Retrospective study on sequelae in traumatized permanent teeth

Area of Science:

• Dentistry
• Oral Surgery
• Endodontics

Background:

• Dental trauma can lead to significant complications, including pulp necrosis and root resorption.
• Identifying factors associated with these sequelae is crucial for effective management.

Purpose of the Study:

• To investigate associations between tooth trauma factors and the occurrence of post-traumatic complications.
• To analyze the impact of injury characteristics and treatment timing on dental trauma outcomes.

Main Methods:

• Retrospective analysis of dental records and radiographs from a dental trauma center (2008-2014).
• Evaluation of factors such as injury type, gender, and time to endodontic treatment.
• Binomial logistic regression used to identify significant predictors of post-trauma sequelae.

Main Results:

• Avulsion injuries showed a significantly higher risk (OR=12.27) of complications.
• Male gender (OR=2.79) and delayed endodontic treatment (>16 days, OR=7.53) were associated with increased complication rates.
• Observed rates included 37% pulp necrosis and 16% inflammatory root resorption in luxations.

Conclusions:

• Gender, type of dental injury, root development stage, and treatment delay are linked to post-trauma sequelae.
• These factors are critical for predicting and potentially preventing adverse outcomes after dental trauma.