A 14-Year Follow-Up Study of Sequelae in Primary Teeth and Permanent Successors After Dental Trauma

Mariana Pires da Costa; Lucas Alves Jural; Leticia Lopes de Almeida da Silva; Matheus Cesar da Silva Parada; Anna Thereza Thome Leão; Ronir Raggio Luiz; Michele Machado Lenzi; Marcela Baraúna Magno; Thais Rodrigues Campos Soares; Lucianne Cople Maia

Authors

Mariana Pires da Costa
Lucas Alves Jural
Leticia Lopes de Almeida da Silva
Matheus Cesar da Silva Parada
Anna Thereza Thome Leão
Ronir Raggio Luiz
Michele Machado Lenzi
Marcela Baraúna Magno
Thais Rodrigues Campos Soares
Lucianne Cople Maia

Keywords:

Tooth Injuries, Child, Tooth, Deciduous, Dentition, Permanent

Abstract

Objective: To evaluate the presence of sequelae in primary teeth and their permanent successors, as well as associations between TDI and the presence of sequelae in both teeth. Material and Methods: In this 14-year retrospective study, 2.290 records were reviewed, 192 patients who suffered dental trauma in primary teeth were followed until the eruption of successor teeth were included. Descriptive, chi-square, and regression logistic with generalized estimating equations tests were performed (p<0.05). Results: 362 primary and successor teeth were followed. Sequelae were present in 71.8% of primary teeth and 25.7% of their successors. Teeth with complicated fracture (100%), extrusion (100%) and avulsion (100%) resulted in the largest amounts of sequelae in primary teeth and intrusion (61%) on their successors. Age was associated with sequelae in permanent teeth (p<0.01). Extrusion (OR 10.06; CI 2.12-47.63) and intrusion (OR 7.51; CI 2.73-20.70) had a higher risk to cause sequelae in primary and permanent teeth, respectively. Conclusion: The type of injury involved influenced the sequelae in traumatized teeth and their successors, and the age of the child influenced the presence of sequelae in permanent teeth.

References

Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-one billion living people have had traumatic dental injuries. Dent Traumatol 2018; 34(2):71-86. https://doi.org/10.1111/edt.12389

Glendor U. Epidemiology of traumatic dental injuries - a 12 year review of the literature. Dent Traumatol 2008; 24(6):603-11. https://doi.org/10.1111/j.1600-9657.2008.00696.x

Kurt A, Guduk OF, Erbek SM, Baygin O, Tuzuner T. Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma. Eur Oral Res 2019; 53(2):74-9. https://doi.org/10.26650/eor.20195236

Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. PLoS ONE 2017; 12(2):e0172235. https://doi.org/10.1371/journal.pone.0172235

Feldens CA, Kramer PF, Feldens EG. Exploring the profile of articles on traumatic dental injuries in pediatric dental journals. Dent Traumatol 2013; 29(3):172-77. https://doi.org/10.1111/edt.12035

Kramer PF, Onetto J, Flores MT, Borges TS, Feldens CA. Traumatic dental injuries in primary dentition: a 15-year bibliometric analysis of dental traumatology. Dent Traumatol 2016; 32(5):341-6. https://doi.org/10.1111/edt.12262

Liu F, Wu TT, Lei G, Fadlelseed AFA, Xie N, Wang DY, et al. Worldwide tendency and perspectives in traumatic dental injuries: a bibliometric analysis over two decades (1999-2018). Dent Traumatol 2020; 36(5):489-97. https://doi.org/10.1111/edt.12555

Andreasen JO, Andreasen FM, Anderson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th Ed. Copenhagen: Mosby; 2007. https://doi.org/10.1111/j.1600-0722.1971.tb02013.x

Andreasen JO, Ravn JJ. The effect of traumatic injuries to primary teeth on their permanent successors. II. A clinical and radiographic follow-up study of 213 teeth. Scand J Dent Res 1971; 79(4):284-94. https://doi.org/10.1111/j.1600-0722.1971.tb02014.x

Jacomo DRES, Campos V. Prevalence of sequelae in the permanent anterior teeth after trauma in their predecessors: a longitudinal study of 8 years. Dent Traumatol 2009; 25(3):300-4. https://doi.org/10.1111/j.1600-9657.2009.00764.x

Arenas M, Barbería E, Lucavechi T, Maroto M. Severe trauma in the primary dentition - diagnosis and treatment of sequelae in permanent dentition. Dent Traumatol 2006; 22(4):226-30. https://doi.org/10.1111/j.1600-9657.2006.00352.x

Qassem A, Martins NM, Costa VP, Torriani DD, Pappen FG. Long-term clinical and radiographic follow up of subluxated and intruded maxillary primary anterior teeth. Dent Traumatol 2015; 31(1):57-61. https://doi.org/10.1111/edt.12135

Moccelini BS, Santos PS, Barasuol JC, Magno MB, Bolan M, Maia LC, et al. Prevalence of sequelae after traumatic dental injuries to anterior primary teeth: A systematic review and meta-analysis. Dent Traumatol 2022; 38(4):286-98. https://doi.org/10.1111/edt.12744

Mallineni SK, Al-Mulla H, Anthonappa RP, Chan JC, King NM. Developmental disturbance of a maxillary permanent lateral incisor following trauma at the age of 16 months: a 6-year follow-up. J Clin Pediatr Dent 2019; 43(3):207-10. https://doi.org/10.17796/1053-4625-43.3.11

Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 2012; 28(3):174-82. https://doi.org/10.1111/j.1600-9657.2012.01146.x

Ritwik P, Massey C, Hagan J. Epidemiology and outcomes of dental trauma cases from an urban pediatric emergency department. Dent Traumatol 2014; 31(2):97-102. https://doi.org/10.1111/edt.12148

Corrêa-Faria P, Martins CC, Bonecker M, Paiva SM, Ramos-Jorge ML, Pordeus IA. Clinical factors and socio-demographic characteristics associated with dental trauma in children: a systematic review and meta-analysis. Dent Traumatol 2016; 32(6):367-78. https://doi.org/10.1111/edt.12268

Assunção LRS, Ferelle A, Iwakura MLH, Nascimento LS, Cunha RF. Luxation injuries in primary teeth: a retrospective study in children assisted at an emergency service. Braz Oral Res 2011; 25(2):150-6. https://doi.org/10.1590/S1806-83242011000200009

Goettems ML, Thurow LB, Noronha TG, da Silva Júnior IF, Kramer PF, Feldens CA, et al. Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study. Dent Traumatol 2020; 36(4):393-9. https://doi.org/10.1111/edt.12552

Carvalho V, Jacomo DR, Campos V. Frequency of intrusive luxation in deciduous teeth and its effects. Dent Traumatol 2010; 26(4):304-7. https://doi.org/10.1111/j.1600-9657.2010.00893.x

Amorim LF, Estrela C, Costa LR. Effects of traumatic dental injuries to primary teeth on permanent teeth - a clinical follow-up study. Dent Traumatol 2011; 27(2):117-2. https://doi.org/10.1111/j.1600-9657.2010.00959.x

Mendoza-Mendoza A, Iglesias-Linares A,Yanez-Vico RM, Abalos-Labruzzi C. Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe. Dent Traumatol 2015; 31(2):144-9. https://doi.org/10.1111/edt.12147

Rasmusson CG, Koch G. Assessment of traumatic injuries to primary teeth in general practise and specialized paediatric dentistry. Dent Traumatol 2010; 26(2):129-32. https://doi.org/10.1111/j.1600-9657.2009.00862.x

Soares TR, Barbosa AC, Oliveira SN, Oliveira EM, Risso PA, Maia LC. Prevalence of soft tissue injuries in pediatric patients and its relationship with the quest for treatment. Dent Traumatol 2016; 32(1):48-51. https://doi.org/10.1111/edt.12216

Cardoso M, Rocha MJC. Identification of factors associated with pathological root resorption in traumatized primary teeth. Dent Traumatol 2008; 24(3):343-9. https://doi.org/10.1111/j.1600-9657.2007.00554.x

Magno MB, Neves AB, Ferreira DM, Pithon MM, Maia LC. The relationship of previous dental trauma with new cases of trauma. A systematic review and meta-analysis. Dent Traumatol 2019; 35(1):3-14. https://doi.org/10.1111/edt.12449

Goettems ML, Brancher LC, Costa CT, Bonow MLM, Romano AR. Does dental trauma in the primary dentition increases the likelihood of trauma in the permanent dentition? a longitudinal study. Clin Oral Investig 2017; 21(8):2415-20. https://doi.org/10.1007/s00784-016-2037-3

de Amorim CS, Americano GCA, Moliterno LFM, de Marsillac MWS, Andrade MRTC, Campos V. Frequency of crown and root dilacerations of permanent incisors after dental trauma to their predecessor teeth. Dent Traumatol 2018; 34(6):401-5. https://doi.org/10.1111/edt.12433

Firmino RT, Siqueira MBLD, Vieira-Andrade RG, Gomes GB, Martins CC, Paiva SM, et al. Prediction factors for failure to seek treatment following traumatic dental injuries to primary teeth. Braz Oral Res 2014; 28(1):1-7. https://doi.org/10.1590/1807-3107BOR-2014.vol28.0005

Pithon MM, Santos RL, Magalhães PHB, Coqueiro RS. Brazilian primary school teachers’ knowledge about immediate management of dental trauma. Dental Press J Orthod 2014; 19(5):110-5. https://doi.org/10.1590/2176-9451.19.5.110-115.oar

Feldens CA, Kramer PF, Feldens EG, Pacheco LM, Vítolo MR. Socioeconomic, behavioral and anthropometric risk factors for traumatic dental injuries in childhood: a cohort study. Int J Paediatr Dent 2014; 24(3):234-43. https://doi.org/10.1111/ipd.12066