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A retrospective evaluation of traumatized permanent teeth
A Robertson1, S Robertson, J G Norén
1Department of Pedodontics, Faculty of Odontology, Göteborg University, Sweden.
International Journal of Paediatric Dentistry
|March 3, 1998
Summary
Long-term evaluation of injured teeth shows composite restorations for uncomplicated crown fractures have major shortcomings. Further research is needed for simple, conservative aesthetic restoration methods in young patients.
Area of Science:
- Dentistry
- Dental Traumatology
- Restorative Dentistry
Background:
- Dental trauma is common in children and adolescents.
- Restoration of injured anterior teeth presents unique challenges.
- Long-term outcomes of various treatments for traumatic dental injuries are not well-documented.
Purpose of the Study:
- To evaluate the long-term results of treatments for injured teeth following acute trauma.
- To assess the durability and success rates of composite restorations in uncomplicated crown fractures.
- To identify the need for improved conservative aesthetic restoration methods for young patients.
Main Methods:
- Retrospective study with a 15-year follow-up period.
- Analysis of 488 injured teeth in 198 patients.
- Review of restoration longevity, clinical acceptability, and prosthetic/endodontic interventions.
Main Results:
- 19% of composite restorations were replaced over 10 times; 25% were unacceptable at follow-up.
- Color changes, obliteration, necrosis, and endodontic treatment were observed.
- Fixed prosthetic therapy and endodontic treatment were provided for a significant number of teeth.
Conclusions:
- Anterior composite restorations, while an improvement, have significant shortcomings for young patients.
- A need exists for simple, conservative methods to restore aesthetics in fractured and discolored anterior teeth.
- Long-term clinical data highlight the limitations of current restorative approaches for traumatic dental injuries in children.