Dental trauma, associations and risk factors

Fractured tooth

This overview of the associations and risk factors for the occurrence of traumatic dental injury included 19 stustamatic reviews. The reviews considered 22 differing risk factors but only 4 of the reviews were assessed to be of moderate quality the remainder being considered to be of low (11) or critically low (4)quality.

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Avulsed teeth: Storage media used before replantation

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This review of the effectiveness of any technique available to laypeople for storing an avulsed tooth compared with storage in milk or saliva included 33 studies. Findings suggest that milk, Hank’s balanced salt solution, propolis, oral rehydration salts, rice water, and cling film extend periodontal ligament cell viability before replantation.

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Root resorption: incidence after different types of traumatic dental injury

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This review of assess the incidence of different types of root resorption after concussion, subluxation, lateral luxation, intrusive luxation, and extrusive luxation included 14 observational studies. Findings suggest that resorption is most common following intrusive luxation.

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Overjet and dental trauma risk

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This review of different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages included 41 cross-sectional studies showing a a significant association between increased overjet and traumatic dental injury.

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Mouthguards: Do they affect athletic performance?

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This review of the effect of mouthguards on performance in athletes identified 15 small low quality studies. The findings suggest that made mouthguards does not interfere with sport performance but they should be interpreted cautiously.

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Tooth fragment reattachment techniques?

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This review of tooth fragment reattachment techniques included only 5 small observational studies involving a total of 246 teeth providing limited evidence for these techniques.

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Traumatic dental injuries affect around 1 billion people

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This review of traumatic dental injuries (TDIs) included 152 observational studies providing an estimate of global prevalence of TDIs in permanent teeth of 15.2% (95%CI, 13.0%-17.4%)

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Orthodontic treatment for class II division I malocclusion

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27 RCTs were identified for this Cochrane review update early v late orthodontic treatment for class II div 1 malocclusion. The main advantage of early treatment was a reduction of incisal trauma.

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Intrusive luxation in permanent teeth

PDS scores at follow up showed gains were maintained

This review of treatments for teeth with intrusive luxation included 8 studies. The studies were all considered to be at high risk of bias and suggested that spontaneous re-eruption should be the treatment of choice. However the small number of studies and limited quality means these findings should be interpreted with caution.

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