Survival and complication analyses of avulsed and replanted permanent teeth
| Autor: | Ricarda Bissinger, Reinhard Hickel, Katharina Bücher, Marcel Reymus, Jan Kühnisch, Daniel David Müller |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Time Factors Adolescent Periodontal Ligament lcsh:Medicine Dentistry Dental diseases Traumatology Paediatric research Article Avulsion 03 medical and health sciences Young Adult 0302 clinical medicine stomatognathic system Germany medicine Periodontal fiber Humans lcsh:Science Child Permanent teeth Aged Aged 80 and over Wound Healing Multidisciplinary business.industry lcsh:R 030206 dentistry Middle Aged University hospital Tooth Avulsion Resorption Root Canal Therapy Dentition Permanent Incisor stomatognathic diseases 030104 developmental biology Child Preschool lcsh:Q Female Tooth Replantation business Complication |
| Zdroj: | Scientific Reports Scientific Reports, Vol 10, Iss 1, Pp 1-9 (2020) |
| ISSN: | 2045-2322 |
| Popis: | This retrospective clinical study investigated the survival probability of avulsed and replanted permanent teeth in relation to functional healing, replacement and inflammatory resorption. The explorative data analysis included data from 36 patients and 49 replanted permanent teeth with a minimum observation time of 60 days; the patients were generally treated according to the current guidelines of the International Association of Dental Traumatology at the university hospital in Munich, Germany, between 2004 and 2017. The mean observation period was 3.5 years. Functional healing was observed in 26.5% (N = 13/49) of the included avulsion cases. In comparison, replacement resorption affected 51.0% (N = 25/49) of the replanted teeth, of which 24.0% (N = 6/25) were lost over the course of years (mean, 6.1 years). In contrast, inflammatory resorption resulted in the early loss of all replanted teeth (mean, 1.7 years) and affected 22.5% (N = 11/49) of all the monitored teeth. Therefore, it can be concluded that tooth avulsion remains a severe dental injury with an unpredictable prognosis. This topic demands further fundamental research aiming to maintain and/or regenerate the periodontal ligament after tooth avulsion, particularly in association with non-physiological tooth rescue. |
| Databáze: | OpenAIRE |
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