Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

A Retrospective Study of Luxation Injuries in Primary Teeth: Prognosis with Splinting

유치의 탈구성 손상에 관한 후향적 분석: 고정술의 치료 결과

  • Song, Kiun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Misun (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Lee, Hyoseol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 송기언 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (강동경희대학교병원 치과병원 소아치과) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김광철 (강동경희대학교병원 치과병원 소아치과) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2016.08.29
  • Accepted : 2016.10.26
  • Published : 2017.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study investigated the prognosis of luxation injuries in primary teeth treated with splinting. This study retrospectively analyzed 92 children with luxation injuries to their primary teeth who were treated with splints between 2010 and 2015. Prognoses were analyzed in patients who had been followed for more than 6 months. The prognoses with splinting were based on clinical and radiographic evaluations performed during the follow-up examinations. The mean patient age was 42.1 months, and 67.4% were male. The most common cause of luxation injury was falling, and the mean splint duration was 2.4 weeks. The success rate of splinting was 58.9%. The highest rate of success was achieved following subluxation, while repositioning and splinting of lateral luxation had the lowest rate of success. Pulp necrosis was the most common unfavorable prognosis in the luxation injuries. Depending upon the type of luxation, splint therapy had acceptable prognoses and might be a feasible treatment option.

본 연구의 목적은 탈구성 손상을 받은 유치에 시행한 고정술의 치료 결과를 분석하는 것이다. 본 연구는 2010년부터 2015년까지 탈구성 손상으로 본과에 내원하여 유치에 고정술을 시행한 92명의 환아들을 후향적으로 분석하였다. 이들 중에서 6개월 이상 추적 검사에 참여한 환아들을 대상으로 치료 결과를 분석하였다. 치료 결과는 검진 기간동안 임상 및 방사선 검사에서 합병증의 존재에 따라 분석되었다. 평균 나이는 42.1개월이었으며 67.4%가 남아였다. 넘어짐이 가장 빈번한 원인이었으며, 평균 고정 기간은 2.4주이었다. 고정술의 성공률은 58.9%이었다. 아탈구가 가장 높은 성공률을 보였으며, 측방 탈구에서 정복 후 고정술을 시행한 경우 가장 낮은 성공률을 보였다. 탈구성 손상에서 치수괴사가 가장 빈번히 발생한 비호의적 치료 결과이었다. 본 연구결과, 유치의 탈구성 손상에서 고정술은 받아들일 만하였으며, 고정술은 유치의 탈구성 손상시 치료법으로 고려될 수 있다.

Keywords

References

  1. Andreasen JO, Andreasen FM, Andersson L : Textbook and Color Atlas of Traumatic Injuries to the Teeth, 4th ed. Blackwell Munksgaard, Copenhagen, 516-538, 2007.
  2. Liu X, Huang J, Bai Y, et al. : Conservation of root-fractured primary teeth-report of a case. Dent Traumatol, 29:498-501, 2013. https://doi.org/10.1111/edt.12009
  3. Filippi A, Pohl Y, Kirschner H : Replantation of avulsed primary anterior teeth: treatment and limitations. ASDC J Dent Child, 64:272-275, 1997.
  4. Oikarinen K: Tooth splinting : a review of the literature and consideration of the versatility of a wire-composite splint. Endod Dent Traumatol, 6:237-250, 1990. https://doi.org/10.1111/j.1600-9657.1990.tb00426.x
  5. Malmgren B, Andreasen JO, Flores MT, et al. : International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol, 28:174-182, 2012. https://doi.org/10.1111/j.1600-9657.2012.01146.x
  6. Akin A, Uysal S, Cehreli ZC : Segmental alveolar process fracture involving primary incisors: treatment and 24-month follow up. Dent Traumatol, 27:63-66, 2011. https://doi.org/10.1111/j.1600-9657.2010.00953.x
  7. Bonanato K, Sardenberg F, Santos ER, et al. : Horizontal root fracture with displacement in the primary dentition. Gen Dent, 57:31-34, 2009.
  8. Kim GT, Sohn M, Ahn HJ, et al. : Intra-alveolar root fracture in primary teeth. Pediatr Dent, 34:215-218, 2012.
  9. Holan G : Conservative treatment of severely luxated maxillary primary central incisors: case report. Pediatr Dent, 21:459-462, 1999.
  10. Application of the International Classification of Diseases to Dentistry and Stomatology (ICD-DA). Available from URL: http://www.who.int/classifications/icd/en/ (Accessed on February 9, 2016).
  11. Bastone EB, Freer TJ, McNamara JR : Epidemiology of dental trauma: a review of the literature. Aust Dent J, 45:2-9, 2000. https://doi.org/10.1111/j.1834-7819.2000.tb00234.x
  12. Flores MT : Traumatic injuries in the primary dentition. Dent Traumatol, 18:287-298, 2002. https://doi.org/10.1034/j.1600-9657.2002.00153.x
  13. Oliveira LB, Marcenes W, Ardenghi TM, et al. : Traumatic dental injuries and associated factors among Brazilian preschool children. Dent Traumatol, 23:76-81, 2007. https://doi.org/10.1111/j.1600-9657.2005.00413.x
  14. Boorum MK, Andreasen JO : Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Dent Traumatol, 14:31-44, 1998. https://doi.org/10.1111/j.1600-9657.1998.tb00806.x
  15. Kramer PF, Zembruski C, Ferreira SH, Feldens CA : Traumatic dental injuries in Brazilian preschool children. Dent Traumatol, 19:299-303, 2003. https://doi.org/10.1046/j.1600-9657.2003.00203.x
  16. Granville-Garcia AF, De Menezes VA, De Lira PIC : Dental trauma and associated factors in Brazilian preschoolers. Dent Traumatol, 22:318-322, 2006. https://doi.org/10.1111/j.1600-9657.2005.00390.x
  17. Skaare AB, Jacobsen I : Primary tooth injuries in Norwegian children (1-8 years). Dent Traumatol, 21:315-319, 2005. https://doi.org/10.1111/j.1600-9657.2005.00362.x
  18. Choi SC, Park JH, Pae A, Kim JR : Retrospective study on traumatic dental injuries in preschool children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol, 26:70-75, 2010. https://doi.org/10.1111/j.1600-9657.2009.00840.x
  19. Ritwik P, Massey C, Hagan J : Epidemiology and outcomes of dental trauma cases from an urban pediatric emergency department. Dent Traumatol, 31:97-102, 2015. https://doi.org/10.1111/edt.12148
  20. Bae JH, Kim YK, Choi YH : Clinical characteristics of dental emergencies and prevalence of dental trauma at a university hospital emergency center in Korea. Dent Traumatol, 27:374-378, 2011. https://doi.org/10.1111/j.1600-9657.2011.01013.x
  21. Kim Y, Kim S, Choi N : A retrospective study of the pattern and treatment of traumatic dental injury to primary and permanent teeth. J Korean Acad Pediatr Dent, 41:314-321, 2014. https://doi.org/10.5933/JKAPD.2014.41.4.314
  22. Rajab LD : Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan, 1997-2000. Dent Traumatol, 19:6-11, 2003. https://doi.org/10.1034/j.1600-9657.2003.00131.x
  23. Galea H : An investigation of dental injuries treated in an acute care general hospital. J Am Dent Assoc, 109:434-438, 1984. https://doi.org/10.14219/jada.archive.1984.0419
  24. Onetto JE, Flores MT, Garbarino ML : Dental trauma in children and adolescents in Valparaiso, Chile. Endod Dent Traumatol, 10:223-227, 1994. https://doi.org/10.1111/j.1600-9657.1994.tb00074.x
  25. Liew VP, Daly CG : Anterior dental trauma treated afterhours in Newcastle, Australia. Community Dent Oral Epidemiol, 14:362-366, 1986. https://doi.org/10.1111/j.1600-0528.1986.tb01092.x
  26. Assuncao LRdS, Ferelle A, Iwakura MLH, et al. : Luxation injuries in primary teeth: a retrospective study in children assisted at an emergency service. Brazilian Oral Research, 25:150-156, 2011. https://doi.org/10.1590/S1806-83242011000200009
  27. Santos BZ, Cardoso M, Almeida IC : Pulp canal obliteration following trauma to primary incisors: a 9-year clinical study. Pediatr Dent, 33:399-402, 2011.
  28. Oginni AO, Adekoya-Sofowora CA, Kolawole KA : Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision. Dent Traumatol, 25:620-625, 2009. https://doi.org/10.1111/j.1600-9657.2009.00819.x
  29. Robertson A, Andreasen FM, Bergenholtz G, et al. : Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. J Endod, 22:557-560, 1996. https://doi.org/10.1016/S0099-2399(96)80018-5
  30. Sae-Lim V, Yuen KW : An evaluation of after-office-hour dental trauma in Singapore. Endod Dent Traumatol, 13:164-170, 1997. https://doi.org/10.1111/j.1600-9657.1997.tb00032.x