Retrospective evaluation of primary anterior teeth injuries and prevalence of sequelea in their successors

Ozant Oncag1Orcid, Candan Gurbuz Sarigol2Orcid, Sevgi Arabulan3Orcid

Highlights

Traumatic injuries of primary dentition are commonly seen in pediatric dental practice.
Trauma to primary dentition may cause sequelae in developing permanent dentition. It is important to know possible effects and detect as early as possible.
Early detection of any sequelae and regular follow ups help better prognosis and provide more convenient treatment.

Abstract

Aim: Traumatic dental injuries occur frequently in children. Treatment and follow ups are important to avoid short and long term complications. The aim of this study was to investigate the prevalence of sequelae in the permanent anterior teeth following the trauma in their predecessors in the period of 2005 to 2011. Methods: This study was performed retrospectively according the data from the records of 79 children (53 boys, 26 girls), who were treated for anterior deciduous tooth trauma. Of the 79 affected children (186 teeth), 35 (91 teeth, 22 boys and13 girls) were available for the follow-up examination. Kappa coefficient was calculated for inter-examiner reliability. Descriptive statistics including percentage and mean values were also calculated. Results: Sequelae were detected on 45(49.5%) of 91 successors of the traumatized deciduous teeth and enamel hypoplasia and/or discoloration was observed in 14 (31.1%) teeth. Eruption was disturbed in 14 (31.1%). In 13 teeth (28.9%) crown and root malformation, in three teeth (6.7%) only crown and in one tooth (2.2%) only root malformation was detected. Most frequent sequela of successors were observed after the intrusive luxation of the deciduous teeth (33%). Crown-root malformations of the successor teeth were most frequently occurred after the trauma at the age of 0 to 2 (61.53%). Conclusions: Early diagnosis and treatment of primary dental injuries and routine clinical and radiological follow up would minimize the sequelae which were observed in permanent successors.

Keywords: Dental Trauma; Primary Teeth; Sequela; Tooth Injuries

Author Affiliations

  1. Professor, Department of Pediatric Dentistry, School of Dentistry, Ege University, Izmir, Turkey (✉ Correspondence: ozantoncag@gmail.com)
  2. Specialist, Alsancak Oral and Dental Health Center, Izmir, Turkey
  3. Resident, Department of Pediatric Dentistry, School of Dentistry, Ege University, Izmir, Turkey
  1. Andreasen JQ, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:235–239
  2. Garcia-Godoy F, Garcia-Godoy F OM. Injuries to primary and permanent teeth treated in a private paedodontic practice. J Can Dent Assoc (Tor) 1979;45:281–284
  3. Kramer PF, Zembruski C, Ferreira SH, Feldens CA. Traumatic dental injuries in Brazilian preschool children. Dent Traumatol 2003;19:299–303
  4. Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002;18:287-298
  5. Cardoso M, De Carvalho Rocha MJ. Traumatized Primary Teeth in Children Assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol 2002;18:129-133
  6. Bijella MF, Yared FN, Bijella VT, Lopes ES. Occurrence of primary incisor traumatism in Brazilian children: a house-by-house survey. ASDC J Dent Child. 1990;57:424-427
  7. Ferguson FS, Ripa LW. Prevalence and type of traumatic injuries to the anterior teeth of preschool children. J Pedod 1979;4:3-8
  8. Garcia‐Godoy F, Garcia‐Godoy, F, Garcia‐Godoy, FM. Primary teeth traumatic injuries at a private pediatric dental center. Dent Traumatol 1987;3:126-129
  9. Andreasen JO, Andreasen FM. Avulsion. In Textbook and color atlas of traumatic injuries to the teeth. Denmark: Blackwell Publishing; 1994. p.457–494
  10. Ben Bassat Y, Fuks A, Brin I, Zilberman Y. Effect of trauma to the primary incisors on permanent successors in different developmental stages. Pediatr Dent 1985;7:37-40
  11. Diab M, elBadrawy HE. Intrusion injuries of primary incisors. Part III: Effects on the permanent successors. Quintessence Int 2000;31:377-384
  12. von Arx T. Developmental disturbances of permanent teeth following trauma to the primary dentition. Aust Dent J 1993;38:1-10
  13. Ben-Bassat Y, Brin I, Zilberman Y. Effects of trauma to the primary incisors on their permanent successors: multidisciplinary treatment. ASDC J Dent Child 1989;56:112-116
  14. Andreasen JO, Ravn JJ. The effect of traumatic injuries to primary teeth on their permanent successors. II. A clinical and radiographic follow-up study of 213 teeth. Scand J Dent Res 1971;79:284-294
  15. Andrade MGS, Weissman R, Oliveira MG, Heitz C. Tooth displacement and root dilaceration after trauma to primary predecessor: An evaluation by computed tomography. Dent Traumatol 2007;23:364-367
  16. Sennhenn-Kirchner S, Jacobs HG. Traumatic injuries to the primary dentition and effects on the permanent successors – A clinical follow-up study. Dent Traumatol 2006;22:237–241
  17. Lenzi AR, Medeiros PJ. Severe sequelae of acute dental trauma in the primary dentition – A case report. Dent Traumatol 2006;22:334–336
  18. Moura LDFADD, Bezerra ACB, Amorim L de F de G, Moura M de D, Toledo O de A. Intrusive luxation of primary teeth. Dent Traumatol 2008;24:91–95
  19. Do Espirito Santo Jacomo DR, Campos V. Prevalence of sequelae in the permanent anterior teeth after trauma in their predecessors: A longitudinal study of 8 years. Dent Traumatol 2009;25:300–304
  20. Lin Y. Treatment of an impacted dilacerated maxillary central incisor. Am J Orthod Dentofacial Orthop 1999;115:406–409
  21. Shah N. Extraoral tooth eruption and transposition of teeth following trauma. Dent Traumatol 1994;10:195–197
  22. Maragakis MG. Crown dilaceration of permanent incisors following trauma to their primary predecessors. J Clin Pediatr Dent. 1995;20:49–52
  23. Prabhakar AR, Reddy V V, Bassappa N. Duplication and dilaceration of a crown with hypercementosis of the root following trauma: a case report. Quintessence Int 1998;29:655–657
  24. Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dent Traumatol 2014;30:154–161
  25. Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia Region, Turkey. Dent Traumatol 2009;25:110–114
  26. Zuhal K, Semra ÖEM, Hüseyin K. Traumatic injuries of the permanent incisors in children in southern Turkey: A retrospective study. Dent Traumatol 2005;21:20–25
  27. Cavalcanti AL, Bezerra PKM, De Alencar CRB, Moura C. Traumatic anterior dental injuries in 7- to 12-year-old Brazilian children. Dent Traumatol 2009;25:198–202
  28. Güngör HC, Uysal S, Altay N. A retrospective evaluation of crown-fractured permanent teeth treated in a pediatric dentistry clinic. Dent Traumatol 2007;23:211–217
  29. Ravn JJ. Sequelae of acute mechanical traumata in the primary dentition. A clinical study. ASDC J Dent Child 1968;35:281–289
  30. Selliseth NE. The significance of traumatised primary incisors on the development and eruption of permenent teeth. Eur Orthod Soc 1970;443–459
  31. Watzek G SJ. Milchzahntraumen und ihre Bedeutung für die bleibenden Zähne. Zahn Mund Kieferheilkd. 1976;64:126–133
  32. Andreasen JO, Andreasen F. Injuries to primary teeth. In: Andreasen JO, Andreasen F. Essentials of Traumatic Injuries to the Teeth: A Step‐by‐Step Treatment Guide. Denmark: Munksgaard; 2001. p.141-154
  33. Andreasen JO, J. RJ. Enamel changes in permanent teeth after trauma to their primary predecessors. Scand J Dent Res 1973;81:203–209
  34. Ravn JJ. Developmental disturbances in permanent teeth after intrusion of their primary predecessors. Scand J Dent Res 1976;84:137–141
  35. Zilberman Y, Fuks A, Ben Bassat Y, Brin I, Lustmann J. Effect of trauma to primary incisors on root development of their permanent successors. Pediatr Dent 1986;8:289–293
  36. Nolla CM. The developmental of permanent teeth. J Dent Child 1960;27:254–266
  37. Kilpatrick NM, Hardman PJ, Welbury RR. Dilaceration of a primary tooth. Int J Paediatr Dent 1991;1:151–153
  38. Oliveira,BH; Moliterno,LF; Marcl, S; Balda A. Intrusão de incisive decíduos provocando distúrbio no desenvolvimento de dentes permanents: relato de caso. Rev Bras Odontol 1995;52:42–45
  39. Da Silva Assuņão LR, Ferelle A, Iwakura MLH, Cunha RF. Effects on permanent teeth after luxation injuries to the primary predecessors: A study in children assisted at an emergency service. Dent Traumatol 2009;25:165–170
  40. Brin I, Fuks A, Ben-Bassat Y, Zilberman Y. Trauma to the Primary Incisors and Its Effect on the Permanent Successors. Pediatr Dent 1984;6:78–82

Article Info

Contemp Pediatr Dent 2021:2(1):41-49

Received: 10 January 2021

Accepted: 25 March 2021

Online First: 01 April 2021

DOI: 10.51463/cpd.2021.35

164 views

Full Text

File Downloads
pdf CPD 2021 35 1187

How to Cite 

				
					Ozant Oncag, Candan Gurbuz Sarigol, Sevgi Arabulan. Retrospective evaluation of primary anterior teeth injuries and prevalence of sequelae in their successors. Contemp Pediatr Dent 2021:2(1):41-49

Related Articles

Share Article

Under a Creative Commons license
Tagged
BACK TO TOP
Article Categories
Resources
About Us
Stay Connected
Follow Us

Copyright © Contemporary Pediatric Dentistry. All rights reserved.

Electronic ISSN 2757-5705.

Contemporary Pediatric Dentistry

Copyright | Terms | Privacy Policy

Published by ARBU Academic Publishing.