Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of applied oral science (Online) |
Texto Completo: | https://www.revistas.usp.br/jaos/article/view/201309 |
Resumo: | Objectives: This study evaluated the evolution of cases of concussion and subluxation through a retrospective study of 20 years. Material and Methods:Were examined clinical and radiographic records of 1,309 patients who underwent treatment of dentoalveolar trauma in the discipline of Integrated Clinic of the School of Dentistry of Araçatuba, UNESP, of which we selected 137 whose patients had concussion and subluxation injuries, with average age of 23.3 (SD – 10.96). The variables collected were: gender, age, history of previous and actual trauma, treatments performed, the presence of necrotic pulp, and time elapsed until the same trauma. The concussion and subluxation groups were subjected to statistical analyses using the SPSS 16.0 version software (α=0.05), Chi-square, and t-tests. Results: Of the 301 teeth involved, 49 (16.3%) suffered concussion and 252 (83.7%), subluxation, being the upper anterior teeth the most affected (75.1%) for both conditions. Subluxation and concussion traumas were more prevalent in men aged 10 to 20 years, most caused by cycling accidents (36.2%). There was a concomitant presence of crown fracture in 21% of cases of concussion and 34.7% of subluxation. Pulp necrosis was detected in 16.3% (concussion) and 27.1% (subluxation) (p=0.12), and most occurred within 6 months after the trauma (p=0.29). The pulp necrosis shows a positive correlation with motorcycle accidents (p=0.01), direct impact (p≤0.0001), crown fracture with pulp exposure (p≤0.0001), darkening of the crown (p=0.004) and spontaneous pain (p≤0.0001); and negative correlation with indirect impact (p≤0.0001). Conclusions: Although concussion and subluxation traumas are considered of minor degrees, they must be monitored, since the possibility of pulp necrosis exists, and its early treatment favors a good prognosis. |
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Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective studyTooth injuriesPeriodontal ligamentWound healingObjectives: This study evaluated the evolution of cases of concussion and subluxation through a retrospective study of 20 years. Material and Methods:Were examined clinical and radiographic records of 1,309 patients who underwent treatment of dentoalveolar trauma in the discipline of Integrated Clinic of the School of Dentistry of Araçatuba, UNESP, of which we selected 137 whose patients had concussion and subluxation injuries, with average age of 23.3 (SD – 10.96). The variables collected were: gender, age, history of previous and actual trauma, treatments performed, the presence of necrotic pulp, and time elapsed until the same trauma. The concussion and subluxation groups were subjected to statistical analyses using the SPSS 16.0 version software (α=0.05), Chi-square, and t-tests. Results: Of the 301 teeth involved, 49 (16.3%) suffered concussion and 252 (83.7%), subluxation, being the upper anterior teeth the most affected (75.1%) for both conditions. Subluxation and concussion traumas were more prevalent in men aged 10 to 20 years, most caused by cycling accidents (36.2%). There was a concomitant presence of crown fracture in 21% of cases of concussion and 34.7% of subluxation. Pulp necrosis was detected in 16.3% (concussion) and 27.1% (subluxation) (p=0.12), and most occurred within 6 months after the trauma (p=0.29). The pulp necrosis shows a positive correlation with motorcycle accidents (p=0.01), direct impact (p≤0.0001), crown fracture with pulp exposure (p≤0.0001), darkening of the crown (p=0.004) and spontaneous pain (p≤0.0001); and negative correlation with indirect impact (p≤0.0001). Conclusions: Although concussion and subluxation traumas are considered of minor degrees, they must be monitored, since the possibility of pulp necrosis exists, and its early treatment favors a good prognosis.Universidade de São Paulo. Faculdade de Odontologia de Bauru2022-08-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/20130910.1590/1678-7757-2017-0287 Journal of Applied Oral Science; Vol. 26 (2018); e20170287Journal of Applied Oral Science; Vol. 26 (2018); e20170287Journal of Applied Oral Science; v. 26 (2018); e201702871678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/201309/185383Copyright (c) 2022 Journal of Applied Oral Sciencehttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPedrini, DenisePanzarini, Sônia ReginaTiveron, Adelisa Rodolfo FerreiraAbreu, Valéria Marisel deSonoda, Celso KoogiPoi, Wilson RobertoBrandini, Daniela Atili2022-08-22T13:31:48Zoai:revistas.usp.br:article/201309Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2022-08-22T13:31:48Journal of applied oral science (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
title |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
spellingShingle |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study Pedrini, Denise Tooth injuries Periodontal ligament Wound healing |
title_short |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
title_full |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
title_fullStr |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
title_full_unstemmed |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
title_sort |
Evaluation of cases of concussion and subluxation in the permanent dentition: a retrospective study |
author |
Pedrini, Denise |
author_facet |
Pedrini, Denise Panzarini, Sônia Regina Tiveron, Adelisa Rodolfo Ferreira Abreu, Valéria Marisel de Sonoda, Celso Koogi Poi, Wilson Roberto Brandini, Daniela Atili |
author_role |
author |
author2 |
Panzarini, Sônia Regina Tiveron, Adelisa Rodolfo Ferreira Abreu, Valéria Marisel de Sonoda, Celso Koogi Poi, Wilson Roberto Brandini, Daniela Atili |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Pedrini, Denise Panzarini, Sônia Regina Tiveron, Adelisa Rodolfo Ferreira Abreu, Valéria Marisel de Sonoda, Celso Koogi Poi, Wilson Roberto Brandini, Daniela Atili |
dc.subject.por.fl_str_mv |
Tooth injuries Periodontal ligament Wound healing |
topic |
Tooth injuries Periodontal ligament Wound healing |
description |
Objectives: This study evaluated the evolution of cases of concussion and subluxation through a retrospective study of 20 years. Material and Methods:Were examined clinical and radiographic records of 1,309 patients who underwent treatment of dentoalveolar trauma in the discipline of Integrated Clinic of the School of Dentistry of Araçatuba, UNESP, of which we selected 137 whose patients had concussion and subluxation injuries, with average age of 23.3 (SD – 10.96). The variables collected were: gender, age, history of previous and actual trauma, treatments performed, the presence of necrotic pulp, and time elapsed until the same trauma. The concussion and subluxation groups were subjected to statistical analyses using the SPSS 16.0 version software (α=0.05), Chi-square, and t-tests. Results: Of the 301 teeth involved, 49 (16.3%) suffered concussion and 252 (83.7%), subluxation, being the upper anterior teeth the most affected (75.1%) for both conditions. Subluxation and concussion traumas were more prevalent in men aged 10 to 20 years, most caused by cycling accidents (36.2%). There was a concomitant presence of crown fracture in 21% of cases of concussion and 34.7% of subluxation. Pulp necrosis was detected in 16.3% (concussion) and 27.1% (subluxation) (p=0.12), and most occurred within 6 months after the trauma (p=0.29). The pulp necrosis shows a positive correlation with motorcycle accidents (p=0.01), direct impact (p≤0.0001), crown fracture with pulp exposure (p≤0.0001), darkening of the crown (p=0.004) and spontaneous pain (p≤0.0001); and negative correlation with indirect impact (p≤0.0001). Conclusions: Although concussion and subluxation traumas are considered of minor degrees, they must be monitored, since the possibility of pulp necrosis exists, and its early treatment favors a good prognosis. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/201309 10.1590/1678-7757-2017-0287 |
url |
https://www.revistas.usp.br/jaos/article/view/201309 |
identifier_str_mv |
10.1590/1678-7757-2017-0287 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/201309/185383 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Journal of Applied Oral Science http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Journal of Applied Oral Science http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
dc.source.none.fl_str_mv |
Journal of Applied Oral Science; Vol. 26 (2018); e20170287 Journal of Applied Oral Science; Vol. 26 (2018); e20170287 Journal of Applied Oral Science; v. 26 (2018); e20170287 1678-7765 1678-7757 reponame:Journal of applied oral science (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Journal of applied oral science (Online) |
collection |
Journal of applied oral science (Online) |
repository.name.fl_str_mv |
Journal of applied oral science (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||jaos@usp.br |
_version_ |
1800221683165954048 |