Stabilization with splint is an important surgical technology in traumatic dental injuries of permanent tooth. In order to standardize the clinical application of the technique and to improve the therapeutic effects of traumatic injured teeth, the Society of Stomatological Emergency, Chinese Stomatological Association organized relevant professional experts and put forward an expert consensus on the basis of considerable discussion. The contents of the present expert consensus covered indications for tooth fixation, material selection of splints and operation methods, applying to the treatment of tooth loosening, tooth displacement and tooth avulsion replantation caused by traumatic injuries. It is also suitable for preoperative and prognosis evaluations of traumatic injured teeth before tooth fixation.
Consensus ; Dentition, Permanent ; Humans ; Splints ; Tooth Avulsion/therapy* ; Tooth Injuries/therapy* ; Tooth Replantation/methods*

OBJECTIVES: This study aimed to evaluate and analyze the current situation of dentists in Guangdong pro-vince regarding the management of avulsed incisors, thereby providing a reference for making treatment strategies for avulsed incisors in the future. METHODS: A total of 712 dentists with different educational backgrounds and working conditions in Guangdong province were randomly selected to conduct an online questionnaire survey on the cognition of children with avulsed incisors from April 2022 to May 2022. The data were recorded by Excel software and statistics were analyzed on Stata/SE 15.1. RESULTS: A total of 712 dentists were investigated and 701 questionnaires were collected (98.46%). In addition, 65.9% of investigators came from the Department of Stomatology in a First-class Hospital or Stomatological Hospital. The results showed that the average number of avulsed teeth consulted by dentists was less than 20 per year. Although 99.7% of respondents considered normal saline as a suitable storage medium, 3.1% and 23.8% of them had a misunderstanding that the tap/alcohol could be used for root cleaning. Moreover, 93.4% was the correct selection rate of the treatment plan for processing on root surfaces before replanting by investigators. The correct selection rate of the duration using elastic fixation was only 10.7%. Meanwhile, 42.9% of investigators refused to inoculate tetanus immunoglobulin after teeth replanting. Emergency management of dental avulsion (EM) and clinical management of dental avulsion (CM) answered correctly with average scores of 14.60±11.85 and 14.48±2.67, respectively. Multivariate linear regression analysis revealed that working years were negatively correlated with EM and CM scores (P<0.05). There was a positive correlation between CM and EM scores with the number of avulsion cases treated by physicians each year (P<0.05). In terms of the EM score of dentists' learning attitude, investigators who had received enough knowledge were higher than those who had not and insufficient knowledge reserved, and the difference was statistically significant (P<0.05). The scores of investigators who thought they had a certain degree of knowledge about dental trauma were higher than those who thought they "did not understand", and the difference was statistically significant (P<0.05). In terms of CM scores, investigators who thought the knowledge of dental trauma was "very helpful" had higher scores than those who thought it was "not helpful", and the difference was statistically significant (P<0.05). The scores of the investigators who thought they had "relatively sufficient knowledge" of dental trauma were higher than those who thought they had "no knowledge" or "insufficient know-ledge", and the difference was statistically significant (P<0.05). CONCLUSIONS The overall accuracy of the management of avulsed incisors among dentists was low in Guangdong province. Dentists were more likely to have a higher rate of accuracy choice in treatment options for luxation injury and avulsion to enhance the prognosis of replanted teeth.
Humans ; Child ; Tooth Avulsion/therapy* ; Incisor ; Tooth Replantation/methods* ; Surveys and Questionnaires ; Dentists ; Cognition ; China ; Health Knowledge, Attitudes, Practice

Child, Preschool ; Dental Restoration, Permanent ; Dentition, Permanent ; Humans ; Infant ; Root Canal Therapy ; Tooth Avulsion ; therapy ; Tooth Crown ; injuries ; Tooth Extraction ; Tooth Fractures ; therapy ; Tooth Injuries ; therapy ; Tooth, Deciduous ; injuries ; Tooth, Impacted ; etiology

Child ; Dental Restoration, Permanent ; Dentition, Permanent ; Humans ; Incisor ; diagnostic imaging ; injuries ; Male ; Orthodontic Appliances ; Orthodontic Extrusion ; Orthodontics, Corrective ; Radiography ; Tooth Avulsion ; classification ; diagnostic imaging ; therapy ; Tooth Eruption

OBJECTIVETo evaluate the prognosis of luxated permanent teeth and analyze the associated factors of pulp healing after luxation injuries.

METHODSThe dental records of patients presented for treatment due to luxation injuries at the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology from January 2000 to December 2006 were collected, and the follow-up period was not shorter than six months. The following information was recorded, age and gender; type of injury; location of injured tooth; stage of root development; time elapsed between the injury and the first dental care; emergency treatment or not; pulp healing. Logistic regression was used to compare qualitative data and determine the associated factors of pulp healing after luxation injuries.

RESULTSThe study was comprised of 157 patients with 238 luxated permanent teeth. The frequency of pulp necrosis was 16.0%, dental pulp calcification 2.1% and pulp survival 81.9%. The frequency of pulp necrosis was highest in intrusion (66.7%). The factors significantly affecting pulp healing were stage of root development and type of injury.

CONCLUSIONSThe risk of pulp necrosis was greatest in intrusion. The stage of root development and the type of injury were significant factors related to pulp healing after luxation injuries.

Adolescent ; Child ; Child, Preschool ; Dental Pulp ; injuries ; Dental Pulp Calcification ; diagnosis ; etiology ; Dental Pulp Necrosis ; diagnosis ; etiology ; Female ; Humans ; Male ; Prognosis ; Retrospective Studies ; Tooth Avulsion ; complications ; diagnosis ; therapy