Dental Traumatology最新文献

{"title":"Impact of CBCT acquisition protocols and artifact reduction filters on diagnosing vertical root fractures.","authors":"Eduarda Adams Hilgert, Gabriela Salatino Liedke, Priscila Fernanda da Silveira Tiecher, Nádia Assein Arus, Thiago de Oliveira Gamba, Heraldo Luis Dias da Silveira, Mariana Boessio Vizzotto","doi":"10.1111/edt.12984","DOIUrl":"10.1111/edt.12984","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the impact of acquisition protocols and artifact reduction filters in cone beam computed tomography on diagnosing vertical root fractures in endodontically treated teeth with and without intraradicular posts.</p><p><strong>Materials and methods: </strong>We analyzed 480 tomographic images acquired from two J. Morita scanners (0.125- and 0.08-mm voxel sizes protocols), with application of a blooming artifact reduction filter. Three evaluators assessed these images for root fractures using a 5-point Likert scale. Diagnostic accuracy between filters and protocols was determined using generalized linear models with binomial distribution for the outcome, considering protocol, filter, and dental status. Sensitivity, specificity, positive predictive value, and negative predictive value were also estimated for the filters and protocols.</p><p><strong>Results: </strong>The 0.08-mm voxel size protocol demonstrated a significantly higher percentage of accurate diagnosis compared to the 0.125-mm protocol (p = .001). No statistically significant differences (p ≥ .087) were observed for filter application, interaction between protocol and filter, or dental status. Accuracy, sensitivity, and specificity values were respectively: .93, .87, 1.00 (protocol 1); .99, .99, .99 (protocol 2); .98, .96, .99 (no filter); .95, .90, 1.00 (with filter).</p><p><strong>Conclusion: </strong>The new findings found for the two J Morita scanners used in our study were that images acquired using the voxel size of 0.08 mm showed an improvement in the diagnosis of root fractures and the filters in these devices have no relevance significant for the diagnosis.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":"69-74"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972336","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":"Evaluation of Chatbots in the Emergency Management of Avulsion Injuries.","authors":"Şeyma Mustuloğlu, Büşra Pınar Deniz","doi":"10.1111/edt.13041","DOIUrl":"https://doi.org/10.1111/edt.13041","url":null,"abstract":"<p><strong>Background: </strong>This study assessed the accuracy and consistency of responses provided by six Artificial Intelligence (AI) applications, ChatGPT version 3.5 (OpenAI), ChatGPT version 4 (OpenAI), ChatGPT version 4.0 (OpenAI), Perplexity (Perplexity.AI), Gemini (Google), and Copilot (Bing), to questions related to emergency management of avulsed teeth.</p><p><strong>Materials and methods: </strong>Two pediatric dentists developed 18 true or false questions regarding dental avulsion and asked public chatbots for 3 days. The responses were recorded and compared with the correct answers. The SPSS program was used to calculate the obtained accuracies and their consistency.</p><p><strong>Results: </strong>ChatGPT 4.0 achieved the highest accuracy rate of 95.6% over the entire time frame, while Perplexity (Perplexity.AI) had the lowest accuracy rate of 67.2%. ChatGPT version 4.0 (OpenAI) was the only AI that achieved perfect agreement with real answers, except at noon on day 1. ChatGPT version 3.5 (OpenAI) was the AI that showed the weakest agreement (6 times).</p><p><strong>Conclusions: </strong>With the exception of ChatGPT's paid version, 4.0, AI chatbots do not seem ready for use as the main resource in managing avulsed teeth during emergencies. It might prove beneficial to incorporate the International Association of Dental Traumatology (IADT) guidelines in chatbot databases, enhancing their accuracy and consistency.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048703","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":"Trauma-Induced Stress Distribution in Primary Incisors Restored With Preformed Zirconia Crowns: 3D Finite Element Analysis.","authors":"Ajay Goyal, Manjari Reshikesh, Mohammad Atif, Nitesh Tewari, Isha Duggal, Anoop Chawla, Kalpana Bansal, Morankar Rahul, Vijay Mathur, Ritu Duggal","doi":"10.1111/edt.13040","DOIUrl":"https://doi.org/10.1111/edt.13040","url":null,"abstract":"<p><strong>Background/aims: </strong>Preformed zirconia crowns have emerged as the preferred choice for restoring damaged primary incisors. However, they differ from natural teeth in their biophysical properties and can potentially alter the overall response of crowned teeth to a traumatic load. This in silico study aimed to compare the response of three different traumatic loading conditions for the (i) natural (M1) and (ii) zirconia-restored tooth models (M2) models.</p><p><strong>Methodology: </strong>A 3D dynamic finite element (FE) analysis was performed, and minimum dynamic loads required for fracture and coronal portion disjunction of both tooth models were applied in frontal, oblique, and incisal directions. Stress concentrations, von Mises stresses, fracture patterns, and displacements were compared at different periods of the loading pulse.</p><p><strong>Results: </strong>The computed minimum threshold loads resulting in fracture of the natural tooth model were 82 N, 166 N, and 171 N for the frontal, oblique, and incisal impacts, respectively. Fracture of the coronal portion started at 1.8 and 1.68 ms in natural tooth and zirconia-restored tooth models, respectively. Complete disjunction of coronal and radicular portions occurred earlier in the zirconia-restored tooth model (2.46 ms) than in the natural tooth model (4.5 ms) for frontal impact. The maximum von Mises stresses causing fracture ranged from 254 to 314 MPa for both models, following assigned element erosion criteria. The zirconia-restored tooth model did not experience fracture during an oblique impact.</p><p><strong>Conclusion: </strong>The stress concentration patterns were seen to be altered in the zirconia-restored tooth model. On incisal impact, the permanent tooth germ in the natural tooth model displayed stress concentrations that were not seen in the zirconia-restored tooth model.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034333","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":"Evaluation of Information Provided by ChatGPT Versions on Traumatic Dental Injuries for Dental Students and Professionals.","authors":"Zeynep Öztürk, Cenkhan Bal, Beyza Nur Çelikkaya","doi":"10.1111/edt.13042","DOIUrl":"https://doi.org/10.1111/edt.13042","url":null,"abstract":"<p><strong>Background/aim: </strong>The use of AI-driven chatbots for accessing medical information is increasingly popular among educators and students. This study aims to assess two different ChatGPT models-ChatGPT 3.5 and ChatGPT 4.0-regarding their responses to queries about traumatic dental injuries, specifically for dental students and professionals.</p><p><strong>Material and methods: </strong>A total of 40 questions were prepared, divided equally between those concerning definitions and diagnosis and those on treatment and follow-up. The responses from both ChatGPT versions were evaluated on several criteria: quality, reliability, similarity, and readability. These evaluations were conducted using the Global Quality Scale (GQS), the Reliability Scoring System (adapted DISCERN), the Flesch Reading Ease Score (FRES), the Flesch-Kincaid Reading Grade Level (FKRGL), and the Similarity Index. Normality was checked with the Shapiro-Wilk test, and variance homogeneity was assessed using the Levene test.</p><p><strong>Results: </strong>The analysis revealed that ChatGPT 3.5 provided more original responses compared to ChatGPT 4.0. According to FRES scores, both versions were challenging to read, with ChatGPT 3.5 having a higher FRES score (39.732 ± 9.713) than ChatGPT 4.0 (34.813 ± 9.356), indicating relatively better readability. There were no significant differences between the ChatGPT versions regarding GQS, DISCERN, and FKRGL scores. However, in the definition and diagnosis section, ChatGPT 4.0 had a statistically higher quality score than ChatGPT 3.5. In contrast, ChatGPT 3.5 provided more original answers in the treatment and follow-up section. For ChatGPT 4.0, the readability and similarity rates for the definition and diagnosis section were higher than those for the treatment and follow-up section. No significant differences were observed between ChatGPT 3.5's DISCERN, FRES, FKRGL, and similarity index measurements by topic.</p><p><strong>Conclusions: </strong>Both ChatGPT versions offer high-quality and original information, though they present challenges in readability and reliability. They are valuable resources for dental students and professionals but should be used in conjunction with additional sources of information for a comprehensive understanding.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034132","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":"Exploring Dental Trauma Among Cattle Farmers in Vadodara, Gujarat: Prevalence and Risk Factors.","authors":"Pratik B Kariya, Aishwarya V Antala, Sweta Singh, Simron Baishya, Palak Shah","doi":"10.1111/edt.13038","DOIUrl":"https://doi.org/10.1111/edt.13038","url":null,"abstract":"<p><strong>Background: </strong>Traumatic dental injuries (TDI) are a global health concern, affecting millions of people annually. The prevalence of traumatic dental injuries (TDIs) can vary significantly with change in geographic region, occupation, and lifestyle. Animal handlers, such as cattle farmers, are at risk of experiencing TDIs due to their interactions with animals. However, there have been no previous studies investigating the prevalence of TDI among cattle farmers.</p><p><strong>Aim: </strong>To determine the prevalence and associated risk of TDI among cattle farmers in Vadodara City, Gujarat, India.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted among cattle farmers residing in Vadodara City. Purposive snowball sampling was used to recruit the cattle farmers. A questionnaire was used to collect data on demographic variables, animal handling practices, experience, history of trauma. Clinical examination was carried out to screen for TDI and possible risk factors.</p><p><strong>Results: </strong>A total of 357 cattle farmers participated in the study. The prevalence of TDI among cattle farmers was 7.8%. All the respondents reported some form of soft tissue injury (100%). Luxation (60.71%) was the most frequent dental injury, followed by tooth fracture (57.14%). Maxillary incisors were the most commonly affected teeth (75.61%). Kicking (39%) and head-butting (43%) were the most frequent causes of injury. Increased overjet, inadequate lip coverage, and Class II molar relationship were associated with a higher risk of TDI.</p><p><strong>Conclusion: </strong>Prevalence of TDI among cattle farmers was found to be 7.8%. Since the cattle farmers are inherently at risk for TDI as occupational hazard, preventing dental trauma-related injuries in cattle farmers is crucial.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016835","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":"Development and Preliminary Validation of a Novel Instrument to Assess Re-Injury Associated Anxiety Following Traumatic Orofacial and Dental Injury in Young Boxers.","authors":"Mugilan Ravi, Nitesh Tewari, Vijay Prakash Mathur, Partha Haldar, Rachna Bhargava, Raman Deep, Morankar Rahul, Kalpana Bansal, Shubhi Goel, Sruthila Raghuthaman","doi":"10.1111/edt.13039","DOIUrl":"https://doi.org/10.1111/edt.13039","url":null,"abstract":"<p><strong>Background/aim: </strong>An injury sustained during sports activity can lead to the development of reinjury anxiety and hamper performance. Although tools exist to assess re-injury anxiety, a domain of interest in the field of sports medicine, research in the psychological impact of an orofacial injury is rudimentary. The present study envisaged to develop an instrument to assess the presence of reinjury anxiety following orofacial and dental injury in boxers aged between 10 and 16 years.</p><p><strong>Methods: </strong>In Phase 1, items were generated following literature search and focus-group discussions (FGD). In Phase 2, a group discussion was conducted with three experienced boxing coaches to assess face validity, followed by two rounds of scrutiny by expert groups to assess the content validity through the content-validity-index (CVI), respectively. In Phase 3, the modified tool was pre-tested on an independent sample of young boxers. Finally, in Phase 4, to determine dimensionality, the modified tool was administered to 183 young boxers and their responses were subject to an exploratory factor analysis through Principal component analysis, followed by Promax rotation to determine the factor loading. Internal consistency reliability was measured through calculation of Cronbach's-alpha.</p><p><strong>Results: </strong>From the 29-items devised initially, the tool was sequentially modified. Analysis of the responses by the second expert group, an average Scale-level-CVI of 0.9 and Universal agreement of 0.526 was obtained, which resulted in the inclusion of 20 items for the final phase of the study. From the factor analysis, the items were found to fit to a five-factor structure, which explained 56.4% of the variance in the constructs. Internal consistency of the tool was measured to be 0.74.</p><p><strong>Conclusion: </strong>A 10-item oral re-injury anxiety scale for young boxers (ORAS-YB) tool was developed. It was found to have high face and content validity, and acceptable reliability. Further research with a larger sample is required to confirm the factor structure and determine test-retest reliability of the developed tool.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016755","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":"Automatic Vertical Root Fracture Detection on Intraoral Periapical Radiographs With Artificial Intelligence-Based Image Enhancement.","authors":"Sifa Ozsari, Kıvanç Kamburoğlu, Aviad Tamse, Suna Elçin Yener, Igor Tsesis, Funda Yılmaz, Eyal Rosen","doi":"10.1111/edt.13027","DOIUrl":"https://doi.org/10.1111/edt.13027","url":null,"abstract":"<p><strong>Background/aim: </strong>To explore transfer learning (TL) techniques for enhancing vertical root fracture (VRF) diagnosis accuracy and to assess the impact of artificial intelligence (AI) on image enhancement for VRF detection on both extracted teeth images and intraoral images taken from patients.</p><p><strong>Materials and methods: </strong>A dataset of 378 intraoral periapical radiographs comprising 195 teeth with fractures and 183 teeth without fractures serving as controls was included. DenseNet, ConvNext, Inception121, and MobileNetV2 were employed with model fusion. Prior to evaluation, Particle Swarm Optimization (PSO) and Deep Learning (DL) image enhancement were applied. Performance assessment included accuracy rate, precision, recall, F1-score, AUC, and kappa values. Intra- and inter-observer agreement, according to the Gold Standard (GS), were assessed using ICC and t-tests. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The DenseNet + Inception fusion model achieved the highest accuracy rate of 0.80, with commendable recall, F1-score, and AUC values, supported by precision (0.81) and kappa (0.60) values. Molar tooth examination yielded an accuracy rate, precision, recall, and F1-score of 0.80, with an AUC of 0.84 and kappa of 0.60. For premolar teeth, the fusion network showed an accuracy rate of 0.78, an AUC of 0.78, and notable metrics, including F1-score (0.80), recall (0.85), precision (0.71), and kappa (0.55). ICC results demonstrated acceptable agreement (≥ 0.57 for molars, ≥ 0.52 for premolars).</p><p><strong>Conclusion: </strong>TL methods have demonstrated significant potential in enhancing diagnostic accuracy for VRFs in radiographic imaging. TL is emerging as a valuable tool in the development of robust, automated diagnostic systems for VRF identification, ultimately supporting clinicians in delivering more accurate diagnoses.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016765","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":"Influence of Conservative or Invasive Treatments on the Occurrence of Sequelae in Permanent Successors After Injuries in the Support Tissues of Incisors Deciduous Teeth: A Cohort Study.","authors":"Fabio Anevan Ubiski Fagundes, Gabriella Oliveira da Silva Clemente, Lucas Alves Jural, Mariana Pires da Costa, Maria Clara Frias Lobo Marinho, Lucianne Cople Maia, Andréa Fonseca-Gonçalves","doi":"10.1111/edt.13034","DOIUrl":"https://doi.org/10.1111/edt.13034","url":null,"abstract":"<p><strong>Objective: </strong>To assess the influence of conservative or invasive treatments on the appearance of sequelae in permanent successor teeth (SPT) after injuries in the support tissues of anterior deciduous teeth (ISTDT).</p><p><strong>Methods: </strong>This cohort study accompanied 52 children with ISTDT up to the complete eruption of the permanent successor to investigate the presence or not of SPT. Trauma was clinically evaluated according to the International Association for Dental Traumatology. Sex, age at the time of trauma (ATT), type and severity of trauma, sequelae in anterior deciduous teeth (SDT), treatment type (conservative-without exodontia/ invasive-with exodontia), seeking care (immediate/late), and the caregiver's education level (CEL) were collected. Regression models were performed (p = 0.05).</p><p><strong>Results: </strong>Of the children (ATT = 3.6 ± 1.5 years), boys (52/57.1%) were the majority. The teeth (n = 91) injuries were lateral luxation (26/28.6%), intrusion (22/24.1%), concussion (20/22.0%), subluxation (19/20.9%), and extrusion (4/4.4%), that affected only incisors. Most teeth (63/69.2%) received late care, presented SDT (62/68.1%) and were treated conservatively (73/80.2%). There was no association of sex (p = 0.611), SDT (p = 0.705) and seeking care (p = 0.800) with SPT. The treatment type did not influence the SPT occurrence (p = 0.923), independent of the ATT, trauma severity and the educational level of the caregiver. The lower the ATT (p = 0.026) and the more severe the trauma (p = 0.009), the higher the number of SPT.</p><p><strong>Conclusion: </strong>The treatment type of anterior deciduous teeth, mainly considering incisors, did not influence the appearance of SPT, which leads us to always choose the most conservative treatment, independent of the child's age, the injury severity, and the caregiver's educational level.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967457","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":"An Experimental Study on Design and Fabrication of Sports Laminate Mouthguard for Protection Against Intraoral Injuries.","authors":"Fumi Mizuhashi, Yuko Watarai, Ryo Mizuhashi, Tatsuhiro Suzuki, Momoka Kawana, Kotono Nagata, Tomonori Niitsuma","doi":"10.1111/edt.13031","DOIUrl":"https://doi.org/10.1111/edt.13031","url":null,"abstract":"<p><strong>Background/aim: </strong>Sports mouthguard should be designed and fabricated adequately. The purpose was to propose a criterion for fabricating sports laminate mouthguard with adequate thickness for protect orofacial structures.</p><p><strong>Materials and methods: </strong>Ethylene vinyl acetate sheet (Sports Mouthguard) was fabricated using a pressure former. Sports laminate mouthguard was designed as the first layer covered the labial, buccal, and occlusal sides, and the second layer covered the first layer. Four conditions were investigated; the combination of the sheets forming the first and second layers was 2 mm and 3 mm sheets (2 mm + 3 mm), 3 mm and 2 mm sheets (3 mm + 2 mm), 2 mm and 4 mm sheets (2 mm + 4 mm), and 4 mm and 2 mm sheets (4 mm + 2 mm). Laminate mouthguard thickness was measured at the labial, buccal, and occlusal sides. Statistical analyses were performed by two-way ANOVA and Bonferroni method for the measurement areas and laminate conditions.</p><p><strong>Results: </strong>Laminate mouthguard thickness was significantly differed among the measurement areas (p < 0.01). The average thickness at the labial side was 2.83 mm (2 mm + 3 mm), 2.89 mm (3 mm + 2 mm), 3.51 mm (2 mm + 4 mm), and 3.53 mm (4 mm + 2 mm). Mouthguard thickness on the conditions of 2 mm + 4 mm and 4 mm + 2 mm became significantly larger compared to 2 mm + 3 mm and 3 mm + 2 mm at the labial, buccal, and occlusal sides (p < 0.01). Adequate thickness could be obtained on the conditions of 2 mm + 4 mm and 4 mm + 2 mm.</p><p><strong>Conclusions: </strong>Sports laminate mouthguard fabricated using 2 mm sheet with 4 mm sheet could offer adequate thickness at the labial, buccal, and occlusal sides. This finding would be one of the criteria for fabricating sports laminate mouthguard.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959027","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":"Evaluation of Long-Term Clinical and Radiographic Prognosis of Avulsed Teeth: A Retrospective Study.","authors":"Nilay Ozturk Sheikholaemeh, Fatih Sengul","doi":"10.1111/edt.13032","DOIUrl":"https://doi.org/10.1111/edt.13032","url":null,"abstract":"<p><strong>Background/aim: </strong>Avulsion injuries have an uncertain prognosis. This study aims to evaluate periodontal ligament healing patterns and factors affecting the survival of replanted avulsed teeth.</p><p><strong>Materials and methods: </strong>In this retrospective study, data from 204 avulsed teeth in 143 children (mean age: 9.6 ± 2 years) who sustained avulsion injuries were reviewed. Primary teeth, non-replanted permanent teeth, and cases with follow-up shorter than 60 days were excluded. Data analysis included 60 replanted permanent teeth from 41 patients (18 girls and 23 boys), with a follow-up period ranging from 2 to 147 months. Collected data covered age, gender, extra-alveolar storage time, root development stage, and periodontal ligament healing patterns. Statistical analysis was performed on the data.</p><p><strong>Results: </strong>Avulsion injuries predominantly occurred during outdoor activities (n = 22, 59.5%), followed by school (n = 10, 27%) and home (n = 5, 13.5%). The main causes were falls (n = 20, 50%), bicycle accidents (n = 6, 15%), sports injuries (n = 5, 12.5%), traffic accidents (n = 2, 5%), and violence (n = 1, 2.5%). Among replanted teeth, 51.7% were immature. Treatments included root canal therapy (n = 30, 50%), apexification (n = 12, 20%), and regeneration (n = 2, 3.3%), while 16 teeth received no treatment. Inflammatory resorption was not observed in teeth replanted within 1 h of injury (8.4%). Functional healing/ankylosis was observed in 14 (23.3%) of the replanted teeth, replacement resorption in 40 (66.7%), and inflammatory resorption in 6 (10%). Replacement resorption affected 66.7% of the replanted teeth, with 62.5% lost over time. Functional healing/ankylosis was more common in mature teeth, while inflammatory resorption was higher in immature teeth. According to Kaplan-Meier estimated survival curves, the survival rate during the 5-year observation period was 47.5%. Survival times were longer in boys and in mature teeth (p < 0.05).</p><p><strong>Conclusions: </strong>Gender and root development stages were observed to significantly impact the prognosis of replanted avulsed teeth.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928849","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}