Dental Traumatology and Sport Dentistry
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Editor
Prof. Dr. Enrico Spinas
Prof. Dr. Enrico Spinas
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Department of Surgical Sciences, Traumatology and Sport Dental Research Center, University of Cagliari, Via Ospedale, 09124 Cagliari, Italy
Interests: sports medicine; pediatric dentistry; dental trauma; prosthodontic; orthodontics and forensic dentistry
Special Issues, Collections and Topics in MDPI journals
Topical Collection Information
Dear Colleague,
Within the wide field of dental research, oral and dental traumatology remain insufficiently and inorganically explored, even in relationships with sports activities. This issue affects at least 30% of the young and adult world population in its various aspects and causes many medical and social organization problems.
Particular attention should be paid to primary and secondary prevention, with particular attention to the adolescent and young adult age groups and, moreover, to the finalization and development of clear and organic therapeutic protocols that can mitigate the serious functional and aesthetic consequences that can be caused by a delay or an incomplete therapeutic approach.
For this Second Volume of the Special Issue, we wish to collect the best current contributions in this broad field of study, with particular focus on the treatment of lesions of the pulp and supporting tissues (avulsions and dislocations) and in the choice and adoption of effective protection systems (mouthguards ) to mitigate the consequences of such serious injuries at any age and condition of use (sport type). With these contributions, this Special Issue intends to update the state of research in the field of post-trauma rehabilitation therapies both from a periodontal and prosthetic implant point of view. Finally, it will address the influence of the oral bacterial flora in athletes in response to the aforementioned traumatic events.
Prof. Dr. Enrico Spinas
Collection Editor
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Keywords
- dental trauma
- mouth guard
- pulp injuries
- luxation injuries
- orthodontic splint
Published Papers (1 paper)
2022
Open AccessReview
Root Fractures in the Primary Teeth and Their Management: A Scoping Review
by
Enrico Spinas, Gianni Di Giorgio, Martina Salvatorina Murgia, Valentino Garau, Mara Pinna and Nicoletta Zerman
Cited by 11 | Viewed by 5348
Abstract
(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead
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(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead to aesthetic and functional alterations. The most common injuries are extrusion, lateral luxation, and intrusion. Root fracture is a less common complication that can lead to tooth extraction if not properly diagnosed and managed. However, there are a lack of data regarding primary root fracture treatment. The literature was reviewed to study the current knowledge on the treatment of these injuries, and to propose an operative protocol based on the results obtained. (2) Methods: A literature search was performed on Web of Science, PubMed/MEDLINE, and SCOPUS. The research focused on the following features: age of the patient; localization of the root fracture and type of displacement suffered (intrusive, extrusive, or lateral); type of emergency treatment or diagnostic test performed and their compliance with IADT guidelines; follow-up duration. (2) Results: Only 8 articles fully met the inclusion criteria, with a total of 46 patients and 62 root fractures. Out of a total of 62 root fractures, regarding only upper incisors, the most common treatment was splinting (
n = 39) for a period ranging from 3 weeks to 3 months (with an average of six weeks). No treatment was performed for 23 of the root fractures. The splinting performed in most of the included cases was semi-rigid, with the splint held in place using a composite resin material. An orthodontic splint using brackets and 0.5 mm stainless steel wire was used in only in one study. (4) Conclusions: We deduced that the root fracture of primary teeth is a rare traumatic dental injury that can cause numerous complications, such as eruptive problems in the permanent teeth. Correct radiological diagnosis, immediate repositioning and semi-rigid splinting could be conservative methods to prevent premature tooth loss in very young patients.
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