Review finds no trials to inform the treatment of displaced luxated permanent teeth

shutterstock_81871846

Trauma to the upper front teeth of children and young adults is relatively common. The aim of this Cochrane review was to assess the effects of interventions for treating displaced luxated permanent teeth.

Searches of the Medline, Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL), Embase and Lilacs databases were undertaken. Dissertations, Theses and Abstracts were searched together with reference lists from articles. There were no language restrictions.

The authors planned to include randomised or quasi-randomised controlled trials of treatment interventions for displaced luxated permanent front teeth. Included trials had to have a minimum follow-up period of 12 months.

Of the 548 articles identified only 6 potentially met the inclusion criteria. However, no randomised or quasi-randomised controlled trials were found.

The authors concluded

We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies

Comment

The authors were looking for information in order to answer a number of questions relating to:-

  • Types of antibiotics: the effect of using no antibiotics, a placebo or different types of antibiotics.
  • Types and duration of fixation: the effect of using no splint or different types of splints and their duration.
  • Types of dental repositioning: to compare spontaneous re-eruption, orthodontic repositioning or surgical repositioning.
  • Types of root canal medicaments: this was compared with no medicaments, placebo and different types of medicaments.

In their discussion, while calling for more robust studies they point to some of the challenges relating to conducting studies in this area.

While we wait on more robust evidence, the Dental Trauma Guide provided a good on-line summary for the treatment and management of a range of dental trauma injuries based on current guidelines.

Links

Belmonte FM, Macedo CR, Day PF, Saconato H, Fernandes Moça Trevisani V. Interventions for treating traumatised permanent front teeth: luxated (dislodged) teeth. Cochrane Database of Systematic Reviews 2013, Issue 4. Art. No.: CD006203. DOI: 10.1002/14651858.CD006203.pub2.

The Dental Trauma Guide

 

 

Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+
Mark as read
Create a personal elf note about this blog
Profile photo of Derek Richards

Derek Richards

Derek Richards is the Director of the Centre for Evidence-based Dentistry, Editor of the Evidence-based Dentistry Journal, Consultant in Dental Public Health with Forth Valley Health Board and Honorary Senior Lecturer at Dundee & Glasgow Dental Schools. He helped to establish both the Centre for Evidence-based Dentistry and the Evidence-based Dentistry Journal. He has been involved with teaching EBD and a wide range of evidence-based initiatives both nationally and internationally since 1994.

More posts - Website

Follow me here –