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Dental traumatology is a field of dentistry , especially in pediatric age, but also in adulthood with permanent dentition. Dental trauma has a higher incidence in preschool, school-age, and adolescent patients, accounting for about 5% of injuries for which the intervention of a specialist physician is required. Traumatic avulsion of permanent teeth accounts up to 0.5-16% of all dental injuries and is considered one of the true emergencies in dentistry.The treatment of choice in case of traumatic avulsion of permanent teeth is the quickest-as-possible replantation. The primary objectives of this prospective study were to evaluate the incidence of complications and survival rates of replanted teeth over time. The secondary objectives were to assess and to examine the correlation between the development of complications and factors such as extra-oral time, storage media, root maturity and the presence of alveolar fractures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dental avulsion | Adult and pediatric patients who experienced a traumatic avulsion of one or more permanent teeth |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tooth replantation | Other | Avulsed teeth were replanted according to the International Academy of Dental Traumatology guidelines (IADT) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following IADT guidelines. | 2 weeks after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 4 weeks after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 3 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 6 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 12 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. |
| Measure | Description | Time Frame |
|---|---|---|
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 2 weeks after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 |
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Inclusion criteria
Exclusion criteria
- Patients with absolute contraindications to dental replantation
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All adult and pediatric patients who experienced a traumatic avulsion of one or more permanent teeth and were treated at the University Hospital of Pisa
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University hospital of Pisa | Pisa | Pisa | 56100 | Italy |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D000071562 | Fractures, Avulsion |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
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| ID | Term |
|---|---|
| D014090 | Tooth Replantation |
| ID | Term |
|---|---|
| D019647 | Oral Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D012092 | Replantation |
| D014180 | Transplantation |
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| 24 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 36 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 48 months after trauma |
| Tooth survival | Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines. | 60 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 2 weeks after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 4 weeks after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 3 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 6 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 12 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 24 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 36 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 48 months after trauma |
| Incidence of complications | Evaluated as presence/absence of a dental complication following trauma. | 60 months after trauma |
| 4 weeks after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 3 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 6 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 12 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 24 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 36 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 48 months after trauma |
| Dental mobility | Tooth mobility clinically evaluated from 0 to 3 | 60 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 2 weeks after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 4 weeks after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 3 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 6 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 12 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 24 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 36 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 48 months after trauma |
| Complication - root resorption | Radiographic signs of root resorption | 60 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 2 weeks after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 4 weeks after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 3 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 6 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 12 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 24 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 36 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 48 months after trauma |
| Complication - ankylosis | Clinical and radiographic signs of ankylosis (loss of periodontal space, absence of physiological tooth mobility) | 60 months after trauma |
| Extra-oral time | Evaluated in minutes from the avulsion to the replantation | At baseline (toorh replantation after avulsion) |
| Storage medium | Storage medium of the avulsed tooth (milk, water, saline, etc) | At baseline (tooth replantation following avulsion) |
| Alveolar fracture | Presence of alveolar fractures associated to tooth avulsion | At baseline (tooth replantation following avulsion) |
| D004708 |
| Endodontics |
| D003813 | Dentistry |