A retrospective study of 889 injured permanent teeth
Language English Country Denmark Media print-electronic
Document type Comparative Study, Journal Article
- MeSH
- Tooth Avulsion epidemiology MeSH
- Bicycling injuries MeSH
- Dentin injuries MeSH
- Child MeSH
- Adult MeSH
- Tooth Extraction statistics & numerical data MeSH
- Tooth Fractures epidemiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Follow-Up Studies MeSH
- Dental Pulp Necrosis epidemiology MeSH
- Postoperative Complications epidemiology MeSH
- Tooth Replantation statistics & numerical data MeSH
- Root Resorption epidemiology MeSH
- Retrospective Studies MeSH
- Incisor injuries MeSH
- Aged MeSH
- Athletic Injuries epidemiology MeSH
- Tooth Injuries epidemiology MeSH
- Age Factors MeSH
- Tooth Ankylosis epidemiology MeSH
- Tooth Root injuries MeSH
- Tooth Crown injuries MeSH
- Dental Enamel injuries MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
- Geographicals
- Czech Republic epidemiology MeSH
The aim of this study was to investigate pre-injury factors, causes of dental injuries and healing complications after traumatic injuries to permanent teeth. The analysed sample comprised 889 permanent teeth of 384 patients, who were treated in the Dentistry Department in Faculty Hospital in Pilsen. Enamel-dentin fractures [233 teeth (26.2%)] and lateral luxations [207 teeth (23.3%)] were the most frequent injuries. The age of the patients at the time of injury varied between 7 and 65 years. Predominantly, children were affected [587 injured teeth (66.0%)]. The most frequent causes of injuries in patients older than 11 years were various sport activities, predominantly bicycling. Pulp necrosis was observed in 239 teeth (26.9%). It was the most frequent post-traumatic complication in all types of dental traumas. Teeth with a completed root formation demonstrated a higher prevalence of pulp necrosis than teeth with an incomplete root formation in all types of luxation injuries. External root resorption was observed in 144 teeth. The rate of inflammatory resorption differed between the various types of luxation injuries (extrusive luxation 5.6%, lateral luxation 11.6%, intrusive luxation 33.3%). Following avulsion and replantation, active inflammatory resorptions were diagnosed in 13 (26.5%) of 49 replanted teeth and ankylosis/replacement resorptions were observed in 21 (42.9%) of 49 replanted teeth. After avulsion, primarily, immature teeth were affected by these complications. Within the observation period of 5 years, 39 teeth (4.4%) had to be removed (16 teeth with root fractures, 19 avulsed and replanted teeth, 3 luxated teeth, 1 tooth with crown-root fracture).
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