Dental Traumatology最新文献

{"title":"Navigating the Epidemiology and Complexities of Dental Trauma in Southeast Asia: A Multi-Disciplinary Scoping Review.","authors":"Mohmed Isaqali Karobari, Niher Tabassum Snigdha, Mohammad Fareed, Viet Hoang, Thantrira Porntaveetus, Gowri Sivaramakrishnan, Anand Marya","doi":"10.1111/edt.70001","DOIUrl":"https://doi.org/10.1111/edt.70001","url":null,"abstract":"<p><strong>Aim: </strong>To negotiate the available literature on 'the epidemiology' of dental trauma or DT in Southeast Asia, recognize key patterns, along highlight the gaps in the reporting of data and management.</p><p><strong>Background: </strong>DT is an important public health problem in Southeast Asia. The differences in socioeconomic situation and healthcare protocol contribute to discrepancies in DT prevalence, along with management. Despite the impact, extensive data on DT remain limited in multiple countries within Southeast Asia.</p><p><strong>Method: </strong>A scoping review was organized following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-ScR) instructions. Searches were conducted across databases (Google Scholar, Web of Science, Scopus, PubMed) using applicable keywords. 18 studies were listed, with data extricated on study design, prevalence, population, as well as key findings.</p><p><strong>Results: </strong>The pervasiveness of DT varied crucially, with the elevated rates reported in nations like Indonesia, Malaysia, and Thailand. Important risk factors cover age (adolescents and children), motor vehicle accidents, and gender (males). A significant lack in the literature, especially from under-represented nations, as well as in rural areas was recognized.</p><p><strong>Conclusion: </strong>The current scoping review reinforces the significant load of dental trauma in Southeast Asia, with differing prevalence across the area due to inconsistent reporting and socioeconomic disparities. Countries like Malaysia, Thailand, and Indonesia show higher DT rates, particularly among children, adolescents, and motor vehicle accident victims, while data gaps remain in other nations of Southeast Asia.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate Partner Violence Intervention Strategies in the Dental Setting: A Scoping Review.","authors":"Kelly Lewer, Cecilia Correy, Robin Jacob Mao, Ajesh George, Angela Masoe, Angie Nilsson, Natalia Uthurralt, Shilpi Ajwani, Devika Rokka, Lynne Brissett, Rebecca O'Reilly","doi":"10.1111/edt.13090","DOIUrl":"https://doi.org/10.1111/edt.13090","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence is a global issue. Dental settings are currently thought of as novel places for IPV support, with little known about the characteristics and effectiveness of current interventions.</p><p><strong>Objectives: </strong>This scoping review explores the characteristics and effectiveness of current IPV interventions in dental settings.</p><p><strong>Methods: </strong>The initial search was completed in June 2023 and updated in February 2025. APAPsychINFO, CINAHL, Medline, ProQuest, PubMed, Scopus, and Web of Science databases were searched for peer-reviewed literature for key search terms related to IPV interventions within the dental setting. Grey literature was located via searching HealthInfonet, Google, and Google Scholar. No constraints were applied on publication date. All included literature was reviewed and double screened using Covidence. Following the extraction of relevant information, a thematic synthesis approach was conducted, inspired by Bronfenbrenner's concepts of macrosystem (policy, legislation and culture), exosystem (clinical settings), mesosystem (interactions between dental and non-dental professionals), and microsystem (interactions between staff and patients) to analyze and present the study findings.</p><p><strong>Results: </strong>Twenty-three literature sources were included following removal of duplicates and screening of title and abstract and then full text. Of the 23 included literature sources18 were peer-reviewed empirical sources, and 5 were grey literature. IPV interventions were mostly implemented at a macrosystem and mesosystem level; they were in the form of information resources, educational and training programs, and integrated care models. Microsystem interventions received the least attention and were focused on visual resources available to raise awareness of dental practices as a safe place to disclose IPV. Results indicated that evaluated IPV training interventions in dental settings returned positive outcomes in enhancing dental service staff's knowledge, attitudes, and acceptability of IPV screening in dental settings. The feasibility of implementing training interventions for dental practice staff was also positive.</p><p><strong>Conclusions: </strong>There are positive outcomes from IPV interventions that have been implemented and evaluated in dental practice settings. However, the rigor, transferability, and sustainability of the interventions across all types of dental settings require further exploration.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Hands-On Training Sessions in Dental Traumatology on the Confidence Levels of Students and Dentists.","authors":"Céleste Péré, Inès Bouillaud, Roselyne Clouet, Camille Boëffard, Alexis Gaudin, Tony Prud'homme","doi":"10.1111/edt.70002","DOIUrl":"https://doi.org/10.1111/edt.70002","url":null,"abstract":"<p><strong>Background: </strong>Because of their diversity and complexity, dental traumas require a multidisciplinary approach to ensure optimal management and a favorable dental prognosis. During dental studies in France, students receive theoretical instruction in the diagnosis and treatment of various types of dental trauma. However, only a few students gain exposure to clinical cases, which vary in complexity, while dentists are often faced with traumatic dental situations from the very beginning of their practice. We evaluated the impact of hands-on training in dental traumatology for students in initial training and for dentists in continuing education.</p><p><strong>Material and methods: </strong>Our prospective, monocentric controlled study aimed to compare the confidence levels of 32 dental students and 15 dentists in handling various traumatic injuries, including direct pulp capping, partial pulpotomy, and temporary reconstruction following a fracture, reimplantation of an avulsed tooth, and splinting before and after a hands-on training session. Participants in both groups were questioned by survey before and after the hands-on training session.</p><p><strong>Results: </strong>The study showed that the participants' confidence levels improved following practical sessions, especially for students (p < 0.05). This improvement differed depending on the simulated procedures and the groups surveyed, but the majority of the participants (> 80%) were satisfied with this realist simulation.</p><p><strong>Conclusion: </strong>Our results confirm the necessity of having a theoretical and practical training during initial and continuous formation in the field of dental traumatology. We can assume that developing realistic workshops for the participants helped them feel more involved and confident in dental traumatology therapies.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YouTube as a Source of Information on Dental Trauma: A Quality, Accuracy, and Reliability Analysis.","authors":"Hatice Kübra Başkan, Beyhan Başkan","doi":"10.1111/edt.13088","DOIUrl":"https://doi.org/10.1111/edt.13088","url":null,"abstract":"<p><p>The current study aims to evaluate the quality, accuracy, and reliability of dental trauma videos posted on YouTube. A search was performed on YouTube using the keywords \"dental trauma,\" \"tooth injury,\" \"dental injury,\" and \"traumatic dental injury.\" For each search term, the first 100 videos were recorded, and a total of 400 videos were examined. After applying exclusion criteria, 158 videos were analyzed by two experts. In the current study, the quality, accuracy, and reliability of dental trauma videos on YouTube were evaluated using the m-DISCERN, JAMA, and GQS scales, respectively. In this study, which did not require approval from the ethics committee, a statistically significant positive correlation was found between the number of likes, number of dislikes, number of views, video power index, views rate and likes rate with the m-DİSCERN scores (p = 0.029, p = 0.025, p = 0.007, p = 0.021, p = 0.021, p = 0.025, respectively). There was a statistically significant positive correlation between the number of likes, video length, and interaction index with GQS scores (p = 0.048, p = 0.000, p = 0.005, respectively). A statistically significant positive correlation between the number of dislikes, number of views, video power index, and view rate with JAMA scores. The quality, accuracy, and reliability of YouTube videos on dental trauma are generally low, and healthcare professionals need to produce more video content on YouTube. Short videos receive more views and engagement during emergencies, indicating that YouTube video viewers prefer videos with easier-to-understand content. Viewers of videos can distinguish between high-quality and low-quality information.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simplified Registration of Clinician-Important Traumatic Dental Injury Outcomes Using a New Index.","authors":"Ece Eden, Juan E Onetto, Eva Lauridsen, Lars Andersson","doi":"10.1111/edt.13086","DOIUrl":"https://doi.org/10.1111/edt.13086","url":null,"abstract":"<p><strong>Background/aims: </strong>Traumatic dental injuries (TDIs) can result in complications that may manifest long after the initial injury. Long-term follow-up is essential. Registration systems must be easy to use. This study aimed to describe and validate a simple registration system for clinician-important TDI outcomes as an index.</p><p><strong>Materials/methods: </strong>The clinical and radiological outcome findings were formulated with five digits in line with the Eden Baysal Dental Trauma Index. Twenty-five experts (n = 15 in a primary expert panel and n = 10 in a feedback panel) from seventeen countries participated in the validation process using the e-Delphi method. After two rounds to reach consensus, the second version of the proposed system was presented to the feedback group. The revised post-feedback version was re-evaluated by the primary experts. All experts commented freely and answered four questions on the system's use using a three-point Likert-scale.</p><p><strong>Results: </strong>The approved name of the proposed system is \"Eden Dental Trauma Outcome Index\". The first digit reports the success of the restoration, and the second digit reports the healing type of root fracture. Coding the first two digits changed from Roman to Arabic numerals after the first round. The third digit records the external root resorption type with capitalised first letters of the two words describing the type. The fourth digit reports the maturity of the apex with lowercase first letters. The fifth digit records pulp status with Arabic numerals. Codes for unclear situations and tooth loss were added to all digits in the final version. All experts in the primary panel and 83.3% in the feedback panel reported that the index is practical but needs experience.</p><p><strong>Conclusion: </strong>After four validation rounds, the \"Eden Dental Trauma Outcome Index\" for reporting clinician-important outcomes was approved for face and content validity and external validity.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards a Comprehensive Approach to Dental Trauma: Risks, Responses, and Innovations in Clinical Practice","authors":"Ana Beatriz Cantao,&nbsp;Liran Levin","doi":"10.1111/edt.13089","DOIUrl":"https://doi.org/10.1111/edt.13089","url":null,"abstract":"&lt;p&gt;Contact sports are frequently associated with a high risk of orofacial injuries, including dental trauma and facial fractures [&lt;span&gt;1-3&lt;/span&gt;]. To reduce these risks, protective devices such as mouthguards and faceguards have been commonly used in sports such as football, boxing, ice hockey, baseball, and rugby [&lt;span&gt;4-7&lt;/span&gt;]. Conventional fabrication techniques for these devices are well established in the literature [&lt;span&gt;8&lt;/span&gt;]. However, the use of digital workflows for producing custom faceguards has not yet been standardized, and protocols remain limited. In this issue, Rondon et al. presented an overview describing the use and the potential benefits of digital technology in the design and production of faceguards [&lt;span&gt;9&lt;/span&gt;], offering new perspectives on its application within dentistry and sports-related care.&lt;/p&gt;&lt;p&gt;Physical activity includes a variety of movements such as running and climbing, and its benefits are well established in the literature [&lt;span&gt;10, 11&lt;/span&gt;]. Engaging in regular physical activity during childhood helps prevent obesity, supports physical and cognitive development, and lowers the risk of systemic diseases [&lt;span&gt;11&lt;/span&gt;]. However, participation in moderate to vigorous physical activities, particularly when not properly supervised, can increase the risk of injuries, including traumatic dental injuries (TDIs) [&lt;span&gt;1, 5&lt;/span&gt;]. Some evidence suggests a possible association between physical activity and TDIs [&lt;span&gt;12, 13&lt;/span&gt;], exploring how this activity affects the prevalence and severity of TDIs in preschool children. In this issue, Lopéz et al. presented a study evaluating the association between physical activity and the prevalence and severity of TDIs in a cohort of 4-year-old children from Southern Brazil [&lt;span&gt;14&lt;/span&gt;]. The findings of this study highlighted the importance of understanding how early-life physical activity may impact oral health and reinforced the importance of preventive strategies to minimize dental injuries in young children.&lt;/p&gt;&lt;p&gt;TDIs in childhood can be caused by various factors, including lack of motor skill coordination, increased physical activity, lack of supervision, and environmental risks [&lt;span&gt;15-17&lt;/span&gt;]. Falls, collisions, and accidents during play are the most frequently reported causes [&lt;span&gt;15&lt;/span&gt;]. Globally, the prevalence of TDIs in the deciduous dentition is estimated to be over 20%, with anterior teeth, particularly the maxillary incisors, being the most commonly affected due to their prominent position in the dental arch [&lt;span&gt;18&lt;/span&gt;]. These injuries can result in pain, impaired mastication, and functional limitations, as well as esthetic concerns that negatively impact the quality of life of children and their families [&lt;span&gt;19, 20&lt;/span&gt;]. Moreover, because of the close anatomical relationship between the apex of a primary tooth and the underlying permanent tooth germ, trauma to the deciduous dentition may result in developmen","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 4","pages":"371-376"},"PeriodicalIF":2.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Parental Awareness on Emergency Management of Traumatic Dental Injuires: The role of the ToothSOS Application.","authors":"Gulden Barutcigil, Esra Oz","doi":"10.1111/edt.13075","DOIUrl":"https://doi.org/10.1111/edt.13075","url":null,"abstract":"<p><strong>Background/aim: </strong>Traumatic dental injuries (TDIs) are the most common cause of emergency dental treatment among children. This study aimed to evaluate the effectiveness of the ToothSOS application on the awareness regarding TDI emergency management among parents of children with a history of TDI.</p><p><strong>Materials and methods: </strong>The study was carried out by administering questionnaires to parents who visited the clinic between April 2023 and April 2024 due to TDIs in their children. The questionnaire was divided into five sections. The final section of the questionnaire was delivered at three different periods: before downloading the ToothSOS application (T0), after reviewing the application (T1), and 1-month post-download (T2). The data were analyzed using Friedman, Bonferroni, and multivariate linear regression tests.</p><p><strong>Results: </strong>Over half of the participants (59.4%) were aged between 36 and 45 years, 60.9% were female, and 44.5% were high school graduates. At baseline, 96.1% of the participants had no prior knowledge about TDIs and were unaware of the ToothSOS application. Based on the participants' knowledge levels, at T0, 97.7% were deemed inadequate-low. At T1, 92.2% were adequate-high, and 7.8% acceptable-moderate. At T2, 39.8% were inadequate-low, 53.1% acceptable-moderate, and 7% adequate-high. Statistically significant differences were found between the median values of the scores at each period (p < 0.05). The score difference between T0 and T1 was significantly impacted by parents' having a high school education and having two children in the family (p < 0.05).</p><p><strong>Conclusions: </strong>Using the ToothSOS application significantly improved parents' awareness of emergency management for TDIs.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D Printed Guides and Finite Element Analysis in Dental Autotransplantation: Biomechanical Efficiency and Clinical Workflow Optimization.","authors":"Junzhou Chi, Lu Yin, Shaozhen Ma, Xin Yang, Maoyuan Zhang, Xiaohua Ren, Kun Tian","doi":"10.1111/edt.13087","DOIUrl":"https://doi.org/10.1111/edt.13087","url":null,"abstract":"<p><strong>Background: </strong>This study evaluates novel osteotomy guides, a morphology-adapted custom drill, and root-immersion containers to enhance the precision in dental autotransplantation through in vitro experiments and finite element analysis (FEA).</p><p><strong>Methods: </strong>About 30 mandibular Cone Beam Computed Tomography (CBCT) datasets were reconstructed to design reverse-engineered osteotomy guides and a steel custom drill based on root morphology statistics. About 90 3D-printed models (30 cases × 3 groups: guide-assisted, custom drill, and freehand) underwent socket preparation, with operative time and cavity dimensions quantified via optical scanning. Extracorporeal root canal treatment compared between teeth in root-immersion containers (n=30) and handheld teeth (n=30). FEA simulated flexible/rigid fixation to assess the apical stress and displacement.</p><p><strong>Results: </strong>(1) Osteotomy time was shortest with the custom drill (3.70 ± 0.42 min), followed by guided (5.33 ± 0.35 min) and freehand (12.18 ± 0.98 min; p < 0.001). (2) Root-socket distances were 0.58 ± 0.10 mm (custom drill) and 0.94 ± 0.12 mm (guided), outperforming freehand (1.75 ± 0.19 mm; p < 0.001). (3) Root canal duration was comparable between container (13.77 ± 0.78 min) and handheld (13.89 ± 1.12 min; p > 0.05), but procedural consistency favored the container (p < 0.001). (4) Rigid splinting reduced apical stress and limited displacement to 1.2 mm versus 3-5 mm with flexible methods.</p><p><strong>Conclusion: </strong>The custom drill achieved efficient socket preparation with superior root adaptation, while the root-immersion container standardized therapy quality. Rigid fixation minimized biomechanical risks, collectively ensuring predictable autotransplantation outcomes.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Pediatric Traumatic Dental Injuries in Southwest China: A Single-Center Retrospective Study.","authors":"Yanan Xu, Yudi Deng, Yuxin Chen, Jinlin Guo, Yumin Wang, Ruijie Huang","doi":"10.1111/edt.13091","DOIUrl":"https://doi.org/10.1111/edt.13091","url":null,"abstract":"<p><strong>Background/aim: </strong>Although pediatric traumatic dental injuries (TDIs) are widely reported, evidence regarding follow-up determinants remains limited. This study aimed to characterize TDI profiles and identify factors influencing subsequent dental visits.</p><p><strong>Material and methods: </strong>This retrospective study included all first-visit pediatric TDI patients between 2019 and 2020. Data were extracted from medical records. Statistical analyses were conducted using R Core Team software. The chi-square test, Fisher's exact test, and cumulative logistic regression were used to analyze the data.</p><p><strong>Results: </strong>1362 children (66.23% boys and 33.77% girls) with a median age of 6 years were included, involving 1151 permanent and 1327 primary injured teeth. Central incisors were most frequently affected. Primary teeth were more prone to Class I and IV TDIs, while permanent teeth were more frequently associated with Class II and III TDIs (p < 0.001). Enamel-dentin fractures, subluxations, and contusions were the most prevalent TDIs in Class I, II, and IV, respectively. Tooth type distinction significantly affected the elapsed time between injury and arrival (p < 0.001), treatment plans (p < 0.001), and number of follow-ups (p < 0.001). More hard tissue alterations were observed during the follow-ups of permanent teeth (p = 0.003). In permanent teeth, predictors of increased follow-up visits included: older age (OR = 0.891, 95% CI: 0.824-0.964; p = 0.004), male sex (OR = 1.263, 95% CI: 1.015-1.574; p = 0.037), shorter elapsed time (< 2 h vs. > 7 days: OR = 0.211, 95% CI: 0.078-0.580; p = 0.002), and greater severity (severe vs. mild: OR = 7.324, 95% CI: 3.550-15.265; p < 0.001). For primary teeth, only severity was significant (severe vs. mild: OR = 0.496, 95% CI: 0.277-0.844; p = 0.013).</p><p><strong>Conclusions: </strong>Permanent TDIs demand prolonged monitoring, particularly in older children with severe injuries who need prompt care.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of Two Post-Bonding Reinforcement Protocols for Fragment Reattachment in Uncomplicated Crown Fracture-An In Vitro Study.","authors":"Amna Afrin Kidwai, Komal Yadav, Nitesh Tewari, Farheen Sultan, Vijay Prakash Mathur, Ashish Dutt Upadhyaya, Morankar Rahul","doi":"10.1111/edt.13084","DOIUrl":"https://doi.org/10.1111/edt.13084","url":null,"abstract":"<p><strong>Background/aims: </strong>Re-bonding of a fractured fragment without any preparations or reinforcement has been recommended as the preferred treatment of uncomplicated crown fractures. A recent systematic review found that post-bonding reinforcements could reduce the risk of loss of attached fragments in teeth with uncomplicated and complicated crown fractures. Hence, this study aimed to compare various techniques of reinforcement in terms of the force required to fracture, using bovine incisor models with simulated uncomplicated crown fractures.</p><p><strong>Methods: </strong>This in vitro study was initiated after obtaining approval from the Institutional Ethics Committee. The sample size was calculated as 20 teeth per group, and bovine mandibular incisors were carefully evaluated for size and absence of structural defects and randomly allocated to four groups (Group I- Simple Reattachment, Group II- External Chamfer, Group III- Over contouring, Group IV- Sound teeth). Those in experimental groups were subjected to a fracture protocol, kept dry at room temperature and atmospheric pressure for 24 h, rehydrated for 15 min, and bonded using simple reattachment. The post-bonding reinforcement protocols were followed for Groups II and III. Samples were stored in normal saline, and thermocycling was performed. A universal testing machine was used to assess the force required to fracture.</p><p><strong>Results: </strong>The least magnitude of force required for fracture was seen in Group I, while the highest was seen in Group III (164.75 N). The force in Group I was significantly lower compared to all the protocols of post-bonding reinforcement and the control teeth (Group IV). A statistically significant difference was not seen between Groups II and III.</p><p><strong>Conclusion: </strong>The force required to fracture the teeth subjected to post-bonding reinforcement was significantly more than that seen after simple reattachment. The maximum force was exhibited by the teeth reinforced by over-contouring, followed by an external chamfer.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}