Dental Traumatology最新文献

{"title":"Evaluation of stress distributions in endodontically treated anterior incisors under occlusal and trauma-induced forces following various restoration treatments: A finite element analysis.","authors":"Elifnur Güzelce Sultanoğlu, Bahar Başak Kızıltan Eliaçık, Büşra Keleş Eroğlu, Banu Çiçek Tez","doi":"10.1111/edt.12977","DOIUrl":"https://doi.org/10.1111/edt.12977","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to calculate the stress distribution of fiberglass post associated with resin composite crown restoration and fiberglass posts with zirconia restorations in mature and immature endodontically treated central maxillary incisor under various loading conditions.</p><p><strong>Materials and methods: </strong>The study created six different study models in a virtual environment: healthy mature maxillary central teeth, intact immature maxillary central teeth, mature maxillary central teeth with fiberglass post associated with resin composite crown restoration, immature maxillary central teeth with fiberglass post associated with resin composite crown restoration, mature maxillary central teeth with fiberglass posts and zirconia restoration, and immature maxillary central teeth with fiberglass posts and zirconia restoration. Loading conditions simulating mastication, trauma, and bruxism were applied to each of the models at different angles and amounts. The von Mises and the maximum and minimum principal stress values in tooth structures (dentin) and support structures (bone, PDL) and materials were observed using finite element stress analysis.</p><p><strong>Results: </strong>The highest stress values in the tissue and the restoration structure were observed for masticating force and crowns rehabilitated with zirconia restorations. None of the compared loading conditions and restorations showed destructive stress values on periodontal ligament or bone.</p><p><strong>Conclusion: </strong>The mature and immature endodontically treated central maxillary incisors can be better rehabilitated using fiberglass post associated with resin composite crown restoration and may be preferred to zirconia restorations in order to reduce the stresses on the surrounding tissues and teeth. However, further clinical studies are needed to fully explore this topic.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581572","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":"Open reduction and internal fixation of paediatric maxillozygomatic complex fractures: An 11-year multicentric retrospective study.","authors":"Fabio Roccia, Federica Sobrero, Carlo Strada, Gian Battista Bottini, Maximilian Goetzinger, Sahand Samieirad, Aleš Vesnaver, Anže Birk, Luis Fernando de Oliveira Gorla, Valfrido Antonio Pereira-Filho, Emil Dediol, Boris Kos, Petia Pechalova, Angel Sapundzhiev, Marko Lazíc, Vitomir S Konstantinovic, Kathia Dubron, Constantinus Politis, Paolo Garzino Demo, Anamaria Sivrić, Mario Kordić, Sajjad Abdur Rahman, Tabishur Rahman, Karpal Singh Sohal, Timothy Aladelusi, Euan Rae, Sean Laverick","doi":"10.1111/edt.12976","DOIUrl":"10.1111/edt.12976","url":null,"abstract":"<p><strong>Background/aim: </strong>Paediatric maxillozygomatic complex (MZC) fractures are uncommon, and there is a scarcity of data regarding their surgical treatment. The aim of this study was to analyse choices and outcomes of open reduction and internal fixation (ORIF) for MZC fractures among 14 maxillofacial centers around the world.</p><p><strong>Materials and methods: </strong>This multicentric retrospective observational study included patients ≤16 years of age with quadripod MZC fractures treated with ORIF from January 2011 and December 2022. The following data were collected: age, gender, dentition stage (deciduous, mixed, and permanent), cause of injury, type of fracture, surgical approach, site of osteosynthesis (infraorbital rim, zygomaticomaxillary buttress, frontozygomatic, and zygomaticotemporal sutures), material (titanium or resorbable) and number of plates used, and outcome. The minimum follow-up was 6 months. Statistical analyses were performed with Fisher's exact test or chi-squared test, as appropriate.</p><p><strong>Results: </strong>Sixty-four patients (mean age, 12.3 years) with quadripod MZC fractures were included. Seventy-two percent of patients received a single-point fixation. The zygomaticomaxillary buttress was the most common site for fixation, both in single-point and two-point fixation schemes, especially in combination with the frontozygomatic suture. Increasing age was associated with a higher rate of plate removal (p < .001). Postoperative complications included 5 (7.8%) cases of wound infections, 2 (3.1%) infraorbital paraesthesia, 1 (1.6%) ectropion. Residual facial asymmetry was found in 5 (7.8%) patients and was not associated with the type of fixation (p > .05).</p><p><strong>Conclusions: </strong>This study highlights the possibility of using ORIF, even with a single point of fixation, for the treatment of displaced quadripod MZC fractures in the paediatric population. The zygomaticomaxillary buttress was the preferred site of fixation and allowed for adequate stabilization with no external scars and a low risk of tooth damage. Future prospective studies with long-term follow-up are needed to establish definitive surgical protocols and clarify the surgical decision-making.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428314","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":"Combined application of artificial bone powders and concentrated growth factor membranes on the autotransplantation of mature third molars: A 5-year retrospective case series.","authors":"Ailimaierdan Ainiwaer, Maimaitituxun Tuerdi, Zulikamaier Zuolipahaer, Ling Wang","doi":"10.1111/edt.12974","DOIUrl":"https://doi.org/10.1111/edt.12974","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to observe the efficacy and outcomes of the combined application of artificial bone powder and concentrated growth factor (CGF) membranes for tooth transplantation in cases with wide recipient sockets and small donor teeth.</p><p><strong>Material and methods: </strong>A total of 36 teeth from 36 patients with wide recipient sockets and small donor teeth were enrolled. Autogenous tooth transplantation was performed using bone powders and CGF membranes. After transplantation, the visual analog scale (VAS) score, Landry Wound Healing Index, probing depth (PD), mobility, and gray value of the alveolar bone around the transplanted teeth were measured, and a patient satisfaction questionnaire was administered. All patients underwent clinical and radiographic examinations during follow-up.</p><p><strong>Results: </strong>The VAS score of 16 (44.4%) cases after 1 week was 0, and 26 (72.2%) patients showed excellent gingival healing after 2-4 weeks. The PD of a few cases was deeper than 3 mm during the first month; however, returned to normal after 3 months. Although the majority of the transplanted teeth possessed mobility greater than grade I during the first month, the mobility gradually improved within 3 months. The gray value of the alveolar bone around the transplanted teeth, 1 year postoperatively showed no difference with pre-operation (p > .05). During the mean follow-up period of 42.7 months (range 20-72 months), 33 of the 36 transplanted teeth remained in situ without clinical or radiographic complications, with an overall success rate of 91.7%.</p><p><strong>Conclusions: </strong>Although the PD and mobility of the transplanted teeth were not ideal during the early stages of healing, most of the transplanted teeth had good clinical outcomes. In cases with large recipient sites accompanied by small donor teeth, autotransplantation of teeth using artificial bone powder combined with CGF membranes is a viable option and can lead to optimistic results with favorable success rates.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297373","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":"Union between deciduous and permanent as intrusive luxation sequelae: A case report.","authors":"Farli Aparecida Carrilho Boer, Gabriela Fleury Seixas, Thais Alexandre Maximiano, Lucas Fernando Oliveira Tomáz Ferraresso, Antonio Carrilho Neto, Cássia Cilene Dezan","doi":"10.1111/edt.12975","DOIUrl":"https://doi.org/10.1111/edt.12975","url":null,"abstract":"<p><p>Traumatic dental injuries (TDI) are common in children due learning to walk and lack of balance that leads to falls. Luxation is the trauma that occurs most frequently in the deciduous, being that the intrusive and the avulsive are the ones that cause more damage to the permanent successors. The potential to cause disturbances to the developing permanent germ is high due to anatomical proximity and depends on age, direction of intrusion, severity and treatment. The consequences to the permanent range from hypocalcifications of enamel to retention of the permanent germ. In this case, the developmental disturbance of the tooth 21 presenting with acute dentoalveolar abscess was a result of a three-degree intrusive luxation of the deciduous predecessor. The tooth 61 was misdiagnosed initially as avulsion, but it was a total intrusion as uncovered after a radiographic examination that showed an image suggestive of the presence of the deciduous tooth. The deciduous was extracted along with his permanent successor through outpatient procedure under antibiotic coverage and local anesthesia. The macro and microscopic analysis of the piece evidenced the presence of elements 21 and 61 closely united, as well as alterations provoked in both. There was remission of the infectious process and after 7 days it was verified the correct healing of the surgical wound. The radical outcome of this case emphasizes the relevance of appropriate clinical support as soon as possible in all TDI.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297374","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":"Outcomes of apexification in immature traumatised necrotic teeth and risk factors for premature tooth loss: A 20-year longitudinal study.","authors":"Alina Wikström, Malin Brundin, Afrah Mohmud, Maria Anderson, Georgios Tsilingaridis","doi":"10.1111/edt.12973","DOIUrl":"https://doi.org/10.1111/edt.12973","url":null,"abstract":"<p><strong>Background/aim: </strong>To evaluate the long-term survival of immature traumatized incisors with pulp necrosis and apical periodontitis after endodontic treatment with two apexification techniques (calcium hydroxide apexification and MTA-apical plug) and to identify major factors affecting the survival of these teeth.</p><p><strong>Materials and methods: </strong>Records of 2400 children and adolescents were screened for presence of traumatic dental injuries to immature incisors where endodontic treatment with the two apexification techniques was performed during January 2003 and December 2022, compared to a control group of mature teeth treated with conventional endodontic techniques. The studied variables were age; sex; apexification technique, presence of luxation and hard tissue injuries; preoperative root development stage (RDS), preoperative and postoperative periapical index (PAI), the time-point for tooth loss, and overall survival time in years. Kaplan-Meier estimates were used to graphically present the survival functions and Cox proportional hazard model to calculate hazard ratios (HR, 95% CI).</p><p><strong>Results: </strong>The median survival time was 10 years for calcium hydroxide apexification, 16.1 for MTA-apexification, for luxation injuries other than intrusions and avulsions 15.5 years, for intrusions 12.5 years and for avulsions 6.8 years. The variables with significant negative impact on tooth survival were calcium hydroxide apexification, avulsion and postoperative PAI 3-5. No significant relationships were found for the variables MTA apexification, concussion; subluxation; lateral luxation; extrusion, intrusion, hard tissue injuries, preoperative RDS and PAI scores and postoperative PAI 1-2. After adjustment, the risk for premature tooth loss was 13.5 times higher in calcium hydroxide apexification, approximately 2 to 4 times higher in PAI 3-5, and 5.6 times higher in avulsions.</p><p><strong>Conclusions: </strong>Calcium hydroxide apexification, avulsion, and postoperative PAI 3-5 were identified as prognostic variables with significant negative impact on the risk for premature tooth loss.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263566","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 assessment of Brazilian dentists' knowledge about tooth fragment reattachment: A cross-sectional study.","authors":"Emerson de Sousa Pinheiro, Júlio César Franco Almeida, Fernanda Cristina Pimentel Garcia, Uriel Paulo Coelho Silva, Leonardo Fernandes da Cunha, Carla Massignan, Regina Cardoso de Moura, Liliana Vicente Melo de Lucas de Rezende","doi":"10.1111/edt.12972","DOIUrl":"https://doi.org/10.1111/edt.12972","url":null,"abstract":"<p><strong>Background/aim: </strong>Crown fractures are common traumatic dental injuries and tooth fragment reattachment is a viable option for restoring a fractured tooth. The aim of this study was to assess the knowledge and experience of dentists in the Federal District regarding the tooth fragment reattachment technique for enamel and dentin fractures.</p><p><strong>Materials and methods: </strong>For the cross-sectional observational study, an electronic form was designed with objective and self-report questions for dentists. The data were analyzed using descriptive statistics, with their absolute and relative frequencies. For the analysis of categorical variables, the nonparametric chi-squared or Fisher exact association tests were used in the statistical software R (version 4.2.1).</p><p><strong>Results: </strong>A total of 416 dentists participated in the study (58.9% female and 41.1% male). Of these, 70% declared they knew about fragment reattachment, but only 42.3% reported previous experience with this procedure. The most common storage medium used for the fractured fragment was milk (78.1%), and the bonding material used for reattachment was light-cured composite resin (86.3%). A majority (66.3%) reported that for a patient with enamel and dentin fracture, with the crown fragment in good condition, they would choose to do the reattachment.</p><p><strong>Conclusion: </strong>Dentists demonstrated that they had adequate knowledge about the tooth fragment technique, although many did not have previous experience with this procedure.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141177052","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":"Accuracy assessment between computer-guided surgery planning and actual tooth position during tooth autotransplantation.","authors":"Jiaming Zhang, Yue Han, Haoyan Zhong","doi":"10.1111/edt.12971","DOIUrl":"https://doi.org/10.1111/edt.12971","url":null,"abstract":"<p><strong>Background/aim: </strong>This study aims to evaluate the precision and efficacy of utilizing computer-aided design (CAD) in combination with three-dimensional printing technology for tooth transplantation.</p><p><strong>Material and methods: </strong>This study analysed 50 transplanted teeth from 48 patients who underwent tooth transplantation surgery with the aid of CAD and positional guides. A consistent coordinate system was established using preoperative and postoperative cone-beam computed tomography images. Linear displacements and angular deviations were calculated by identifying key regions in both virtual designs and actual transplanted teeth. Additionally, an analysis was conducted to explore potential factors influencing these deviations.</p><p><strong>Results: </strong>The mean cervical deviation, apical deviation, and angular deviation among the 50 transplanted teeth were 1.16 ± 0.57 mm, 1.80 ± 0.94 mm, and 6.82 ± 3.14°, respectively. Cervical deviation was significantly smaller than apical deviation. No significant difference in deviation was observed among different recipient socket locations, holding true for both single-root, and multi-root teeth. However, a significant difference was noted in apical deviation between single-root and multi-root teeth. Our analysis identified a correlation between apical deviation and root length, leading to the development of a prediction model: Apical deviation = 0.1390 × (root length) + 0.2791.</p><p><strong>Conclusions: </strong>The postoperative position of the donor teeth shows discrepancies compared to preoperative simulation when utilizing CAD and 3D printed templates during autotransplantation procedures. Continual refinement of preoperative design is a crucial endeavour.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094684","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":"Reliability of information in YouTube™ videos on types of root resorption and related stimulating factors.","authors":"Gülçin Cagay Sevencan, Hande Erener","doi":"10.1111/edt.12970","DOIUrl":"https://doi.org/10.1111/edt.12970","url":null,"abstract":"<p><strong>Background/aim: </strong>Root resorption occurs for various reasons and can also be seen as a treatment complication in orthodontics. This study aimed to assess the reliability and quality of YouTube™ videos on root resorption and to assess whether the videos referred to orthodontic treatment and other stimulation factors.</p><p><strong>Materials and methods: </strong>YouTube was searched using the keyword 'root resorption', which is the most searched term on Google Trends. The first 200 videos identified using the default filter 'sort by relevance' were used. Information such as the source, type, duration, and number of likes were recorded. Videos were analyzed using a 23-point content scale related to root resorption and divided into groups (poor, moderate, and excellent) based on the Global Quality Score.</p><p><strong>Results: </strong>A total of 95 videos were included in the study. Most were uploaded by dentists or dental clinics (n = 64, 67.4%). The mean number of days since upload was 1536 ± 1254, and the mean duration was 5 ± 4 min. The videos had a mean of 80 ± 515 likes and 7043 ± 35,382 views, and a mean viewing rate of 1131.71 ± 8736.83. The most discussed topic was radiographic signs of root resorption. While the highest content score for the videos was 21, the average score was only 4. The mean GQS was 2 ± 1. Grouping videos by GQS showed that 55 (57.9%) were poor, 38 (40%) were moderate, and 2 (2.1%) were excellent. There was a significant relationship between videos that mentioned orthodontics (n = 62; 65.3%) and higher GQS (p = .036), and a significant difference was between GQS groups for total content levels (p < .001).</p><p><strong>Conclusions: </strong>YouTube videos related to root resorption lack sufficient information and clarity, and their quality needs to be improved. Oral health professionals should strive to produce higher-quality videos.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094674","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":"Comparison of shock absorption capacities of three types of mouthguards: A comparative in vitro study.","authors":"Arfi Yohan, Benoit Aurélie, Tapie Laurent, Sandoz Baptiste, Persohn Sylvain, Attal Jean-Pierre, Rignon-Bret Christophe","doi":"10.1111/edt.12968","DOIUrl":"https://doi.org/10.1111/edt.12968","url":null,"abstract":"<p><strong>Background/aim: </strong>3D printing processes can be used to manufacture custom-made mouthguards for sports activities. Few studies have compared the impact performance of industrial-created mouthguards with that of custom-made mouthguards manufactured by thermoforming or 3D printing. The objective of this in vitro study was to compare the shock absorption capacities of custom-made mouthguards manufactured by 3D printing with industrial mouthguards and thermoformed ethylene vinyl acetate (EVA) mouthguards.</p><p><strong>Materials and methods: </strong>For each type of mouthguard, eight samples were produced. 3D-printed mouthguards were manufactured using digital light processing technology. Each mouthguard was subjected to an impact performance test defined by the standard AFNOR XP S72-427, which evaluate maximum deceleration and force transmitted during impact. The thickness of each mouthguard before and after a series of five impacts was measured at the impacted inter-incisal area.</p><p><strong>Results: </strong>The mean maximum decelerations during impact ranged from 129 to 189 g for industrial mouthguards, 287 to 425 g for thermoformed EVA mouthguards, and 277 to 302 g for 3D-printed mouthguards. The mean reduction in mouthguard thickness at the impact zone after five tests was 1.2 mm for industrial mouthguards, 0.6 mm for 3D-printed mouthguards, and 2.2 mm for thermoformed EVA mouthguards.</p><p><strong>Conclusions: </strong>Custom-made 3D printed mouthguards showed slightly better shock absorption ability than thermoformed mouthguards with respect to the indicator proposed in XP S72-427. They seemed to combine the practical advantages of thermoformed mouthguards in sports with better shock absorption capacity and lower cost. Furthermore, they had the least thickness variation during the test, and their shock absorption capacity was the least affected by repeated mechanical tests. Other types of 3D-printing resin materials that will become available must continue to be tested for shock absorption to provide the best protection to users at low cost.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094686","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":"Specialists' management of permanent dentition traumatic dental injuries in 7–16-year-olds: A qualitative study","authors":"Greig Daniel Taylor,&nbsp;Nathalie Gallichan,&nbsp;Tauseef Haq,&nbsp;Oliver Sumner,&nbsp;Sondos Albadri,&nbsp;Richard D. Holmes,&nbsp;Paula Jane Waterhouse","doi":"10.1111/edt.12960","DOIUrl":"10.1111/edt.12960","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Specialist paediatric dentists are integral to dental trauma care pathways. General dentists rely on specialist input, more so in complex cases. Little is known about specialists' role in these pathways or the perceived barriers they face. The aim is to explore specialists' role in managing traumatic dental injuries in the permanent dentition in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material/Methods</h3>\u0000 \u0000 <p>Face-to-face (remote video) online semi-structured interviews were undertaken. All UK specialists were invited by email. Purposeful sampling aimed to investigate representation from the devolved nations, presence/absence of working within a managed-clinical network and level of care provision. Interviews were audio-recorded and transcribed verbatim. Transcripts were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data saturation was reached after nine interviews. Three main themes established were: inconsistent access to care; the need to formalise traumatic dental injuries care pathways; educationally upskilling general dentists.</p>\u0000 \u0000 <p>Geographical variation in provision of specialist and out-of-hours/emergency department care meant patients risked not receiving care by the most appropriate individual. Formalizing care pathways by clearly defining the role of each stakeholder (specialist, dentist, medical professionals and parents) and developing a method to assess complexity was perceived to be essential to improving treatment outcomes. Upskilling general dentists in trauma management appeared essential. A potential lack of engagement was raised, with a suggestion that trauma management education should become core continuing-professional development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Specialist input should be available in the management of traumatic dental injuries. Current access to specialist care is inequitable across the UK. Formalizing care pathways and upskilling general dentists could ease inconsistencies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12960","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072080","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}