Dental traumatology is a field of dentistry , especially in pediatric age, but also in adulthood with permanent dentition. Dental trauma has a higher incidence in preschool, school-age, and adolescent patients, accounting for about 5% of injuries for which the intervention of a specialist physician is required. Traumatic avulsion of permanent teeth accounts up to 0.5-16% of all dental injuries and is considered one of the true emergencies in dentistry.The treatment of choice in case of traumatic avulsion of permanent teeth is the quickest-as-possible replantation. The primary objectives of this prospective study were to evaluate the incidence of complications and survival rates of replanted teeth over time. The secondary objectives were to assess and to examine the correlation between the development of complications and factors such as extra-oral time, storage media, root maturity and the presence of alveolar fractures.
Study Type
OBSERVATIONAL
Enrollment
13
Avulsed teeth were replanted according to the International Academy of Dental Traumatology guidelines (IADT)
University hospital of Pisa
Pisa, Pisa, Italy
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following IADT guidelines.
Time frame: 2 weeks after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 4 weeks after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 3 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 6 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 12 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 24 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 36 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 48 months after trauma
Tooth survival
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Time frame: 60 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 2 weeks after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 4 weeks after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 3 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 6 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 12 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 24 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 36 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 48 months after trauma
Incidence of complications
Evaluated as presence/absence of a dental complication following trauma.
Time frame: 60 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 2 weeks after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 4 weeks after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 3 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 6 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 12 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 24 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 36 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 48 months after trauma
Dental mobility
Tooth mobility clinically evaluated from 0 to 3
Time frame: 60 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 2 weeks after trauma
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Complication - root resorption
Radiographic signs of root resorption
Time frame: 4 weeks after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 3 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 6 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 12 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 24 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 36 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 48 months after trauma
Complication - root resorption
Radiographic signs of root resorption
Time frame: 60 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 2 weeks after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 4 weeks after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 3 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 6 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 12 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 24 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 36 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 48 months after trauma
Complication - ankylosis
Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility)
Time frame: 60 months after trauma
Extra-oral time
Evaluated in minutes from the avulsion to the replantation
Time frame: At baseline (toorh replantation after avulsion)
Storage medium
Storage medium of the avulsed tooth (milk, water, saline, etc)
Time frame: At baseline (tooth replantation following avulsion)
Alveolar fracture
Presence of alveolar fractures associated to tooth avulsion
Time frame: At baseline (tooth replantation following avulsion)