Traumatic dental injuries: etiology, prevalence and possible outcomes

Naskova, Sanja and Dimova, Cena (2022) Traumatic dental injuries: etiology, prevalence and possible outcomes. MEDIS – International Journal of Medical Sciences and Research, 1 (4). ISSN 2671-3497

Text TRAUMATIC+DENTAL+INJURIES+ETIOLOGY,+PREVALENCE+AND+POSSIBLE+OUTCOMES.pdf Download (498kB)

Abstract

Traumatic dental injuries are significant publiTraumatic dental injuries: etiology, prevalence and possible outcomesc health problem because of its frequency, impact on economic
productivity and quality of life. It is not a disease and no individual is ever at zero risk of sustaining these potentially life-changing
injuries. Traumatic dental injuries occur most frequently in children and young adults. Older adults also suffer from traumatic
dental injuries but at significantly lower rates than individuals in the younger cohorts. Luxation injuries are the most common
traumatic dental injuries in the primary dentition, whereas crown fractures are more commonly reported for the permanent teeth.
Proper diagnosis, treatment planning and follow up are very important to assure a favorable outcome. The aim was to overview
the etiology, prevalence and possible outcomes of dental trauma. An electronic search of Medline (PubMed), Cochrane, SSCI
(Social Citation Index), SCI (Science Citation Index) databases from 2000 to the present, using the following search words:
tooth injuries, tooth trauma, traumatized teeth, dental trauma, dentoalveolar trauma, oral trauma, epidemiology, etiology,
prevalence, prevention, pulp necrosis, inflammatory resorption, ankylosis, cervical resorption, was performed. The current revision
represents the best evidence based on the available literature and expert opinions. During last decade traumatic dental injuries
were recognized as public dental health problem worldwide. Prevalence of traumatic dental injuries varies between countries.
According to the existing data they are more prevalent in permanent than in primary dentition. All treatment procedures in case
of dental trauma are directed to minimize undesired consequences despite that treatment of traumatic dental injuries in the
young patient is often complicated and can continue during the rest of his/her life. The changing lifestyle and requirements of
modern society lead to an emergence of new patterns of dental trauma. Successful treatment of traumatic injuries depends
on timely action by the patient and a quick and accurate diagnosis by the dentist. Although most injuries are minor and of an
urgent nature, displaced or missing teeth are true emergencies. The mismanagement of traumatic dental injuries has provided
much information as well as questions for research that have resulted in the increased retention of teeth with as little treatment
as possible. Maintaining pulp vitality when possible, utilizing the therapeutic effects of calcium hydroxide, and returning teeth
to function as soon as possible are keys to predictable prognosis. It is the responsibility of the dentist to stay current on the
latest techniques available to treat traumatic injuries. The charts included provide most of the potential emergency treatment
possibilities, recommended follow-up treatment, and final treatment outcomes essential to providing the best care for our child
patients. It is also the responsibility of the dentist to use evidence-based research when adopting treatment protocols.
Keywords: traumatic dental injuries, dental trauma, permanent dentition, primary dentition

Item Type:	Article
Subjects:	Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Sanja Naskova
Date Deposited:	20 Jan 2023 08:45
Last Modified:	20 Jan 2023 08:45
URI:	https://eprints.ugd.edu.mk/id/eprint/30782

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