A 12-year retrospective study of avulsion cases in a public brazilian dental trauma service.
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Universidade Federal de Minas Gerais
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Artigo de periódico
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This study assessed the epidemiological characteristics and management of the permanent
teeth avulsion cases attended in a Brazilian dental trauma service from December 2005
to August 2016. A retrospective study was conducted of case records of 93 patients
involving 139 avulsed teeth. Data included sex, age, trauma etiology, location of the
accident, number and position of avulsed teeth, and presence and type of associated
traumatic lesions. Management of the avulsed teeth was addressed as: time elapsed until
teeth were retrieved from the accident’s location; teeth’s cleaning method and storage
media; time elapsed until seeking treatment and replantation. The majority of the patients
were children from 6-10 (31.2%) and 11-15 years old (26.9%). Male patients were more
affected than female. Bicycle accident was the main etiological factor (31.2%). In 56
(60.2%) cases, traumatic lesions to neighboring teeth were present. In 55 (59.1%) cases,
lesions to adjacent soft tissues were reported. In 82 (88.2%) cases, patients requested
treatment at the same day of the accident. Sixty-four teeth (46.0%) were immediately
retrieved and 28 (20.1%) were not found. Forty-two teeth (30.2%) were kept dry. Only
one tooth (0.7%) was immediately replanted at the accident’s site, while 51 teeth (36.7%)
were not replanted. Numerous avulsed teeth were inappropriately managed and immediate
replantation was not frequent. Public policies must be created to raise awareness towards
the particularities of avulsion cases.
Abstract
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Odontologia
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Epidemiologia
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Endereço externo
https://www.scielo.br/j/bdj/a/nzssmXfhLqnWCmhYHBpzDch/?lang=en