Traumatic dental injury in primary teeth not associated with socioeconomic status?

shutterstock_140362891

This review of the the association between socioeconomic indicators and traumatic dental injury in the primary dentition included 16 observational studies. The majority were from Brazil and no clear association was demonstrated.

[read the full story...]

Increased overjet: increases risk of dental trauma suggests review

shutterstock_81871846

This systematic review of a 54 observations studies involving >10,000 patients suggested that overjet over 3-4mm double the risk of traumatic dental injuries (TDIs). With 22% of TDIs being attributable to increased overjet.

[read the full story...]

Primary tooth trauma may be associated with developmental disorders in the permanent successors suggests review

shutterstock_140362891

Trauma to primary teeth is relatively common. As the developing permanent teeth are closely related and trauma to primary teeth could adversely affect the permanent successor. This review looked for studies to assess this relationship. Only 17 low quality studies were identified and while they suggest a relationship the low quality means that the findings should be interpreted with caution.

[read the full story...]

Early orthodontic treatment may reduce incisal trauma in children with class II malocclusions

shutterstock_94503853

This is the latest update of a Cochrane review looking at the treatment of class II malocclusion.  This is a common problem affecting about one in four of 12 year-olds in the UK.    The aim of the review was to assess the effects of orthodontic treatment for prominent upper front teeth (Class II malocclusion) when [read the full story…]

Review suggests that Cone Beam Computed Tomography may have role in diagnosis of root fractures

shutterstock_63657280 - Panoramic x-ray machine

While Computed Tomography (CT) is a well-established diagnostic tool in many areas of medicine it is only since the development of Cone Beam Computed Tomography (CBCT) that is use in dentistry is beginning to be explored.  2012 saw the publication of new European evidence-based guidelines on CBCT for dental and maxillofacial radiology as a result [read the full story…]

Surgical extrusion for crown-root and cervical root fractures

shutterstock_5410882 dentist x-ray

Crown-root and cervical root fractures present a restorative challenge due to sub-gingival position of the fracture margin. . A number of treatment approaches have been proposed, crown lengthening, intentional re-implantation, re-attachment of the coronal fragment to root surface, root extrusion (orthodontic or surgical) or extraction.   Two reviews have recently been published ( Das et al [read the full story…]

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 [read the full story…]

Pulps should be removed from replanted avulsed teeth within 14 days

shutterstock_70287046 - avulsed tooth

This 2009 review by Hinckfuss & Messer regarding the timing of pulp extirpation following the replantation of avulsed teeth has just been critically appraised under the auspicies of the American Dental Associations Centre for Evidence-based Dentistry. The commentator highlights some methodological issues with the conduct of the review and the heterogeneity of the available evidence [read the full story…]