このエントリーをはてなブックマークに追加
ID 32192
file
creator
Hirata, Ryoko
Suzuki, Junji
subject
Intrusion
Management
Primary teeth
Traumatic injuries
Treatment
NDC
Medical sciences
abstract
Intrusions occur frequently in the primary dentition. It has been reported that conservative treatment of the intruded primary tooth is preferred if the apex is away from the permanent tooth germ. Conservative treatments include waiting for spontaneous re-eruption, and surgical re-positioning and fixation. Few papers have been published in Japan comparing the prognoses of intruded primary teeth between these two different modes of treatment. Therefore, optimal treatment for intruded primary teeth has been a topic of controversy among clinicians. The aim of this study was to compare the outcomes of intruded primary teeth between these two modes of treatment. Moreover, we examined the issue of treatment of choice for intruded primary teeth. The subjects consisted of 17 children referred to the Hiroshima University Hospital Department of Pediatric Dentistry for the treatment of 21 intruded primary teeth. Fourteen teeth were allowed to spontaneously re-erupt (group W), and 7 teeth were repositioned and fixed (group R). Antibiotic therapy and irrigation were performed in all intruded teeth. Treatment outcomes were evaluated using the following parameters: re-eruption, pathological pulp changes, increased mobility, discoloration, pulp canal obliteration, pathological root resorption, and disturbances of permanent teeth. In group W, root canal treatment or extraction were not performed since re-erupted teeth reveal no signs of infection. On the other hand, in group R, 57% of teeth required endodontic treatment or extracted due to signs of infection. The result showed treatment outcomes in group R were worse than those in group W. Our study indicates that most intruded primary teeth re-erupt with a favorable prognosis. Therefore, observation with irrigation and antibiotic therapy should be the treatment of first choice.
journal title
Pediatric dental journal
volume
Volume 21
issue
Issue 2
start page
94
end page
100
date of issued
2011
publisher
日本小児歯科学会
issn
0917-2394
ncid
language
eng
nii type
Journal Article
HU type
Journal Articles
DCMI type
text
format
application/pdf
text version
publisher
rights
Copyright (c) 2011 一般社団法人 日本小児歯科学会
relation url
department
Graduate School of Biomedical Science