Tooth avulsion is one of the most serious case of all traumatic injuries, frequently found in the immature permanent teeth. The common treatment for avulsed permanent tooth is replantation and splint fixation. However it usually results in root inflammation, root absorption and ankylosis, eventually lead to extraction. The present report describes a 8-year-old boy with two immature mandibular central incisors avulsed three hours after the accident. Replantation was performed, and the teeth were splinted. Radiographic and clinical examinations were performed during 15 months follow-up. At present, the avulsed teeth have a favorable prognosis, and remained in a stable functional position and did not reveal root inflammation, root absorption and ankylosis.
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Open Access
Prevention and Treatment Practice
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Open Access
Clinical Study
Issue
To study the clinical characteristics of dental trauma and provide data support for clinical work and health education, the clinical data of patients in the Guangzhou area were reviewed.
The clinical data of patients attending the general Emergency Department of Stomatological Hospital of Southern Medical University from January 2017 to January 2022 were analyzed according to gender, age, trauma cause, trauma type, tooth position and trauma duration, and postoperative time of trauma.
The ratio of males to females was 1.07 : 1, and the ratio of patients aged 10-19 years was 2.76 : 1. Falls and collisions were the main causes of the trauma. Concussion and uncomplicated crown fracture were the most frequent subcategories of dental trauma. For tooth position, the upper maxillary middle incisors had the highest rate of trauma, followed by the maxillary lateral incisors. January and December were the two months with the highest incidence of trauma, while the rate of dental trauma on weekends was slightly higher than on weekdays, and 77.81% of patients visited within 24 h after the trauma.
Dental trauma commonly occurs in the adolescent maxillary incisors, and crown fracture and concussion are the main types of injury. The major causes are falls and collisions. The general population should pay more attention to strengthening the protection of teeth during outdoor activities and learn emergency dental treatment methods. At the same time, dentists should be more skilled in the treatment of dental trauma, and uncommon types of dental trauma should be given more attention to avoid poor outcomes.
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