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1.
Medisan ; 25(5)2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1346543

ABSTRACT

Introducción: La práctica deportiva conlleva un alto riesgo de traumatismos dentoalveolares, por lo que es necesario que los entrenadores y deportistas conozcan sobre el uso adecuado de los protectores bucales y el procedimiento de urgencia ante la aparición de un trauma dental. Objetivo: Determinar el nivel de información sobre protectores bucales y avulsión dentaria en entrenadores deportivos. Métodos: Se realizó un estudio descriptivo de corte transversal, durante el mes de febrero de 2020, en la Escuela de Iniciación Deportiva Escolar Provincial Lino Salabarría Pupo de Sancti Spíritus. Para ello se seleccionó una muestra probabilística, representativa y aleatoria de 25 entrenadores de los deportes de combate y juego con pelotas, a los cuales se le aplicó una encuesta estructurada sobre protectores bucales y avulsión dentaria. Resultados: Entre los integrantes de la serie, 76 % eran universitarios y 52 % poseían más de 10 años de experiencia profesional. Asimismo, se obtuvo que 88 % recomendaran el uso del protector bucal a sus deportistas, pero la mayoría desconocía sus características, funciones y tipos, así como la conducta a seguir ante la ocurrencia de una avulsión dentaria. Conclusiones: El nivel de información sobre protectores bucales y avulsión dentaria en los entrenadores deportivos fue deficiente, lo que demostró que es necesaria la educación en dicho tema. De hecho, los estomatólogos tienen la tarea de realizar campañas para incentivar y educar en el uso de los protectores bucales y en el procedimiento correcto de urgencia si ocurriera un trauma dentoalveolar.


Introduction: The sport practice bears a high risk of dentoalveolar trauma, reason why it is necessary that trainers and sportsmen know on the appropriate use of oral protectors and the emergency procedure in view of the emergence of a dental trauma. Objective: To determine the level of information on oral protectors and dental avulsion in sport trainers. Methods: A descriptive and cross-sectional study was carried out during February, 2020, in the Lino Salabarría Pupo Provincial Initiation Sport School in Sancti Spíritus. A probabilistic, representative and random sample of 25 trainers from combat sports and ball games was selected, to whom an structured survey on oral protectors and dental avulsion was applied. Results: Among the members of the series, 76 % were university students and 52 % had more than 10 years of professional experience. Also, it was obtained that 88 % recommended the use of the oral protector to their sportsmen, but most of them ignored its characteristics, functions and types, as well as the way to behave considering the occurrence of a dental avulsion. Conclusions: The level of information on oral protectors and dental avulsion in the sport trainers was poor, what demonstrated that the education on this topic is necessary. In fact, dentists have the task of carrying out campaigns to motivate and educate in the use of oral protectors and in the correct emergency procedure in case a dentoalveolar trauma happened.


Subject(s)
Athletic Injuries , Tooth Avulsion/epidemiology , Tooth Injuries/prevention & control , Health Knowledge, Attitudes, Practice , Mouth Protectors
2.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(2): 667-671, Apr.-June 2021. graf
Article in English | LILACS | ID: biblio-1340653

ABSTRACT

Abstract Introduction: the avulsion of primary teeth is a disturbing and unexpected event. Description: this report describes the clinical case of a three-year-old child who suffered an avulsion and replantation of the primary upper central incisors at the site of the injury. The guardians sought treatment for the child at the Federal University of Minas Gerais after the replantation. Four months later, the child suffered a new trauma and the replanted teeth presented advanced mobility, root resorption and fistula. The clinical conduct was extraction and rehabilitation with a fixed esthetic maintainer. Discussion: the literature describes two treatment options for avulsion of primary incisors: replantation and non-replantation. According to a recent systematic review, the difficulty in obtaining a consensus regarding the best clinical conduct is due, in part, to the scarcity of publications that present not only follow-ups with clinical success, but also with failures. The outcomes of replantation can be influenced by several factors. The time elapsed between replantation and splinting, and the new episode of trauma, negatively influenced the prognosis in the present case, leading to failure. Replantation of primary incisors is not yet evidence-based treatment. Therefore, this option must be chosen with caution and in ideal situations. It requires constant clinical and radiographic monitoring for evaluation of outcomes.


Resumo Introdução: a avulsão de dentes decíduos é um evento perturbador e inesperado. Descrição: o presente relato descreve o caso clínico de uma criança de três anos que sofreu avulsão e reimplante dos incisivos centrais superiores decíduos no local do acidente. Os responsáveis procuraram atendimento para a criança na Universidade Federal de Minas Gerais após reimplante. Quatro meses depois, a criança sofreu novo trauma e os dentes reimplantados apresentavam mobilidade avançada, reabsorção radicular e fístula. A conduta clínica foi extração e reabilitação com mantenedor estético fixo. Discussão: a literatura descreve duas opções de tratamento para avulsão de incisivos decíduos: o reimplante e o não reimplante. De acordo com revisão sistemática recente, a dificuldade de se obter um consenso sobre a melhor conduta clínica se deve, em parte, à escassez de publicações que apresentem não apenas acompanhamentos com sucesso clínico, mas também com falhas. O reimplante pode ser influenciado por vários fatores. O tempo decorrido entre o reimplante e a contenção, e o novo episódio de trauma, influenciaram negativamente o prognóstico do presente caso, levando ao insucesso. O reimplante de incisivos decí- duos ainda não é um tratamento baseado em evidências. Portanto, essa opção deve ser escolhida com cautela e em situações ideais. Requer monitoramento clínico e radiográfico para constante avaliação do desfecho.


Subject(s)
Humans , Child, Preschool , Tooth, Deciduous/surgery , Tooth, Deciduous/injuries , Tooth Avulsion/therapy , Tooth Replantation/adverse effects , Tooth Replantation/methods
3.
Rev. inf. cient ; 100(2): e3308, mar.-abr. 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1251821

ABSTRACT

RESUMEN Se presentó el caso de un niño de 8 años que acudió al Servicio de Estomatología del Policlínico Universitario "Chiqui Gómez Lubián", de Santa Clara, provincia Villa Clara. En el mismo se observó avulsión del incisivo central superior derecho, fractura no complicada de la corona en incisivo central superior izquierdo y una marcada vestibuloversión. Se confeccionó un aparato placa Hawley de acuerdo a las características y necesidades del paciente, con el fin de lograr la recuperación estética, mantener la longitud del arco y corregir la vestibuloversión en el mismo. El aparato permitió obtener un resultado satisfactorio, que ha influido psicológicamente en el paciente al elevar su autoestima y salud bucal.


ABSTRACT A boy of 8 years old was seen in the dental service at the Policlínico Universitario "Chiqui Gómez Lubián", in Santa Clara, Villa Clara. Examination revealed avulsion in the right upper central incisor, uncomplicated crown fracture in left upper central incisor and an improper alignment of the teeth. Taking into account patients´ characteristics and requirements, it was fabricated a Hawley´s retainer in order to achieve a better aesthetic outcome, maintain the length of the dental arch and correct the improper alignment of the teeth. The appliance has achieved a satisfactory outcome, which has had a psychological influence on the patient by improving his self-esteem and oral health.


RESUMO Foi apresentado o caso de um menino de 8 anos que veio ao Serviço de Estomatologia do Policlínico Universitario "Chiqui Gómez Lubián", em Santa Clara, província de Villa Clara. Neste, observou-se avulsão do incisivo central superior direito, fratura não complicada da coroa em incisivo central superior esquerdo e vestibuloversão acentuada. Um dispositivo de placa de Hawley foi confeccionado de acordo com as características e necessidades do paciente, a fim de se obter recuperação estética, manter o comprimento do arco e corrigir a vestibuloversão nele. O dispositivo permitiu obter um resultado satisfatório, o que influenciou psicologicamente o paciente, elevando sua autoestima e saúde bucal.


Subject(s)
Humans , Male , Child , Tooth Avulsion/complications , Tooth Avulsion/etiology , Tooth Avulsion/psychology , Space Maintenance, Orthodontic/methods
4.
Article in English | LILACS, BBO | ID: biblio-1351211

ABSTRACT

ABSTRACT Objective: To examine the types of traumatic dental injuries of the primary teeth (TDI-p) and the long-term sequelae on permanent dentition (LSP) comparing with a control group (CG). In addition, a questionnaire that measures parents' knowledge and awareness was used. Material and Methods: The trauma group (TG) consisted of permanent teeth following TDI-p exposed teeth, while the CG consisted of permanent teeth following unexposed teeth with TDI-p of the same patients. In total, 141 teeth were evaluated in 27 patients. Data concerning such as teeth, when TDI-p occurred, types of treatments and types of LSP were collected. Chi-square test was used for intergroup comparison for gender, type of trauma, LSP, age of trauma and parameters in the parental information questionnaire. Significance level was p<0.05. Results: A statistically significant difference was found in the analysis between TG and CG (p<0.001). The prevalence of LSP due to TDI-p was 29.6% and the prevalence of sequelae in CG was 7.4%. The most common LSP was enamel hypoplasia (14.8%). Parents were aware of the importance of TDI-p, and they had insufficient knowledge about its management. Conclusion: TDI-p can be considered a high-risk factor in the development of LSP. Also, the lack of knowledge in parents should be supported by software-based application systems to be developed.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Tooth, Deciduous/injuries , Tooth Avulsion/diagnostic imaging , Dental Records , Tooth Injuries/diagnosis , Dentition, Permanent , Parents , Turkey/epidemiology , Radiography, Dental/instrumentation , Chi-Square Distribution , Surveys and Questionnaires , Risk Factors , Statistics, Nonparametric , Photography, Dental/instrumentation
5.
Article in English | LILACS, BBO | ID: biblio-1287483

ABSTRACT

Abstract Objective: To evaluate the knowledge of patients treated in a public University concerning dental avulsion and its emergency first-aid management. Material and Methods: Three hundred patients were invited to answer a questionnaire about demographic characteristics, attitude and knowledge of first-aid management of dental avulsion. Chi-square test was used to assess the association between knowledge about dental replantation and education level. Results: Female gender (66.7%) aged from 31 to 40 years (31.3%) with high school education (50.3%) predominated among all the participants. It was not found a difference between education level and management of avulsed permanent teeth (p=0.076), and 66% of the respondents were not able to do the replantation. In relation to the management of avulsed tooth, 42.7% of the respondents would brush the tooth and if the replantation was not possible, most of them would choose inappropriate media for storage. The association between the storage medium and educational level showed to be statistically significant (p=0.043). Conclusion: It was possible to notice the lack of knowledge about this subject, and it could result in the worst prognosis. In avulsion cases, the subsequent root resorptions may lead to the loss of the child's tooth. It is important to implement educational campaigns to spread knowledge and improve success rates of permanent avulsed teeth


Subject(s)
Humans , Male , Female , Adult , Tooth Avulsion/etiology , Tooth Replantation , Health Knowledge, Attitudes, Practice , Community Dentistry , Tooth Injuries/etiology , Dentition, Permanent , Toothbrushing , Brazil/epidemiology , Chi-Square Distribution , Demography , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , First Aid
6.
Article in English | LILACS, BBO | ID: biblio-1143400

ABSTRACT

ABSTRACT Objective: To assess the knowledge of undergraduate health care students, about avulsion of permanent teeth. Material and Methods: It is a cross-sectional study. The sample consisted of Brazilian undergraduate students of the nursing, medicine, and dentistry degree programs. A structured questionnaire developed by the researchers, containing 18 objective questions about avulsion of permanent teeth was used as the data collection. Data analysis included Pearson's Chi-square and Fisher's Exact. Results: A total of 82.7% dental students, 22.9% nursing students, and 23% medical students had previously received some information about dental trauma. Students in the second half of the dentistry program had a higher percentage of correct answers in all questions (p<0.05). Being in the first or second half of the nursing program had no relation to the percentage of correct answers by students for any questions (p>0.05). Students in the first half of the medical program had a higher percentage of correct answers for six of these questions (p<0.05). Dentistry students had the highest percentage of correct answers in all the questions (p<0.001). Conclusion: Although students from the dentistry degree program report having information on avulsion of permanent teeth, their practical experience was considered low. Upon comparing students from the dentistry, nursing, and medical degree programs regarding their learning about avulsion of permanent teeth, dentistry students had greater knowledge on the subject.


Subject(s)
Humans , Male , Female , Students, Health Occupations , Tooth Avulsion/diagnostic imaging , Brazil/epidemiology , Tooth Injuries/diagnosis , Dentition, Permanent , Chi-Square Distribution , Cross-Sectional Studies , Surveys and Questionnaires , Statistics, Nonparametric , Problem-Based Learning/methods
7.
Article in English | LILACS, BBO | ID: biblio-1143401

ABSTRACT

ABSTRACT Objective: To determine the awareness and sources of information on first aid management of avulsed permanent teeth in a group of South-western Nigerian mothers. Material and Methods: An 18-item interviewer-administered questionnaire was used to survey 385 mothers attending the antenatal and immunization clinics on their perception towards dental avulsion, its management, sources, and preferred mode of receiving information on first aid. The effect of all significant factors was inferred at p<0.05. Results: Mothers who had previous information on the first aid management of dental avulsion had significantly higher knowledge (p=0.000). Majority (80.8%) of the mothers did not know that an avulsed permanent tooth could be replanted, though mothers whose children had not experienced dental trauma had significantly higher knowledge (p=0.003). The knowledge of first aid management of avulsed permanent tooth was low, regardless of age, education and employment status of the respondents. Conclusion: There was low knowledge among mothers regarding the first aid measures in the management of avulsed permanent teeth. Their main preference for receiving information was through social media and television. There is a need to increase oral health educational campaigns targeted towards mothers.


Subject(s)
Humans , Female , Adult , Middle Aged , Tooth Fractures/diagnosis , Tooth Avulsion/diagnosis , Tooth Injuries/diagnosis , First Aid , Mothers , Nigeria/epidemiology , Chi-Square Distribution , Oral Health , Epidemiology, Descriptive , Cross-Sectional Studies/methods , Surveys and Questionnaires
8.
Dental press j. orthod. (Impr.) ; 26(1): e21bbo1, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1154064

ABSTRACT

ABSTRACT Introduction: Orthodontic treatment in patients with traumatized teeth is a condition that needs good planning in order to achieve satisfactory results. Objective: To discuss approaches to orthodontic treatment of malocclusions associated with trauma followed by avulsion of anterior teeth, reimplanted after a short period of time. Case report: The treatment started with the distalization of upper posterior teeth, with the aid of mini-implants and sliding jigs, followed by the inclusion of anterior teeth in the arch, followed by intrusion of these teeth. Results: With the treatment, improved mobility of the anterior teeth was achieved, with better insertion into bone tissue. The most important factor for satisfactory treatment and a good prognosis for avulsion is the time the tooth remains outside the socket. Orthodontic treatment in patients with traumatized teeth is not contraindicated; however, clinical and radiographic aspects must be considered. Conclusion: Among the feasible orthodontic treatment options, the conservative approach can be a very favorable treatment alternative.


RESUMO Introdução: O tratamento ortodôntico em pacientes com dentes traumatizados é uma condição que necessita de um bom planejamento, a fim de se conseguir resultados satisfatórios. Objetivo: Discutir as abordagens de tratamento ortodôntico de más oclusões associadas ao trauma seguido de avulsão de dentes anteriores, reimplantados após curto espaço de tempo. Relato do Caso: O tratamento realizado iniciou-se com a distalização dos dentes posteriores superiores, com auxílio de mini-implantes e sliding jigs, seguida da inclusão dos dentes anteriores na arcada e intrusão desses dentes. Resultados: Com a realização do tratamento, conseguiu-se melhoria na mobilidade dos dentes anteriores, com inserção mais favorável no tecido ósseo. O fator mais importante para o tratamento satisfatório e um bom prognóstico da avulsão é o tempo em que o dente permanece fora do alvéolo. O tratamento ortodôntico em pacientes com dentes traumatizados não é contraindicado; porém, aspectos clínicos e radiográficos devem ser considerados. Conclusão: Entre as opções de tratamento ortodôntico factíveis, a abordagem conservadora pode ser uma opção de tratamento bastante favorável.


Subject(s)
Humans , Adult , Tooth Avulsion , Conservative Treatment , Malocclusion , Tooth Avulsion/complications , Tooth Avulsion/therapy , Tooth Avulsion/diagnostic imaging , Tooth Movement Techniques , Follow-Up Studies , Incisor/diagnostic imaging
9.
Article in English | AIM, AIM | ID: biblio-1342359

ABSTRACT

Traumatic tooth avulsion presents a challenge with regards to its prompt intervention as the ultimate outcome of an avulsed tooth that occurred in any child is dependent on appropriate emergency interventions. The aim of this study is to evaluate the awareness, level of knowledge and attitude towards pre-hospital tooth avulsion care among primary school teachers in Benin City, Edo state, Nigeria. A descriptive cross-sectional questionnaire-based study. Self-administered questionnaires were distributed among the teachers to assess their level of awareness of tooth avulsion, knowledge and attitude towards pre-hospital care of avulsed tooth. The data generated were analyzed using the SPSS for windows 23.0 (SPSS Inc. Chicago, USA). The responses were tabulated and expressed as frequency and percentages. Multivariate analysis was used to correct confounding variables. The level of significance was set p< 0.05. Three hundred and twenty four (324) teachers returned their answered questionnaires. Majority of the teachers were females (64.2%) and were between the ages of 41 ­ 50 years. Most (90.7%) of the teachers were not conversant with the dental terminology "tooth avulsion". Approximately forty-four percent (43.8%) of the teachers had experienced at least a case of tooth avulsion during their service period. Two hundred and sixty-six (82.1%) of teachers had never received any instruction on how to manage avulsed tooth. only 13 (4.0%) of the respondents were aware of a storage/transport media and how to preserve an avulsed tooth. On the attitude of teachers on pre-hospital care of an avulsed tooth; when asked what will they do in a case of tooth avulsion involving their pupil, one hundred and ninety (58.6%) erroneously reported they will do nothing, 33(10.2%) respondents said they will call the child's parents, none seeing the need to contact the nearest dental clinic. Majority of primary school teachers in Benin City, Nigeria has very inadequate knowledge regarding emergency management of tooth avulsion. They have limited knowledge regarding the basic tenets of first aid management of tooth avulsion whenever it occurs. Seminars and practical workshop on dental emergency should be organized for teachers and first aid training added to their curriculum


Subject(s)
Humans , Awareness , Tooth Avulsion , Knowledge , School Teachers
10.
Rev. Cient. CRO-RJ (Online) ; 5(3): 66-71, Dec. 2020.
Article in English | LILACS, BBO | ID: biblio-1343341

ABSTRACT

Introduction: Avulsion is a serious injury that causes damage to dental and supportive tissues, and is characterized by complete displacement of a tooth from its socket. In most situations, replantation is the treatment of choice for permanent tooth avulsion, and appropriate management is critical for a good prognosis in these cases. Previous studies have shown that the level of knowledge of dentists regarding the management of an avulsed tooth is deficient and have underscored the importance of continuing dental education to further the knowledge of general dentists in the urgency management of permanent avulsed teeth. Objective: This report aims to present a step-by-step clinical sequence involving the reimplantation of a mature permanent tooth that suffered avulsion,following the CARE guide. Case report: Tooth 21, stored in milk, was reimplanted 2 hours after avulsion and stabilized with flexible containment. The clinical steps were carried out according to the recommendations of the International Association of Dental Traumatology. Endodontic treatment was started five days after reimplantation, with periodic changes of intracanal medication. The patientis currently under follow-up, with no negative signs or symptoms related to avulsion. Conclusion: Dental reimplantation after avulsion should be performed after a thorough systemic and oral diagnosis and tooth storage conditions, with a clinical protocol based on scientific evidence of associations of dentoalveolar trauma.


Introdução: A avulsão é uma injuria grave que causa sérios danos aos tecidos de suporte do doente e é caracterizada pelo completo deslocamento do elemento dentário de dentro do alvéolo. O reimplante é, na maioria das situações, o tratamento de escolha para o dente permanente avulsionado e uma conduta correta é necessária para um bom prognostico nestes casos. Estudos prévios mostram que o conhecimento de dentistas sobre o manejo de um dente que sofreu avulsão é deficiente e destacam a importância da educação continuada, com a intenção de aumentar o nível de conhecimento de dentistas clínicos frente a urgências envolvendo dentes avulsionados. Objetivo: este relato tem como objetivo apresentar uma sequência clínica passo-a-passo envolvendo o reimplante de um dente permanente maduro que sofreu avulsão, seguindo o guia CARE. Relato do caso: O dente 21, armazenado em leite, foi reimplantado 2 horas após a avulsão e estabilizado com contenção flexível. As etapas clínicas foram realizadas conforme as recomendações da Associação Internacional de Traumatismos Dentários. O tratamento endodôntico foi iniciado cinco dias após o reimplante, com trocas periódicas de medicação intracanal. Atualmente o paciente encontra-se em acompanhamento, sem sinais ou sintomas negativos relacionados a avulsão. Conclusão: O reimplante dental após avulsão deve ser realizado após minucioso diagnóstico e condições de armazenamento do dente, com protocolo clínico embasado nas evidências científicas das associações de traumatismos dentoalveolares.


Subject(s)
Endodontics , Tooth Avulsion , Tooth Replantation , Tooth Injuries , Dentition, Permanent
11.
Braz. dent. j ; 31(3): 337-343, May-June 2020. graf
Article in English | LILACS, BBO | ID: biblio-1132295

ABSTRACT

Abstract Lateral luxation injuries are one of the most severe periodontal injuries in dental trauma. The correct diagnosis followed by repositioning of the tooth on the right position is fundamental for the periodontal ligament healing. This study reported a clinical case of lateral luxation of maxillary central incisor involving a new cone beam computed tomography (CBCT) software for reconstruction (e-Vol DX) to confirm the lateral luxation after no conclusive dental trauma injury definition by using conventional exam. The lateral luxation injury was digitally reduced by insertion of tooth back to its alveolus, and at the same session, the tooth was stabilized with a rigid splint and further changed to a semi-rigid nylon splint. During the pulpal status monitoring, the pulp was diagnosed necrotic, then the root canal was treated to prevent root resorption. External office-bleaching and restorative procedure was performed. The 4-years follow up and new imaging exam and digital reconstruction confirmed bone healing and no complication. CBCT images analyzed by eVol DX can be used to determine and to guide lateral luxation treatment.


Resumo Lesões de luxação lateral são uma das lesões periodontais mais graves no traumatismo dental. O diagnóstico seguido do reposicionamento do dente na posição correta é fundamental para o reparo do ligamento periodontal. Este estudo relata um caso clínico de luxação lateral do incisivo central superior envolvendo um novo software de reconstrução (e-Vol DX) por tomografia computadorizada de feixe cônico (TCFC) para confirmar a luxação lateral após nenhuma definição de lesão por trauma dental conclusivo pelo exame convencional. A lesão de luxação lateral foi reduzida digitalmente pela inserção do dente de volta ao seu alvéolo e, na mesma sessão, o dente foi estabilizado com uma contenção rígida e posteriormente trocada para uma contenção de nylon semirrígida. Durante o monitoramento da condição pulpar, foi diagnosticada necrose da polpa e, em seguida, o canal radicular foi tratado para evitar a reabsorção radicular. Procedimento externo de clareamento e restauração foi realizado. O acompanhamento de 4 anos e o novo exame de imagem e reconstrução digital não confirmaram reparo ósseo e nenhuma complicação. Imagens de TCFC analisadas pelo e-Vol DX podem ser utilizadas para determinar e orientar lesão de luxação lateral.


Subject(s)
Humans , Root Resorption , Tooth Avulsion , Root Canal Therapy , Software , Cone-Beam Computed Tomography , Incisor
12.
Rev. bras. odontol ; 77(1): 1-4, jan. 2020. Ilus
Article in English | LILACS | ID: biblio-1116460

ABSTRACT

Objetivo: este artigo tem como objetivo demonstrar a abordagem de um trauma alveolar dentário no qual o reimplante dentário foi realizado no Sistema Único de Saúde (SUS) e encaminhado para acompanhamento a longo prazo em uma Clínica Odontológica da Universidade do Nordeste do Brasil. Relato de caso: paciente do sexo masculino, 7 anos, encaminhado à Clínica Odontológica da Universidade Tiradentes para acompanhamento em longo prazo de um reimplante dentário do elemento 11. Durante o exame clínico, observa-se um grau severo de mobilidade dentária, além da presença de fístula na linha do muco gengival do dente. Radiograficamente, observou-se espessamento do ligamento periodontal e áreas de extensa reabsorção externa. O acompanhamento do caso durou aproximadamente 1 ano. Conclusão: portanto, é essencial que o profissional cirurgião-dentista tenha conhecimento para o correto diagnóstico e agilidade neste tratamento urgente, a fim de preservar o órgão dentário na cavidade oral por mais tempo


Introduction: dental trauma is an injury that mainly affects children and adolescents. Tooth avulsion is one of the most common causes of trauma, which is the expulsion of the alveolar tooth. The prognosis is due to pulp and support tissue repair, however, it is associated with complications such as functional, aesthetic and psychological problems, and is doubtful and dependent on rapid behavior. Objective: this article aims to demonstrate the approach of a dental alveolar trauma in which dental reimplantation was performed in the Unified Health System (SUS) and referred for long-term follow-up in a University Dental Clinic of Northeast Brazil. Case report: a 7-year-old male patient, referred to the Dental Clinic of Universidade Tiradentes for long-term follow-up of a dental reimplantation of element 11. During the clinical examination, a severe degree of tooth mobility can be observed, in addition to presence of fistula in the gingival mucus line of the tooth. Radiographically, thickening of the periodontal ligament and areas of extensive external resorption were observed. The follow-up of the case lasted approximately 1 year. Conclusion: thus, it is essential that the dental surgeon professional has knowledge for the correct diagnosis and agility in this urgent treatment, in order to preserve the dental organ in the oral cavity for a longer time.


Subject(s)
Humans , Child , Tooth Avulsion , Tooth Mobility , Tooth Replantation , Tooth Injuries
13.
Article in English | LILACS, BBO | ID: biblio-1135523

ABSTRACT

Abstract Objective: To investigate the effect of deploying a "First Aid Management of Dental Avulsion" poster in a primary school setting to improve teachers' knowledge. Material and Methods: The present study was conducted at public primary schools in central Jakarta, with 54 teachers meeting the inclusion criteria. The questionnaire contained 13 questions, divided into two sections. The first section consisted of questions about sex, age, education, length of service, field of education, and whether the teacher had received first aid management education before. The second section consisted of 7 questions about the teacher's knowledge regarding dental avulsion and its management. Baseline knowledge was defined by using a questionnaire and then teachers were shown the educational poster covering the first aid management of dental avulsion. Next, the teachers answered a post-education questionnaire, which included the same questions as the first questionnaire. A paired t-test or Wilcoxon's signed-rank test was used based on the distribution of data to determine the significance of the differences between before and after education. Results: The median score before reading the poster was 5, while the median score after reading it was 10. The difference was statistically significant. Conclusion: "First Aid Management of Dental Avulsion" poster could improve the knowledge of primary school teachers in Jakarta.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Tooth Avulsion/diagnosis , Health Knowledge, Attitudes, Practice , Tooth Injuries/prevention & control , First Aid , School Teachers , Surveys and Questionnaires , Statistics, Nonparametric , Indonesia/epidemiology
14.
Belo Horizonte; s.n; 2020. 124 p. ilus, graf, tab.
Thesis in English, Portuguese | LILACS, BBO | ID: biblio-1099625

ABSTRACT

A reabsorção radicular externa inflamatória (RREI) é um processo patológico definido como a perda progressiva de tecido mineralizado radicular, dentina e cemento, resultante da combinação entre a lesão às camadas protetoras da superfície externa da raiz e a presença de microrganismos no interior do sistema de canais radiculares. Estudos clínicos demonstraram o papel da idade e de fatores relacionados ao manejo e tratamento do dente avulsionado na etiopatogenia e evolução das RREI após reimplantes. Entretanto, não existem informações sobre a interação destes fatores, bem como poucos estudos avaliaram a influência do perfil genético e imunológico do paciente no padrão de cicatrização após reimplantes dentários. O presente estudo objetivou (1) avaliar a interação de fatores prognósticos para o desenvolvimento da RREI após o reimplante de dentes permanentes, bem como (2) investigar o papel da epigenética nos processos imunomediados das RREI pós-traumáticas. Para estudo dos determinantes clínicos e suas interações, o universo da pesquisa envolveu 427 pacientes (idade média de 12,6 anos) portadores de 581 dentes permanentes reimplantados, com rizogênese completa no momento do trauma, tratados na Clínica de Traumatismos dentários da Faculdade de Odontologia da Universidade Federal de Minas Gerais entre 1994 e 2018. Dados relativos à idade do paciente no momento do trauma, grau de rizogênese, condições de armazenamento e período extra alveolar do dente avulsionado, uso de antibioticoterapia sistêmica, tempo decorrido entre o reimplante e o início da terapia endodôntica radical (TER) e a duração do período de imobilização foram coletados dos prontuários dos pacientes. Tomadas radiográficas realizadas na consulta de início do TER foram utilizadas para diagnóstico da atividade de reabsorção. Sinais radiográficos de RREI foram encontrados em 80,7% da amostra (469 dentes). Os resultados demonstraram que a idade do paciente no momento do trauma e o tempo decorrido até o início do TER representaram importantes fatores prognósticos para a ocorrência de RREI. Além disso foi observada uma interação quantitativa entre estas duas variáveis uma vez que o aumento na idade do paciente atenuou significativamente o efeito do tempo até o início da terapia endodôntica. Este resultado inédito evidencia a maior vulnerabilidade do paciente mais jovem e enfatiza a importância de se considerar estas duas covariáveis conjuntamente durante a tomada de decisão clínica. Para o estudo epigenético, o perfil de metilação do DNA de 22 genes envolvidos na resposta imune foi avaliado em um pool de 08 amostras de fragmentos radiculares de dentes reimplantados portadores de RREI, indicados para exodontia. O grupo controle consistiu em um pool de 06 amostras de tecido ósseo saudável coletado durante a extração cirúrgica de dentes impactados. Os padrões de metilação do DNA dos 22 genes foram quantificados utilizando EpiTect Methyl II Signature Human Cytokine Production PCR Array. Os resultados do estudo da epigenética revelou que o pool de amostras com RREI apresentou nível mais alto de metilação do DNA na região promotora da FOXP3, em comparação com o pool de osso normal (65,95% e 23,43%, respectivamente). Esta é a primeira evidência de uma possível participação de eventos epigenéticos na modulação da RREI e especula-se se o padrão hipermetilado da FOXP3 poderia estar relacionado à presença da infecção endodôntica.


Inflammatory external root resorption (IERR) is a pathological process defined as the progressive loss of root mineralized tissue, dentin and cement, resulting from both: damage to the protective layers in the root external surface and the presence of endodontic infection inside the root canal. Clinical studies have demonstrated the role of age and factors related to the management and treatment of avulsed teeth in the etiopathogenesis and progression of RREI. However, there is no information on the interaction of these factors and few studies have evaluated the influence of the patient's genetic and immunological profile on the healing pattern after dental replantation. The present study aimed to (1) evaluate the interaction of prognostic factors for the development of RREI after replantation of permanent teeth, as well as (2) to investigate the role of epigenetics in the immunomediated processes of posttraumatic RREI. To study the clinical determinants and their interactions, the sample comprised 427 patients (mean age 12.6 years) with 581 replanted mature permanent teeth treated at the Dental Trauma Clinic of the Faculty of Dentistry from the Federal University of Minas Gerais between 1994 and 2018. Patients' records were evaluated to collect data such as patient's age at the time of the trauma, storage conditions and extra alveolar period of the avulsed tooth, systemic antibiotic therapy prescription, time elapsed between reimplantation and onset of endodontic therapy (TER) and splinting timing. The presence and index of IERR was assessed radiographically at the visit of pulpectomy. Radiographic signs of IEER were found in 80.7% of the sample (469 teeth) and were absent in 19.7% of cases (112 teeth). The results showed that the patient's age at the time of the trauma and the time that elapsed until the beginning of TER represented important prognostic factors for the occurrence of RREI. In addition, a quantitative interaction was observed between these two variables since the increase in the patient's age significantly attenuated the effect of time until the beginning of endodontic therapy. This is an original result that highlights the greater vulnerability of the younger patients and emphasizes the importance of considering these two covariates together during clinical decision-making. For the epigenetic study, the DNA methylation profile of 22 genes involved in the immune response was evaluated in a pool of 08 samples of root fragments of replanted teeth with RREI, referred to extraction. The control group consisted of a pool of 06 samples of healthy bone tissue collected during surgical extraction of impacted teeth. The DNA methylation pattern was quantified using EpiTect Methyl II Signature Human Cytokine Production PCR Array. The results of the epigenetics study revealed that the sample pool with RREI showed a higher level of DNA methylation in the FOXP3 promoter region, compared to the normal bone pool (65.95% and 23.43%, respectively). This is the first evidence of a possible participation of epigenetic events in the modulation of RREI and it is speculated whether the hypermethylated pattern of FOXP3 could be related to the presence of endodontic infection.


Subject(s)
Periodontal Ligament , Root Resorption , Tooth Avulsion , Tooth Replantation , Dentition, Permanent , DNA Methylation , Epigenomics , Cross-Sectional Studies , Anti-Bacterial Agents
15.
Braz. j. oral sci ; 19: e206950, jan.-dez. 2020. ilus
Article in English | LILACS, BBO | ID: biblio-1116570

ABSTRACT

Aim: This study aimed to evaluate the knowledge of parents visiting a specialized dental center in Ajman on permanent tooth avulsion and the required first aid procedure to achieve better prognoses. Methods: A cross-sectional study was conducted in Ajman Emirate, UAE. Three hundred eighty-eight parents from three nationalities (Emirati, Egyptian and Indian) residing in UAE answered a constructed questionnaire that included demographic information related to the participants and questions related to permanent tooth avulsion and the required first steps for its management. Results: Study findings reflect deficiencies in the following areas. Of the 388 parents, (236, 60.8%) had poor knowledge about permanent tooth avulsion. Parents who had previous knowledge obtained information from unsupported sources, such as friends (145, 37.4%). Out of 388 parents, (324, and 83.5%) would not replant the tooth. Finally, the majority of the participants did not know the proper media to store the avulsed permanent tooth with one-third of parents choosing cotton or water (142, 36.6%). Conclusion: This study showed a lack of knowledge regarding permanent tooth avulsion among parents from the major nationalities residing in UAE. However, the respondents represent major differences regarding related to knowledge, replant, and storage of avulsed permanent teeth


Subject(s)
Humans , Male , Female , Parents , Tooth Avulsion , United Arab Emirates , Ethnic Groups , Surveys and Questionnaires , Knowledge
16.
Braz. dent. sci ; 23(4): 1-7, 2020. tab
Article in English | LILACS, BBO | ID: biblio-1122113

ABSTRACT

Introduction: Dental avulsion is a condition in which the tooth is completely dislodged from its socket. Inappropriate management when trauma occurs can complicate the prognosis of the tooth. The majority of injuries to children's teeth occur in the school environment and teachers play an essential role in providing first aid at the accident site. However, the school teacher's knowledge regarding first aid dental avulsion is inadequate. Objective: The purpose of this study was to analyze the effect of an animated video (First Aid Management of Dental Avulsion) on the knowledge of primary school teachers. Material and Methods: This clinical experimental study comprised 54 teachers from 13 public elementary schools in Central Jakarta who were chosen randomly to fill out a questionnaire before and after watching the animated video. Results: Data analysis using the Wilcoxon comparative test showed that there was a statistically significant increase (P<.05) in knowledge after watching the animated video. Conclusion: Thus, the animated video was effective in increasing the knowledge regarding first aid management of dental avulsion among the primary school teachers (AU)


Introdução: a avulsão dentária é uma condição na qual o dente está completamente desalojado de seu alvéolo. O manejo inadequado quando ocorre um trauma pode complicar o prognóstico do dente. A maioria das lesões nos dentes das crianças ocorre no ambiente escolar onde os professores desempenham um papel essencial no fornecimento de primeiros socorros no local do acidente. No entanto, o conhecimento do professor em relação aos primeiros socorros diante de uma avulsão dentária é inadequado. Objetivo: O objetivo deste estudo foi analisar o efeito de um vídeo animado (First Aid Management of Dental Avulsion) sobre o conhecimento de professores do ensino primário. Material e Métodos: Este estudo clínico experimental envolveu 54 professores de 13 escolas primárias públicas no centro de Jakarta, que foram escolhidos aleatoriamente para preencher um questionário antes e depois de assistir ao vídeo animado. Resultados: A análise dos dados por meio do teste comparativo de Wilcoxon mostrou que houve um aumento estatisticamente significativo (P <0,05) no conhecimento após assistir ao vídeo animado. Conclusão: Portanto, o vídeo animado foi eficaz em aumentar o conhecimento sobre o manejo de primeiros socorros da avulsão dentária entre os professores do ensino primário (AU)


Subject(s)
Humans , Audiovisual Aids , Tooth Avulsion , First Aid , School Teachers
17.
Arq. odontol ; 56: 1-9, jan.-dez. 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1088005

ABSTRACT

Objetivo:Avaliar o conhecimento e a conduta de médicos e enfermeiros atuantes no serviço público de atenção básica à saúde da zona urbana da cidade de Vitória da Conquista ­ BA, sobre avulsão dentária. Métodos:60 profissionais responderam a um questionário autoaplicável contendo questões biodemográficas e perguntas a respeito do conhecimento sobre o significado de avulsão e reimplante dentário, conduta em casos de avulsão dental e interesse em receber orientação sobre o tema. Resultados:A maioria dos entrevistados demonstrou não saber o que é avulsão dental, reimplante dental e que atitude tomar no caso de uma situação envolvendo avulsão (70%, n = 42; 51,67%, n = 31; 56,67%, n = 34, respectivamente). Consideraram-se incapazes de reimplantar um dente avulsionado em seu local de origem (83,33%, n = 50). Poucos foram capazes de responder corretamente o tempo ideal de reposicionamento (6,67%, n = 4) e local de armazenamento de um dente avulsionado (5%, n = 3), mas saberiam conduzir corretamente sua limpeza (28,34%, n = 17). Relataram nunca ter recebido orientação sobre a conduta diante desses casos (93,33%, n = 56) mas consideram informações a respeito do tema importantes e necessárias (96,66%, n = 58). Conclusão:Os médicos e enfermeiros possuem conhecimento insatisfatório sobre o significado de avulsão e reimplante dental e fatores que permeiam a conduta dessa situação.


Aim:To evaluate the knowledge and behavior of primary health care physicians and nurses working in public healthcare services in the urban area of Vitória da Conquista, BA, Brazil, regarding dental avulsion.Methods:Sixty professionals answered a self-administered questionnaire containing questions about biodemographic data, knowledge about the meaning of avulsion and tooth replantation, conduct in cases of dental avulsion, and interest in receiving training or guidance on the subject. Results:Most participants did not know what tooth avulsion and dental reimplantation were, not did they know what action to take in case of an dental avulsion situation (70%, n = 42; 51.67%, n = 31; 56.67%, n = 34, respectively). They found themselves unable to redeploy one avulsed tooth in its place of origin (83.33%, n = 50). Few were able to correctly answer the ideal time repositioning (6.67%, n = 4) and storage location of an avulsed tooth (5%, n = 3), but would know how to properly conduct its cleaning (28.34%, n = 17). They reported never having received guidance on how to proceed in these cases (93.33%, n = 56) but consider information regarding this issue important and necessary (96.66%, n = 58). Conclusion:Primary care physicians and nurses have little knowledge of the meaning of dental avulsion and replantation, as well as factors that underlie proper conduct in this situation.


Subject(s)
Physicians , Tooth Avulsion , Tooth Replantation , Health Education , Health Personnel , Education, Continuing , Nurses, Male , Primary Health Care , Surveys and Questionnaires
18.
Rev. cir. traumatol. buco-maxilo-fac ; 19(3): 35-38, jul.-set. 2019. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1253807

ABSTRACT

Introdução: A exodontia é um dos procedimentos mais realizados nos consultórios odontológicos, e as complicações podem surgir, principalmente, quando não existem exames de imagem no pré-operatório ou quando se usa força inadequada durante o procedimento. Dentes molares inferiores podem se deslocar para o espaço submandibular durante as exodontias, e , apesar de ser considerada uma complicação rara, o paciente pode evoluir com dor, trismo e, em casos mais graves, para infecção com envolvimento cervical. Relato de caso: O presente artigo tem como objetivo relatar o caso de um paciente com infecção crônica em região cervical após tentativa, sem sucesso, de remoção de um molar inferior cujo fragmento dentário havia sido deslocado para o espaço submandibular durante o procedimento cirúrgico. O tratamento de escolha foi a fistulectomia e a remoção cirúrgica do dente sob anestesia geral pelo acesso extraoral submandibular de Risdon, seguido de divulsionamento delicado até localização e remoção do corpo estranho deslocado. O paciente foi acompanhado clinicamente, por 3 meses, evoluindo bem, sem queixas e sem observação de recidiva do processo infeccioso. Considerações Finais: Deslocamento dentário para o espaço submandibular é um acidente, que pode ocorrer com qualquer profissional, razão por que é de extrema importância o conhecimento da prevenção e do tratamento dessa complicação... (AU)


Introduction: Exodontia is one of the most commonly performed procedures in dentistry, and complications can arise, especially when there is no preoperative imaging exams or when inadequate force is used during the procedure. Lower molar teeth may move into the submandibular space during the exodontia, and although it is considered a rare complication, the pacient may feel pain, trismus, and in more severe cases may evolve to infection with cervical involvement. Case report: This present article aims to report a case of a patient with chronic infection in the cervical region after an unsuccessful attempt of removing a lower molar, in which the dental fragment was moved to the submandibular space during the surgical procedure. The treatment of choice was a fistulectomy and the surgical removal of the tooth under general anesthesia by Risdon submandibular extraoral approuch, followed by delicate divulsion to the location and removal of the foreign body displaced. The case was followed clinically for 3 months, evolving well, without complaints and recurrence of the infectious process. Final considerations: Dental displacement to the submandibular space is an accident that can occur under any professional care, so it is extremely important to know the prevention and treatment of this complication... (AU)


Subject(s)
Humans , Male , Adult , Surgical Procedures, Operative , Surgery, Oral , Tooth Avulsion , Molar/surgery , Pain , Dental Offices , Dentistry , Infections , Anesthesia, General
19.
Medisan ; 23(4)jul.-ago. 2019. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1091122

ABSTRACT

Se describe el caso clínico de una paciente de 15 años de edad, quien producto de un trauma, sufrió luxación intrusiva del 12 y lateral del 11 con pérdida de la vitalidad de ambos dientes. Recibió tratamiento inmediato en cuerpo de guardia con lenta evolución y debido a otras manifestaciones clínicas acudió a la consulta de Estomatología General Integral de la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba. Se le realizó tratamiento endodóntico en ambos dientes y fue remitida a la consulta de Ortodoncia donde se le colocó aparatología fija hasta lograr un resalte y sobrepase funcional.


The case report of a 15 year-old patient is described who as a result of a trauma, suffered intrusive luxation of the 12 and lateral of the 11 with loss of vitality of both teeth. She received immediate treatment in the emergency room with slow course and due to other clinical manifestations she visited the Comprehensive General Stomatology service of Mártires del Moncada Teaching Provincial Stomatological Clinic in Santiago de Cuba . Endodontic treatment was carried out in both teeth and it was referred to the Orthodontics service where fixed aparatology was placed up to achieving a functional resalte y sobrepase.


Subject(s)
Tooth Avulsion , Tooth Movement Techniques , Tooth Injuries , Adolescent , Orthodontic Appliances, Fixed
20.
Dent. press endod ; 9(1): 58-64, jan.-mar. 2019. Ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1008681

ABSTRACT

Introdução: a manutenção de um dente traumatizado na cavidade bucal depende de um tratamento emergencial correto, bem como de um longo e adequado período de acompanhamento clínico-imaginológico. Objetivo: relatar um caso clínico de avulsão e reimplante dentário do dente #11, em uma criança com 11 anos de idade, que permanecia na cavidade bucal há 13 anos. Relato de caso: foi feito reimplante dentário 45 minutos após a avulsão, tratamento endodôntico com 10 trocas mensais de medicação intracanal à base de hidróxido de cálcio, seguidas da obturação do canal radicular pela técnica de condensação lateral, e acompanhamento clínico e radiográfico. Resultados: após 13 anos de controle clínico e imaginológico, o dente #11 apresentava-se em função e esteticamente satisfatório. Conclusão: o incisivo central superior direito, avulsionado, reimplantado e anquilosado, apresentou um quadro evolutivo de reabsorção radicular por substituição, porém inativo até o último acompanhamento. Após tratamento endodôntico e acompanhamento clínico e imaginológico, o dente permaneceu na cavidade bucal em função, sem sintomatologia e esteticamente agradável após 13 anos do reimplante. (AU)


Introduction: The maintenance of a traumatized tooth in the oral cavity depends on a correct emergency treatment, as well as a long and adequate period of clinical-imaging follow-up. Objective: To report a clinical case of avulsion and replantation of tooth 11, in an 11-year-old child, who has been in the oral cavity for 13 years. Methods: tooth replantation 45 minutes after avulsion, endodontic treatment with 10 monthly exchanges of intracanal calcium hydroxide medication, followed by root canal filling using lateral condensation technique. Clinical and radiographic follow-up. Results: after 13 years of clinical and imaging control, tooth 11 presents aesthetically satisfactory function. Conclusion: The upper right central incisor, avulsed, replanted and ankylosed presented an evolutionary condition of root resorption by substitution, but inactive until the last follow-up. After endodontic treatment and clinical and imaging follow-up, the tooth remained in the oral cavity in function, without symptomatology and aesthetically pleasing after 13 years of replantation (AU).


Subject(s)
Humans , Male , Child , Tooth Avulsion , Tooth Replantation/methods , Endodontics , Incisor/surgery , Tooth Injuries
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