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http://dx.doi.org/10.5933/JKAPD.2017.44.2.194

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

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)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.44, no.2, 2017 , pp. 194-199 More about this Journal
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.
Keywords
Splints; Primary teeth; Tooth injuries; Luxation injury;
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1 Filippi A, Pohl Y, Kirschner H : Replantation of avulsed primary anterior teeth: treatment and limitations. ASDC J Dent Child, 64:272-275, 1997.
2 Andreasen JO, Andreasen FM, Andersson L : Textbook and Color Atlas of Traumatic Injuries to the Teeth, 4th ed. Blackwell Munksgaard, Copenhagen, 516-538, 2007.
3 Liu X, Huang J, Bai Y, et al. : Conservation of root-fractured primary teeth-report of a case. Dent Traumatol, 29:498-501, 2013.   DOI
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.   DOI
5 Granville-Garcia AF, De Menezes VA, De Lira PIC : Dental trauma and associated factors in Brazilian preschoolers. Dent Traumatol, 22:318-322, 2006.   DOI
6 Skaare AB, Jacobsen I : Primary tooth injuries in Norwegian children (1-8 years). Dent Traumatol, 21:315-319, 2005.   DOI
7 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.   DOI
8 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.   DOI
9 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.   DOI
10 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.   DOI
11 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.   DOI
12 Galea H : An investigation of dental injuries treated in an acute care general hospital. J Am Dent Assoc, 109:434-438, 1984.   DOI
13 Onetto JE, Flores MT, Garbarino ML : Dental trauma in children and adolescents in Valparaiso, Chile. Endod Dent Traumatol, 10:223-227, 1994.   DOI
14 Liew VP, Daly CG : Anterior dental trauma treated afterhours in Newcastle, Australia. Community Dent Oral Epidemiol, 14:362-366, 1986.   DOI
15 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.   DOI
16 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.   DOI
17 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.   DOI
18 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.   DOI
19 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.
20 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.   DOI
21 Sae-Lim V, Yuen KW : An evaluation of after-office-hour dental trauma in Singapore. Endod Dent Traumatol, 13:164-170, 1997.   DOI
22 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).
23 Bonanato K, Sardenberg F, Santos ER, et al. : Horizontal root fracture with displacement in the primary dentition. Gen Dent, 57:31-34, 2009.
24 Kim GT, Sohn M, Ahn HJ, et al. : Intra-alveolar root fracture in primary teeth. Pediatr Dent, 34:215-218, 2012.
25 Holan G : Conservative treatment of severely luxated maxillary primary central incisors: case report. Pediatr Dent, 21:459-462, 1999.
26 Bastone EB, Freer TJ, McNamara JR : Epidemiology of dental trauma: a review of the literature. Aust Dent J, 45:2-9, 2000.   DOI
27 Flores MT : Traumatic injuries in the primary dentition. Dent Traumatol, 18:287-298, 2002.   DOI
28 Oliveira LB, Marcenes W, Ardenghi TM, et al. : Traumatic dental injuries and associated factors among Brazilian preschool children. Dent Traumatol, 23:76-81, 2007.   DOI
29 Boorum MK, Andreasen JO : Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Dent Traumatol, 14:31-44, 1998.   DOI
30 Kramer PF, Zembruski C, Ferreira SH, Feldens CA : Traumatic dental injuries in Brazilian preschool children. Dent Traumatol, 19:299-303, 2003.   DOI