Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study

Detalhes bibliográficos
Autor(a) principal: Costa,Vanessa Polina Pereira
Data de Publicação: 2016
Outros Autores: Goettems,Marilia Leão, Baldissera,Elaine Zanchin, Bertoldi,Andréa Dâmaso, Torriani,Dione Dias
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Oral Research
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100702
Resumo: Abstract This retrospective study aimed at determining the predicted risks of clinical and radiographic complications in primary teeth following traumatic dental injuries, according to injury type, severity and child’s age. Data were collected from records of children treated at a Dental Trauma Center in Brazil for nine years. Records of 576 children were included; clinical sequelae were assessed in 774 teeth, and radiographic sequelae, in 566 teeth. A total of 408 teeth (52.7%) had clinical sequelae and 185 teeth (32.7%), radiographic sequelae. The type of injury with the highest number of clinical sequelae was the crown-root fracture (86.4%). Clinical sequelae increased with injury severity (p < 0.001), whereas radiographic sequelae did not (0.236). The predicted risk of color change was 29.0% (95%CI 19–41) for teeth with enamel fracture, and 26.0% (95%CI 14–40) for teeth with enamel dentin fracture as well as enamel dentin pulp fracture. Risk of periapical radiolucency was higher for teeth with enameldentinpulp fracture (61.1% 95%CI 35–82) and those with subluxation (15.8% 95%CI 10–22). Risk of premature loss was 27.3% (95%CI 13–45) for teeth with extrusive luxation, and 10.2% (95%CI 5–17) for those with intrusive luxation. The assessment of predicted risks of sequelae showed that teeth with hard tissue trauma tended to present color change, periapical radiolucency and premature loss, whereas teeth with supporting tissue trauma showed color change, abnormal position, premature loss and periapical radiolucency as the most common sequelae. Knowledge about the predicted risks of complications may help clinicians establish appropriate treatment plans.
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spelling Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective studyInjury Severity ScoreToothDeciduousTooth InjuriesAbstract This retrospective study aimed at determining the predicted risks of clinical and radiographic complications in primary teeth following traumatic dental injuries, according to injury type, severity and child’s age. Data were collected from records of children treated at a Dental Trauma Center in Brazil for nine years. Records of 576 children were included; clinical sequelae were assessed in 774 teeth, and radiographic sequelae, in 566 teeth. A total of 408 teeth (52.7%) had clinical sequelae and 185 teeth (32.7%), radiographic sequelae. The type of injury with the highest number of clinical sequelae was the crown-root fracture (86.4%). Clinical sequelae increased with injury severity (p < 0.001), whereas radiographic sequelae did not (0.236). The predicted risk of color change was 29.0% (95%CI 19–41) for teeth with enamel fracture, and 26.0% (95%CI 14–40) for teeth with enamel dentin fracture as well as enamel dentin pulp fracture. Risk of periapical radiolucency was higher for teeth with enameldentinpulp fracture (61.1% 95%CI 35–82) and those with subluxation (15.8% 95%CI 10–22). Risk of premature loss was 27.3% (95%CI 13–45) for teeth with extrusive luxation, and 10.2% (95%CI 5–17) for those with intrusive luxation. The assessment of predicted risks of sequelae showed that teeth with hard tissue trauma tended to present color change, periapical radiolucency and premature loss, whereas teeth with supporting tissue trauma showed color change, abnormal position, premature loss and periapical radiolucency as the most common sequelae. Knowledge about the predicted risks of complications may help clinicians establish appropriate treatment plans.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100702Brazilian Oral Research v.30 n.1 2016reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107BOR-2016.vol30.0089info:eu-repo/semantics/openAccessCosta,Vanessa Polina PereiraGoettems,Marilia LeãoBaldissera,Elaine ZanchinBertoldi,Andréa DâmasoTorriani,Dione Diaseng2016-08-15T00:00:00Zoai:scielo:S1806-83242016000100702Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2016-08-15T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false
dc.title.none.fl_str_mv Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
title Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
spellingShingle Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
Costa,Vanessa Polina Pereira
Injury Severity Score
Tooth
Deciduous
Tooth Injuries
title_short Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
title_full Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
title_fullStr Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
title_full_unstemmed Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
title_sort Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study
author Costa,Vanessa Polina Pereira
author_facet Costa,Vanessa Polina Pereira
Goettems,Marilia Leão
Baldissera,Elaine Zanchin
Bertoldi,Andréa Dâmaso
Torriani,Dione Dias
author_role author
author2 Goettems,Marilia Leão
Baldissera,Elaine Zanchin
Bertoldi,Andréa Dâmaso
Torriani,Dione Dias
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Costa,Vanessa Polina Pereira
Goettems,Marilia Leão
Baldissera,Elaine Zanchin
Bertoldi,Andréa Dâmaso
Torriani,Dione Dias
dc.subject.por.fl_str_mv Injury Severity Score
Tooth
Deciduous
Tooth Injuries
topic Injury Severity Score
Tooth
Deciduous
Tooth Injuries
description Abstract This retrospective study aimed at determining the predicted risks of clinical and radiographic complications in primary teeth following traumatic dental injuries, according to injury type, severity and child’s age. Data were collected from records of children treated at a Dental Trauma Center in Brazil for nine years. Records of 576 children were included; clinical sequelae were assessed in 774 teeth, and radiographic sequelae, in 566 teeth. A total of 408 teeth (52.7%) had clinical sequelae and 185 teeth (32.7%), radiographic sequelae. The type of injury with the highest number of clinical sequelae was the crown-root fracture (86.4%). Clinical sequelae increased with injury severity (p < 0.001), whereas radiographic sequelae did not (0.236). The predicted risk of color change was 29.0% (95%CI 19–41) for teeth with enamel fracture, and 26.0% (95%CI 14–40) for teeth with enamel dentin fracture as well as enamel dentin pulp fracture. Risk of periapical radiolucency was higher for teeth with enameldentinpulp fracture (61.1% 95%CI 35–82) and those with subluxation (15.8% 95%CI 10–22). Risk of premature loss was 27.3% (95%CI 13–45) for teeth with extrusive luxation, and 10.2% (95%CI 5–17) for those with intrusive luxation. The assessment of predicted risks of sequelae showed that teeth with hard tissue trauma tended to present color change, periapical radiolucency and premature loss, whereas teeth with supporting tissue trauma showed color change, abnormal position, premature loss and periapical radiolucency as the most common sequelae. Knowledge about the predicted risks of complications may help clinicians establish appropriate treatment plans.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242016000100702
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1807-3107BOR-2016.vol30.0089
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
dc.source.none.fl_str_mv Brazilian Oral Research v.30 n.1 2016
reponame:Brazilian Oral Research
instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron:SBPQO
instname_str Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron_str SBPQO
institution SBPQO
reponame_str Brazilian Oral Research
collection Brazilian Oral Research
repository.name.fl_str_mv Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
repository.mail.fl_str_mv pob@edu.usp.br||bor@sbpqo.org.br
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