Trauma In Primary Teeth Research Articles

PENATALAKSANAAN TRAUMA GIGI PADA ANAK USIA TUMBUH KEMBANG

Dental trauma is often found in children of growing age due to poor psychomotor coordination, making them prone to falls. This can cause damage to the teeth and their supporting tissues, which can interfere with mastication, speech, aesthetics and the eruption of permanent teeth. The management of dental trauma in children is still poorly understood by parents and teachers, therefore an approach is needed regarding the first treatment of trauma to primary teeth. The choice of Community Service target at Kepodang preschool was due to a request from the school principal as the community leader. Education and training activities were carried out on Monday, March 4th 2024 for a total of 22 teachers and parents. The aim of this activity is to increase knowledge, motivate changes in attitudes and behavior in maintaining oral health, and provide learning about first care for trauma in primary teeth. An initial assessment of knowledge and attitudes regarding first care for trauma in primary teeth was carried out through administering a pre-test with multiple choice questions. The material given includes dental and oral health problems, prevention methods, as well as first treatment for trauma in primary teeth by using the power point text, discussion, and a simulation of how to brush teeth with songs. Evaluation was carried out through a post test with multiple choice questions. Evaluation of the post test results shows that there was an increase in test score. The results of this activity recommend continuing this training activity in kindergartens or other elementary schools, especially for teachers and parents

Evaluation of the effect on the permanent tooth germ and the adjacent teeth by finite element impact analysis in the traumatized primary tooth.

One of the primary concerns in the paediatric emergencies is traumatic dental injuries. This study aimed to create trauma in primary teeth and reveal its effects finite element analysis. Three-dimensional models were created using cone-beam computed tomography images, representing a maxillary primary central incisor. An impact force moving at a speed of 10 m/s was simulated on the labial tooth surface in two directions: buccal and incisal. The stress and deformation experienced in the adjacent tooth due to the primary tooth were higher than those generated in the permanent tooth. Forces applied in the incisal direction resulted in higher levels of stress and deformation in the permanent tooth germ. The difference between the stress and deformation values in primary teeth in the forces applied in the buccal and incisal directions is 21% and 75%, respectively; in the permanent tooth germ, this difference was 233% and 100%, respectively. Based on the findings of this study, it is crucial to thoroughly evaluate not only the affected primary tooth but also the adjacent teeth and the permanent tooth germ in traumatic dental injuries. This comprehensive examination allows for the anticipation and management of potential long-term problems.

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.

Diagnosis and treatment strategy of permanent tooth developmental disturbances caused by primary tooth trauma

The trauma to primary tooth may lead to developmental disturbances of permanent tooth. Because the traumatic events are often forgotten as accurred earlier, the timely diagnosis and intervention treatment are not conducted, resulting in aesthetic and functional disorders. This paper systematically elaborates the types of developmental disturbances in permanent tooth after traumatic injuries to the primary predecessor, and the etiology, mechanism, related factors as well as the treatment options, in order to provide references for the prevention of serious complications in inherited permanent tooth caused by primary tooth trauma.

Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, part 2: dental injury types, treatment strategies, and complications.

This article focuses on treatments and complications in patients presenting dental trauma in primary teeth. Treatment alternatives begin with the decision of performing a procedure under clinical settings or pharmacological techniques (PC) in young children. Correct diagnosis and treatment are crucial to maximize the chances of a favorable outcome. The files of 320 patients aged 0-9years who presented to the Erciyes University Faculty of Dentistry Department for dental trauma management in primary teeth were evaluated in between 2018 and 2021 for 3-year period. The following information were extracted from patients' records: injury type, affected teeth, caries condition of the teeth, treatment preferences of the dentists. Additionally postoperative complications and their management were evaluated. While 63.1% of the traumatized teeth were caries-free, 35.8% of the teeth had caries. The most frequent dental injuries was simple crown fractures (42.9%), followed by complicated crown fractures (38.5%). Treatments were mostly done in clinical conditions (67.9%) and mostly patients attend regularly to follow-up visits (85.6%). Clinicians prefer more radical treatments under sedation or GA (92.4% extraction of injured tooth). Coronal discoloration was the most common complication, and 35.3% had pulp necrosis for longer term results. Follow-up decisions made after concussion in the primary teeth might be appropriate for the patient. Examination of the complication status of primary teeth with simple crown fracture injury revealed that 59.5% of patients did not have any complications. Follow-up decisions were found to be appropriate for crowns with coloration alone. All options should be considered to provide the best care for children after primary tooth trauma; this can be achieved by being informed about the treatment and its consequences, and if necessary, a positive prognosis can be achieved with an interdisciplinary approach.

Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, Part 1: Epidemiology

The retrospective study reported herein was the first of three that investigated dental trauma in primary teeth. This article discusses the study that aimed to reveal the epidemiology of trauma with data such as prevalence, risk factors, and types of injuries, and to highlight prevention. The records of 320 patients aged 0-9years who visited the ErciyesUniversity Faculty of Dentistry Pedodontics Department due to dental trauma were evaluated according to the age, gender, medical condition, season, oral habits, trauma environment/type/cause, personal characteristics, and number of siblings. The chi-square test was used to compare the categorical variables by group. Of the patients, 25.9% were aged 24-35months at the time of study, 62.8% were male, 38.1% had two siblings, 37.2% had a sucking habit, 93.4% had a healthy medical condition, 41.3% experienced the trauma in summer, and 26.3% were aged 30-34months at the time they incurred the trauma. Of the traumas, 54.1% were caused by falling, 60% occurred at home, 23% pertained to lateral luxation, and 70% were incurred when the patients were with their mother. Given the results of this study, mothers with low education levels should be informed about their children's risk of incurring injuries from falling at home, especially in summer. Parents should also be warned that their children's oral habits increase their risk of trauma. This study can help increase the knowledge level of clinicians, can raise social awareness, and can guide plan formulation for preventing risks.

Determinants of dental trauma in 5-year-old children – a questionnaire study in the Polish population

Introduction. Tooth injuries are a widespread phenomenon in Poland and worldwide. The management of primary tooth injuries is a diagnostic and therapeutic challenge. Tooth injuries can be accompanied by many complications. No epidemiological studies have been conducted that would assess the frequency and factors determining the prevalence of primary tooth injuries in the Polish population. Aim. Determining the incidence, type and causes of primary dentition injuries and treatment methods, as well as identification of factors correlating with the above-mentioned parameters in 5-year-olds in Poland. Material and methods. Questionnaire surveys were conducted in 15 voivodeships as part of the programme entitled “Oral health monitoring of the Polish population in years 2016-2020”. Parents of 5-year-old children were included in the study. The questionnaire included questions on socioeconomic factors, parental knowledge and health behaviours in relation to children’s oral health and dental trauma. The results were analysed statistically. Results. A total of 1,044 correctly completed questionnaires were included in the analysis. About 10% of children had a history of primary tooth trauma, usually in the third year of life. The most common injuries were crown fractures and tooth luxations. Most of the parents of children who have sustained a tooth injury reported no need for treatment. Extraction was the most common treatment method. Conclusions. Tooth injury may lead to complications and, consequently, reduced life quality in the child. Only early care and treatment of dental trauma can prevent them.

Evaluation of Knowledge and Attitude of Kindergarten Teachers about Primary Tooth Trauma in Khorramabad City

Introduction: Injury to both the primary and permanent dentitions is one of the most common dental problems. The prognosis of dental trauma depends on the basic measures taken immediately after trauma. This study was designed to assess the level of knowledge, the attitude of kindergarten coaches about primary teeth trauma in Khorramabad city. Materials & Methods: In this Cross-sectional study, 100 kindergarten coaches in Khorramabad participated in this study in 2019-2020. A valid and reliable confirmed questionnaire was used for data collection. Data were analyzed with Pearson correlation coefficients and independent t-test (p value < 0.05). Results: In this study, the mean score of coaches’ attitude was 68.5 and the mean score of knowledge was 34.9. In the present study, the factors of gender, age, level of education had no significant relationship with their knowledge score (p value > 0.05) and attitude, but between work experience with knowledge scores (p value = 0.02) and attitude (p value = 0.004) and so between the level of knowledge (p value = 0.004) and attitude (p value = 0.008) and passing the dental emergency training course, a direct relationship was observed. In this study, there was a significant relationship 64% of the coaches experienced dental trauma and their mean score of knowledge (p value = 0.04) and attitude (p value = 0.001) was significantly higher than other coaches. Conclusion: The assessed level of dental knowledge of the coaches participating in this study was poor, whereas their attitude about primary tooth trauma was good. The great suggestion is to hold educational programs in this regard to increase the level of knowledge of kindergarten coaches in the field of dental trauma.

Prevention and Management of Dental Trauma in Primary Teeth in the Context of the COVID-19: A Critical Literature Review

Objective: To evaluate and discuss the prevention and management of dental trauma in primary teeth during the COVID-19 pandemic. Material and Methods: Critic literature review, searching electronic databases and Google for articles and guidelines published in English that described prevention and management of dental trauma in primary dentition during the pandemic of COVID-19. Results: 5 publications regarding management and 1 leaflet about prevention for parents were identified. Urgent care is required when the child presents tooth fracture resulting in pain or causing soft tissue trauma and luxation affecting bite. Avulsed teeth should not be replanted and advice and self-help may be sufficient in some situations. Instructions about soft diet and hygiene must be provided. Remote consults are recommended for non-urgent situations and during follow-up to evaluate the presence of sequelae. Aerosol generating procedures should be avoided and, in cases of poor prognosis, extraction is recommended to prevent recurring visits to the dental office. Conclusion: During COVID-19 pandemic, remote consults should be recommended to evaluate traumatic dental injuries in primary dentition. Follow-up should not be neglected and may be performed through remote consultation.

Association between malocclusion and the severity of dental trauma in primary teeth.

The literature does not clearly state whether the type of malocclusion is associated with a specific type of trauma and the severity of the injury. Hence, the aim of this retrospective study was to assess the occlusal condition in children with traumatic dental injuries of the primary teeth, and the association between the occlusal characteristics and the type and severity of these injuries. Data were collected from records of children treated at a dental trauma center in Brazil over a period of 16years. The data included age, gender, etiology of the trauma, place of occurrence, number of affected teeth, type of trauma, and injury severity. The occlusal condition was assessed by a trained dentist using photographs of the patients from their first visit. Chi-square tests and Poisson regression were used for data analyses. This study included 209 patients, and most were aged between 2-4years (50.55%). Multivariate regression analysis showed that children with an anterior open bite had a 47% higher prevalence of severe trauma than those who did not have an anterior open bite, and those with class II canines had a 56% higher prevalence of severe trauma than those with class I and III canines. Children with an anterior open bite had a 46% higher prevalence of injuries affecting multiple teeth than those without an anterior open bite. Anterior open bite and class II canine relationship were associated with a higher prevalence of severe traumatic dental injury in primary teeth, and anterior open bite was associated with trauma affecting multiple teeth.

A cross-sectional evaluation of knowledge among Chinese dentists regarding the treatment of traumatic injuries in primary teeth.

Injuries to the primary dentition affect children's esthetics, function, and mental health. They may also affect the development of the permanent teeth. The knowledge of dentists about deciduous tooth trauma is rarely evaluated. The aim of this study was to evaluate the knowledge and attitude of dentists in China regarding traumatic dental injuries to primary teeth. A self-administered online questionnaire containing questions on demographic data and knowledge based on a clinical scenario was given to a purposive sample of dentists, recruited by a non-probability convenience sampling method. The chi-square test was used for statistical analysis, with the significance level set at P <.05. A total of 394 out of 409 dentists provided valid data. There was no significant difference in demographic data. Questions about the treatment of hard dental tissue injuries in primary teeth presented a correct-response rate of 66.4%, with the highest correct-response rate for enamel fracture (n=368, 93.4%) and lowest for complicated crown-root fracture with pulp exposure (n=104, 26.4%). Questions about treatment of luxation injuries in primary teeth presented a correct-response rate of 66.6%, with subluxation presenting the highest correct-response rate (n=391, 99.2%). Factors associated with higher correct-response rates were specialist disciplines, educational qualifications, workplaces, experience of injured teeth treated, and educational experience about primary tooth trauma. No significant differences were found in the correct-response rates of dentists with different years of work experience. Lack of cooperation from children was considered a major obstacle for treatment. Special lectures and Internet courses were the most preferred methods of obtaining knowledge. The results suggest that it is necessary to enhance dental trauma education for dentists in China. More attention needs to be paid to trauma in primary dentition to ensure adequate treatment for traumatized primary teeth.

Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study.

Knowledge of factors influencing the occurrence of crown discoloration following traumatic dental injuries in primary teeth and understanding its possible consequences can help dentists to provide appropriate care. The aim of this retrospective cohort study was to investigate the incidence of crown discoloration following trauma in primary teeth. This study also estimated the risk of pulp necrosis with subsequent infection of the root canal system and pulp canal obliteration in discolored teeth. Records of children treated at the specialized trauma center of the Federal University of Pelotas during a period of 10 years were analyzed. Patient details including the type of injury, presence of crown discoloration, pulp necrosis, and pulp canal obliteration were collected. Photographs of teeth with crown discoloration were assessed to evaluate the color presented (yellow or dark). Chi-square tests and Poisson regression were used for data analyses (P < .05). A total of 355 children with 628 traumatized teeth were included in the study. The incidence of crown discoloration was 27.9%, and 20.5% of the teeth were affected. Discoloration was higher in children whose age at the time of trauma was 2-4 years (P = .020), and it was associated with the type of injury (P = .019). Discolored teeth had a twofold risk of pulp necrosis and subsequent infection of the root canal system (RR 1.98 95% CI 1.42-276; P < .001) and a higher risk of pulp canal obliteration (RR 8.47; 95% CI 4.95-14.51; P < .001) than did teeth without discoloration. Teeth with dark and yellow discoloration were significantly associated with pulp necrosis and pulp canal obliteration, respectively (P < .001). This study demonstrates the importance of monitoring traumatized primary teeth with crown discoloration, particularly those appearing darker, owing to their higher risk of pulp necrosis and subsequent infection of the root canal system.

Trauma in Primary Teeth at a Specialized Service Center: Retrospective Cohort

Objective: To evaluate the factors associated with the occurrence of dental trauma in children up to six years of age and describe the results of clinical follow-up and possible sequelae. Material and Methods: A retrospective study was carried out with data collected from the dental records of 96 pediatric patients up to 6 years old with traumatized primary teeth who sought care from the. Pediatric Dental Trauma project of a private university in the city of Rio de Janeiro from July 2014 to July 2017, and who had clinical and radiographic follow-up for up to three months as of their initial visit. Results: 96 children (58.3% boys and 41.7% girls) included who presented 166 traumatized primary teeth. Intrusion was the most observed type of trauma and in 45.8% of cases, the care occurred one-week post trauma. The maxillary central incisors were the most affected teeth (97.6%). The prognosis of the dental elements with more than 3 months of follow-up was considered favorable, and 59.6% of the teeth did not present any clinical or radiological sequelae. Oral hygiene instruction and monitoring were the most common approaches. Conclusion: The prevalence of dental trauma in the present study was high and occurred mainly in domestic settings. The upper central incisors were the teeth that suffered the most injuries. The presence of patients at follow-up visits was an important factor for the positive result in most cases.

Conhecimento dos acadêmicos de odontologia sobre traumatismos em dentes decíduos

INTRODUÇÃO: O trauma dentário é o conjunto de impactos que afeta os dentes e suas estruturas de suporte desde fratura em esmalte até a perda definitiva do elemento dentário. Entre os principais fatores etiológicos de traumatismo dentário na infância encontram-se as práticas desportivas, acidentes automobilísticos, atividades pertinentes à infância, agressões e fatores predisponentes individuais. O prognóstico das lesões traumáticas é influenciado pelo tipo e gravidade da lesão, intervalo de tempo entre o episódio do trauma e o tratamento inicial. OBJETIVO: Analisar o conhecimento dos acadêmicos de odontologia de uma instituição de ensino superior sobre trauma dentário em dentes decíduos. MATERIAIS E MÉTODOS: Trata-se de uma pesquisa transversal. Os dados foram coletados através da aplicação de um questionário, com perguntas sobre conhecimento em trauma dental e a conduta frente a situações de traumatismo dentário, realizado com alunos que cursaram a disciplina de Clínica Integrada Infantil I, II e III. Foi realizado análise descritiva dos dados e aplicado o Teste de Tendência Linear, considerando valor de p&lt;0,05. RESULTADOS: Observou-se um baixo nível de conhecimento dos acadêmicos sobre o tema abordado, apenas 8% acertaram todas as questões, com a menor quantidade de acertos em casos de subluxação (37,3% de acertos) e avulsão (41,2% de acertos). Não houve associação do período com nível de conhecimento (valor de p&gt;0,05). CONCLUSÃO: O conhecimento dos alunos sobre traumatismo dentário é baixo, principalmente sobre tratamento de casos de trauma como subluxação e avulsão.

Clinical and Radiographic Sequelae in Primary Teeth due to Dental Trauma

Objective: To evaluate the presence of clinical and radiographic sequelae in primary teeth affected by dental trauma and its association with age at the time of trauma in children attended at a Public Higher Education Institution. Material and Methods: This is a longitudinal clinical study, in which 229 patients with history of dental trauma in primary teeth were examined, totaling 390 traumatized teeth. Relative frequency analysis was used, and for associations, the Chi-square test was used to verify the relationship of age at the time of trauma with variables such as type of trauma. Results: The most prevalent age group was over 24 months, and fall from own height as the main etiological factor; 71.0% of traumas had involvement of 2 teeth, 9.5% had history of anterior trauma and 66.6% of traumas involved supporting tissues. Regarding the type of injury to dental tissue, the most prevalent was enamel fracture (58.3%) and to periodontium, lateral dislocation (30.8%). Children older than two years had less trauma related to dental tissue (p<0.01), higher number of injuries to the periodontium (p=0.03); and most of them did not present extra-oral changes associated with trauma (p=0.01). During the 12-month period, 325 teeth were examined, and the most frequent clinical sequelae observed was crown discoloration. In the radiographic evaluation, inflammatory root resorption was the most prevalent. Conclusion: Children older than two years presented more injuries to the periodontium. After 12 months, the main clinical sequelae observed was enamel discoloration and the main radiographic sequelae was inflammatory root resorption.

Trauma in primary teeth and its effect on the development of permanent successors: a controlled study

Objective: This controlled study investigated the occurrence of sequelae to permanent successors (SPS) following traumatic dental injury in primary teeth (TDIp). Additionally, this study evaluated whether TDIp is a risk factor for SPS, with a focus on an association between SPS and the child's age and type of trauma. Materials and methods: The trauma group (TG) consisted of permanent teeth, whose antecessors had suffered TDIp, in a population of children with complete eruption of permanent teeth. The control group (CG) consisted of permanent teeth from the same individuals, whose antecessors had not suffered TDIp. There were 214 cases of TDIp with their respective permanent teeth. In the CG 247 permanent teeth, whose antecessor had not suffered TDIp, were included. Data concerning such teeth and when TDIp occurred (in terms of the child’s age) and types of SPS were collected. The chi-square test, regression logistic with generalized estimating equations (GEE) test, and risk analyses were applied to investigate the associations. Results: Overall, 29% of the permanent teeth in the TG presented SPS. This was compared to the development disturbances in the CG, which was 7%. The TG demonstrated the highest risk for SPS (OR, 5.388; p = .0001). The discolouration of enamel (37%) was the most common type of SPS found. SPS was more prone to occur in permanent teeth whose antecessors had been intruded (39%; p < .001). TDIp when the child was 1-year old was associated with SPS (p < .001). Moreover, children who had TDIp had a 4.1 times higher risk of presenting SPS. Conclusions: TDIp is a risk factor for the development of SPS. All types of TDIp caused SPS in this research. Additionally, the younger ages at the time of the injury and intrusions were related to SPS.

SEQUELAS DENTAIS APÓS TRAUMATISMO NA DENTIÇÃO DECÍDUA: RELATO DE CASO

Os traumatismos na dentição decídua são rotineiros na clínica odontológica, o que exige do profissional grande habilidade e critério na abordagem do paciente e seus familiares. Traumas na dentição decídua podem acarretar sequelas nos dentes decíduos, bem como nos sucessores permanentes em desenvolvimento, uma vez que existe íntima relação anatômica entre os ápices dos decíduos e os germes dos permanentes. O objetivo deste trabalho foi apresentar as sequelas dentais após traumatismo na dentição decídua, em um paciente sem acompanhamento odontológico. Paciente do gênero masculino, dez anos de idade, compareceu à clínica de odontopediatria da Universo, sem queixa. Durante o exame clínico foi observada alteração de cor e retenção prolongada do elemento 51 ocasionando desvio de erupção do sucessor permanente e, consequentemente, mordida cruzada anterior. Durante a anamnese, os responsáveis confirmaram a história de trauma no elemento 51 aos cinco anos de idade, porém não se recordam como e local do acidente. Os mesmos não relataram nenhum atendimento odontológico após o traumatismo dentário. Após avaliação e exame radiográfico foi realizada a exodontia do elemento decíduo e encaminhamento do paciente para tratamento ortodôntico, onde foi confeccionado um plano inclinado fixo para reposicionar o sucessor permanente. Conclui-se que, segundo o caso apresentado, o traumatismo gerou sequelas no próprio dente decíduo acometido, assim como no sucessor permanente. Além disso, a ausência de tratamento e acompanhamento do caso de traumatismo pode ter contribuído para o desvio de erupção na dentição permanente. Após tratamento adequado foi possível a correção da mordida cruzada anterior com sucesso clínico do caso.

Pulp Calcification in Traumatized Primary Teeth - Classification, Clinical And Radiographic Aspects.

The aim of this study was to standardize the nomenclature of pulp alteration to pulp calcification (PC) and to classify it according to type, quantity and location, as well as relate it to clinical and radiographic features. The dental records of 946 patients from the Research and Clinical Center for Dental Trauma in Primary Teeth were studied. Two hundred and fifty PC-traumatized upper deciduous incisors were detected. According to radiographic analysis of the records, 62.5% showed diffuse calcification, 36.3% tube-like calcification, and 1.2% concentric calcification. According to the extension of pulp calcification, the records showed: 80% partial calcification, 17.2% total coronal calcification and partial radicular calcification, and 2.8 % total coronal and radicular calcification. As for location, only 2.4% were on the coronal pulp, 5.2% on the radicular pulp and 92.4% on both radicular and coronal pulp. Regarding coronal discoloration, 54% were yellow and 2% gray. In relation to periradicular changes, 10% showed widened periodontal ligament space, 3.1% internal resorption, 10% external resorption, 10.4% periapical bone rarefaction. Since PC is a general term, it is important to classify it and correlate it to clinical and radiographic changes, in order to establish the correct diagnosis, treatment and prognosis of each case.

Osseo-gingival pathology as sequelae of dental trauma to the primary upper incisor: a case series.

Osseo-gingival pathology (OGP) may be observed in traumatized primary teeth, and its knowledge is essential for treatment decision. To describe the occurrence and treatment of OGP in traumatized primary upper incisors. One examiner collected data from patients' charts of the Clinic of Trauma in Primary Teeth of the University of Sao Paulo. OGP was divided into apical fenestration (AF), total gingival recession (TGR), and partial gingival recession (PGR). From 2516 charts, 61 patients (2.4%) presented 73 teeth with OGP (9.6% AF, 19.2% TGR and 71.2% PGR). OGP was observed in 63% of male and 43.8% of children aged 4-5 years old. Mean time between trauma and diagnosis was 15 months AF, 23.5 months TGR, and 7.5 months PGR. Periodontal trauma occurred in 86.3% of teeth with OGP. Pulp necrosis was observed in all cases of AF and 92.9% of TGR; however, 76.9% of PGR were vital. All teeth with AF and 85.7% of TGR were extracted, and 44.2% of PGR were monitored. Osseo-gingival pathology has low occurrence in traumatized primary upper incisors. The treatment for AF and TGR is tooth extraction, and for PGR is tooth monitoring or extraction depending on the case severity.

Dilaceration of permanent teeth after primary tooth trauma

Milk tooth dislocations caused by accidents, especially intrusions and buccal dislocations, can cause considerable malformations of permanent teeth. These malformations occur at the level of the current crown or root formation zone at the time of the accident. Anything that is already fully mineralized is not or hardly affected.