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Multidisciplinary treatment options of tooth avulsion considering different therapy concepts.

Kostka E, Meissner S, Finke CH, Mandirola M, Preissner S - Open Dent J (2014)

Bottom Line: With the help of this literature it is possible to identify the best treatment procedure for each tooth.The prognosis of avulsed teeth can be improved by considering evidence-based therapy concepts.Resorption, ankylosis and tooth loss could be minimized.

View Article: PubMed Central - PubMed

Affiliation: Department of Operative and Preventive Dentistry, Assmannshauser Straße 4-6, 14197 Berlin, Germany.

ABSTRACT

Background: Avulsion of permanent front teeth is a rare accident, mostly affecting children between seven and nine years of age. Replanted and splinted, these teeth often develop inflammation, severe resorption or ankylosis affecting alveolar bone development and have to be extracted sooner or later.

Objectives: The purpose of this study was to evaluate different therapy concepts to create a structured concept for the treatment of avulsions.

Results: Based on existing therapy concepts, a concept for different initial conditions (dry time, age, growth, tooth, hard and soft tissues) was developed and is presented here.

Conclusion: A great deal of research has been performed during recent years and guidelines for the management of avulsions have been published. With the help of this literature it is possible to identify the best treatment procedure for each tooth.

Clinical relevance: The prognosis of avulsed teeth can be improved by considering evidence-based therapy concepts. Resorption, ankylosis and tooth loss could be minimized.

No MeSH data available.


Related in: MedlinePlus

Flowchart of literature synthesis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4209498&req=5

Figure 1: Flowchart of literature synthesis.

Mentions: The complete Medline/PubMed data was screened for articles about dental avulsion. Specific keywords were used to retrieve about 200 articles. Ten additional records were identified through other sources (books, articles not indexed in PubMed). The abstracts of those records were screened and 130 were excluded due to evidence-based criteria. About 80 full-text articles were included in the synthesis and divided into groups: Endodontics, Periodontics, Orthodontics, Surgery, Therapy and Reviews (Fig. 1). Specialists in the different disciplines read the articles and met weekly to find a consensus for each problem.


Multidisciplinary treatment options of tooth avulsion considering different therapy concepts.

Kostka E, Meissner S, Finke CH, Mandirola M, Preissner S - Open Dent J (2014)

Flowchart of literature synthesis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4209498&req=5

Figure 1: Flowchart of literature synthesis.
Mentions: The complete Medline/PubMed data was screened for articles about dental avulsion. Specific keywords were used to retrieve about 200 articles. Ten additional records were identified through other sources (books, articles not indexed in PubMed). The abstracts of those records were screened and 130 were excluded due to evidence-based criteria. About 80 full-text articles were included in the synthesis and divided into groups: Endodontics, Periodontics, Orthodontics, Surgery, Therapy and Reviews (Fig. 1). Specialists in the different disciplines read the articles and met weekly to find a consensus for each problem.

Bottom Line: With the help of this literature it is possible to identify the best treatment procedure for each tooth.The prognosis of avulsed teeth can be improved by considering evidence-based therapy concepts.Resorption, ankylosis and tooth loss could be minimized.

View Article: PubMed Central - PubMed

Affiliation: Department of Operative and Preventive Dentistry, Assmannshauser Straße 4-6, 14197 Berlin, Germany.

ABSTRACT

Background: Avulsion of permanent front teeth is a rare accident, mostly affecting children between seven and nine years of age. Replanted and splinted, these teeth often develop inflammation, severe resorption or ankylosis affecting alveolar bone development and have to be extracted sooner or later.

Objectives: The purpose of this study was to evaluate different therapy concepts to create a structured concept for the treatment of avulsions.

Results: Based on existing therapy concepts, a concept for different initial conditions (dry time, age, growth, tooth, hard and soft tissues) was developed and is presented here.

Conclusion: A great deal of research has been performed during recent years and guidelines for the management of avulsions have been published. With the help of this literature it is possible to identify the best treatment procedure for each tooth.

Clinical relevance: The prognosis of avulsed teeth can be improved by considering evidence-based therapy concepts. Resorption, ankylosis and tooth loss could be minimized.

No MeSH data available.


Related in: MedlinePlus