Evidence-based management of isolated dentoalveolar fractures: a systematic review.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Samriddhi Burman, Babu Lal, Ragavi Alagarsamy, Jitendra Kumar, Ankush Ankush, Anshul J Rai, Md Yunus
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引用次数: 0

Abstract

Dentoalveolar (DA) trauma, which can involve tooth, alveolar bone, and surrounding soft tissues, is a significant dentofacial emergency. In emergency settings, physicians might lack comprehensive knowledge of timely procedures, causing delays for specialist referral. This systematic review assesses the literature on isolated DA fractures, emphasizing intervention timing and splinting techniques and duration in both children and adults. This systematic review adhered to PRISMA guidelines and involved a thorough search across PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 1980 to December 2022. Inclusion and exclusion criteria guided study selection, with data extraction and analysis centered on demographics, etiology, injury site, diagnostics, treatment timelines, and outcomes in pediatric (2-12 years) and adult (>12 years) populations. This review analyzed 26 studies, categorized by age into pediatrics (2-12 years) and adults (>12 years). Falls were a common etiology, primarily affecting the anterior maxilla. Immediate management involved replantation, repositioning, and splinting within 24 hours (pediatric) or 48 hours (adult). Composite resin-bonded splints were common. Endodontic treatment was done within a timeframe of 3 days to 12 weeks for children and 2-12 weeks for adults. Tailored management based on patient age, tooth development stage, time elapsed, and resource availability is essential.

以证据为基础的孤立牙槽骨骨折治疗:系统综述。
牙槽骨(DA)创伤可涉及牙齿、牙槽骨和周围软组织,是一种重要的颌面部急症。在急诊环境中,医生可能缺乏及时处理的全面知识,导致延误专科转诊。本系统性综述评估了有关孤立性DA骨折的文献,强调了儿童和成人的干预时机、夹板技术和持续时间。本系统性综述遵循PRISMA指南,对1980年1月至2022年12月期间的PubMed、Google Scholar、Semantic Scholar和Cochrane图书馆进行了全面检索。纳入和排除标准指导着研究的选择,数据提取和分析主要集中在人口统计学、病因学、受伤部位、诊断、治疗时间表以及儿童(2-12 岁)和成人(12 岁以上)人群的结果。本综述分析了 26 项研究,按年龄分为儿科(2-12 岁)和成人(12 岁以上)。跌倒是常见的病因,主要影响上颌骨前部。即时治疗包括在24小时内(儿童)或48小时内(成人)进行重新种植、重新定位和夹板固定。复合树脂粘接夹板很常见。牙髓治疗的时间范围为:儿童 3 天至 12 周,成人 2 至 12 周。根据患者年龄、牙齿发育阶段、所需时间和可用资源进行量身定制的管理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
0
期刊介绍: Journal of the Korean Association of Oral and Maxillofacial Surgeons (J Korean Assoc Oral Maxillofac Surg) is the official journal of the Korean Association of Oral and Maxillofacial Surgeons. This bimonthly journal offers high-quality original articles, case series study, case reports, collective or current reviews, technical notes, brief communications or correspondences, and others related to regenerative medicine, dentoalveolar surgery, dental implant surgery, head and neck cancer, aesthetic facial surgery/orthognathic surgery, facial injuries, temporomandibular joint disorders, orofacial disease, and oral pathology. J Korean Assoc Oral Maxillofac Surg is of interest to oral and maxillofacial surgeons and dental practitioners as well as others who are interested in these fields.
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