Root Fractures in the Primary Teeth and Their Management: A Scoping Review

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
E. Spinas, G. Di Giorgio, M. Murgia, V. Garau, M. Pinna, N. Zerman
{"title":"Root Fractures in the Primary Teeth and Their Management: A Scoping Review","authors":"E. Spinas, G. Di Giorgio, M. Murgia, V. Garau, M. Pinna, N. Zerman","doi":"10.3390/dj10050074","DOIUrl":null,"url":null,"abstract":"(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead to aesthetic and functional alterations. The most common injuries are extrusion, lateral luxation, and intrusion. Root fracture is a less common complication that can lead to tooth extraction if not properly diagnosed and managed. However, there are a lack of data regarding primary root fracture treatment. The literature was reviewed to study the current knowledge on the treatment of these injuries, and to propose an operative protocol based on the results obtained. (2) Methods: A literature search was performed on Web of Science, PubMed/MEDLINE, and SCOPUS. The research focused on the following features: age of the patient; localization of the root fracture and type of displacement suffered (intrusive, extrusive, or lateral); type of emergency treatment or diagnostic test performed and their compliance with IADT guidelines; follow-up duration. (2) Results: Only 8 articles fully met the inclusion criteria, with a total of 46 patients and 62 root fractures. Out of a total of 62 root fractures, regarding only upper incisors, the most common treatment was splinting (n = 39) for a period ranging from 3 weeks to 3 months (with an average of six weeks). No treatment was performed for 23 of the root fractures. The splinting performed in most of the included cases was semi-rigid, with the splint held in place using a composite resin material. An orthodontic splint using brackets and 0.5 mm stainless steel wire was used in only in one study. (4) Conclusions: We deduced that the root fracture of primary teeth is a rare traumatic dental injury that can cause numerous complications, such as eruptive problems in the permanent teeth. Correct radiological diagnosis, immediate repositioning and semi-rigid splinting could be conservative methods to prevent premature tooth loss in very young patients.","PeriodicalId":47284,"journal":{"name":"Open Dentistry Journal","volume":"23 1","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Dentistry Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/dj10050074","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 5

Abstract

(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead to aesthetic and functional alterations. The most common injuries are extrusion, lateral luxation, and intrusion. Root fracture is a less common complication that can lead to tooth extraction if not properly diagnosed and managed. However, there are a lack of data regarding primary root fracture treatment. The literature was reviewed to study the current knowledge on the treatment of these injuries, and to propose an operative protocol based on the results obtained. (2) Methods: A literature search was performed on Web of Science, PubMed/MEDLINE, and SCOPUS. The research focused on the following features: age of the patient; localization of the root fracture and type of displacement suffered (intrusive, extrusive, or lateral); type of emergency treatment or diagnostic test performed and their compliance with IADT guidelines; follow-up duration. (2) Results: Only 8 articles fully met the inclusion criteria, with a total of 46 patients and 62 root fractures. Out of a total of 62 root fractures, regarding only upper incisors, the most common treatment was splinting (n = 39) for a period ranging from 3 weeks to 3 months (with an average of six weeks). No treatment was performed for 23 of the root fractures. The splinting performed in most of the included cases was semi-rigid, with the splint held in place using a composite resin material. An orthodontic splint using brackets and 0.5 mm stainless steel wire was used in only in one study. (4) Conclusions: We deduced that the root fracture of primary teeth is a rare traumatic dental injury that can cause numerous complications, such as eruptive problems in the permanent teeth. Correct radiological diagnosis, immediate repositioning and semi-rigid splinting could be conservative methods to prevent premature tooth loss in very young patients.
乳牙牙根骨折及其治疗:综述
(1)背景:外伤性牙齿损伤是一个重大的全球健康问题。上额组乳牙经常受到外伤的影响,尤其是在早期。治疗原发性创伤性损伤是很重要的,因为早期牙齿脱落会导致美观和功能的改变。最常见的损伤是挤压、外侧脱位和侵入。牙根断裂是一种不常见的并发症,如果诊断和处理不当,可能导致拔牙。然而,缺乏关于主牙根骨折治疗的资料。我们回顾了文献,研究了目前治疗这些损伤的知识,并根据所获得的结果提出了一个手术方案。(2)方法:在Web of Science、PubMed/MEDLINE、SCOPUS上进行文献检索。研究重点关注以下特征:患者的年龄;牙根骨折的定位和移位类型(侵入性、挤压性或外侧性);所进行的紧急治疗或诊断测试的类型及其是否符合IADT指南;后续的持续时间。(2)结果:只有8篇文章完全符合纳入标准,共46例患者,62例牙根骨折。在总共62例牙根骨折中,仅上门牙,最常见的治疗方法是夹板(n = 39),持续时间为3周到3个月(平均为6周)。23例根骨折未进行治疗。在大多数病例中,夹板是半刚性的,夹板使用复合树脂材料固定。仅在一项研究中使用了使用托架和0.5 mm不锈钢丝的正畸夹板。(4)结论:乳牙牙根断裂是一种罕见的外伤性牙损伤,其并发症较多,如恒牙的出牙问题。正确的放射学诊断,立即复位和半刚性夹板可以预防非常年轻的患者过早脱落牙齿的保守方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信