorter periods of time than previously suggested is associated with better long-term outcomes. The use of dental implants to replace teeth lost to trauma is a predictable restorative option. Surgeons need to be aware that dentoalveolar injuries may be a marker for other injuries. Prompt relocation and splinting of displaced teeth is associated with better outcomes.

Undergraduate experience and self-assessed confidence in paediatric dentistry: comparison of three UK dental schools

Previous studies have suggested that dental students may not receive sufficient clinical experience in core paediatric dentistry skills. This study aimed to compare dental undergraduates' self-reported experience and confidence in paediatric dentistry within three UK dental schools (Liverpool, Manchester and Sheffield). In April/May 2009, 147 final year dental students completed an anonymous questionnaire which captured their experience of seven core clinical skills in both hospital and outreach settings. A visual analogue scale was also employed to record perceived levels of confidence for six generic activities including: examination, diagnosis and treatment planning; patient selection for treatment under general anaesthesia; operative dentistry; preventive dentistry; management of dento-alveolar trauma, and provision of routine care for children on qualification. The key finding was that Liverpool, Manchester and Sheffield dental students received comparable clinical experiences in paediatric dentistry, which appeared to satisfy the requirements of the General Dental Council's The first five years. One hundred percent had carried out fissure sealants and restorations, and 87-98% had experience of extractions. Outreach placements were crucial in ensuring students had sufficient opportunity to undertake core skills, notably extractions and pulp therapies. All students reported a lack of confidence in dental trauma management which warrants greater emphasis in the undergraduate curriculum.