ORIGINAL ARTICLE
Appropriate Terminology for the Time Elapsed From Avulsion of a Permanent Tooth to Replantation: A Scoping Review and Delphi Consensus
Nitesh Tewari,
Jhunjhunwala Garima,
Anne O'Connell,
Nidhi Sharawat,
Morankar Rahul,
Vijay Prakash Mathur,
Partha Haldar,
Corresponding Author
Nitesh Tewari
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Correspondence:
Nitesh Tewari ([email protected])
Search for more papers by this authorJhunjhunwala Garima
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorAnne O'Connell
Division of Public and Child Dental Health, Dublin Dental University Hospital, Trinity College, Dublin, Ireland
Search for more papers by this authorNidhi Sharawat
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorMorankar Rahul
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorVijay Prakash Mathur
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorPartha Haldar
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorNitesh Tewari,
Jhunjhunwala Garima,
Anne O'Connell,
Nidhi Sharawat,
Morankar Rahul,
Vijay Prakash Mathur,
Partha Haldar,
Corresponding Author
Nitesh Tewari
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Correspondence:
Nitesh Tewari ([email protected])
Search for more papers by this authorJhunjhunwala Garima
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorAnne O'Connell
Division of Public and Child Dental Health, Dublin Dental University Hospital, Trinity College, Dublin, Ireland
Search for more papers by this authorNidhi Sharawat
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorMorankar Rahul
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorVijay Prakash Mathur
Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorPartha Haldar
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
Search for more papers by this authorFunding: The authors received no specific funding for this work.
ABSTRACT
Background
The prognosis of an avulsed permanent tooth depends on the time elapsed from injury to replantation in the injured socket. Wide variability exists in the terminologies used to describe this period. Hence, the aim of this study was to identify and categorize the terminologies related to this aspect of tooth avulsion, grade the explanations provided by the authors, and develop a consensus about the most appropriate terminology through a Delphi approach.
Methods
This study involved a scoping review to identify and analyze the terminologies. It was performed according to PRISMA-ScR with a systematic search performed in PubMed, Scopus, EMBASE, LILACS, and Web of Science. The terminologies were extracted, categorized, and evaluated for correctness. On the basis of the results of the review and expert group discussion, an ideal terminology was proposed. A Delphi study with 20 global experts in dental traumatology was conducted to develop a consensus for the proposed terminology and its description.
Results
A total of 92 studies were included. They were distributed into five categories according to the terminology used: (a) dry period alone, (b) total period with dry and/or wet times, (c) extra-alveolar period, (d) extraoral period, and (e) miscellaneous. The explanations provided were correct in 37.5% of the studies that used an extraoral period. In the Delphi study, the lowest scores were given to the term dry period. There was an agreement of 95% for the proposed terminology.
Conclusion
A wide variation in terminologies was observed that could be distributed into five categories. The correctness of explanations was highest in the studies that described total periods with dry and wet times. The Delphi study revealed excellent agreement for the proposed term “total extra-alveolar period,” with precise and clear recordings of both nonphysiologic (dry) periods and physiologic (wet) periods.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
Supporting Information
| Filename | Description |
|---|---|
| edt12993-sup-0001-AppendixS1.docxWord 2007 document , 16 KB |
Appendix S1. Details of the search strategy for the various databases and the search results. |
| edt12993-sup-0002-AppendixS2.docxWord 2007 document , 16 KB |
Appendix S2. List of excluded articles along with their reasons for exclusion. |
| edt12993-sup-0003-AppendixS3.docxWord 2007 document , 14.6 KB |
Appendix S3. Details of the suggestions provided when asked to describe any other situation that may arise in the cases of avulsion of permanent teeth that are managed by replantation. |
| edt12993-sup-0004-AppendixS4.docxWord 2007 document , 14.5 KB |
Appendix S4. Feedback and suggestions provided for the total extra-alveolar period. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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