Volume 25, Issue 2 pp. 165-170

Effects on permanent teeth after luxation injuries to the primary predecessors: a study in children assisted at an emergency service

Luciana Reichert Da Silva Assunção

Luciana Reichert Da Silva Assunção

Department of Pediatric Dentistry, São Paulo State University, UNESP, Araçatuba, Brazil

Search for more papers by this author
Antônio Ferelle

Antônio Ferelle

Department of Oral Medicine and Pediatric Dentistry, University State of Londrina-UEL, Londrina, Brazil

Search for more papers by this author
Maria Luiza Hiromi Iwakura

Maria Luiza Hiromi Iwakura

Department of Oral Medicine and Pediatric Dentistry, University State of Londrina-UEL, Londrina, Brazil

Search for more papers by this author
Robson Frederico Cunha

Robson Frederico Cunha

Department of Pediatric Dentistry, São Paulo State University, UNESP, Araçatuba, Brazil

Search for more papers by this author
First published: 06 March 2009
Citations: 58
Dr. Robson Frederico Cunha, Department of Pediatric Dentistry, School of Dentistry, São Paulo State University – UNESP, Araçatuba 16015-050, Brazil
Tel.: 55 18 3636 3235
Fax: 55 18 3636 3233
e-mail: [email protected]

Abstract

Abstract – Aim: The purpose of this study is to evaluate the developmental disturbances in permanent teeth as a result of luxation injuries in the primary teeth predecessors.

Materials and methods: A total of 5330 records, corresponding to 10 years attendance at the Emergency Center of Baby Clinic, Londrina State University, Brazil, were analyzed. Three hundred and eighty nine children were involved in this study, totaling 620 traumatized primary teeth. Clinical and radiographic examinations were carried out in the permanent successor teeth.

Results: In total, 623 permanent teeth were examined and developmental disturbances were detected in 126 teeth (20.2%). The white or yellow-brown discoloration of enamel was the clinical disturbance most observed (78.0%) and the crown alteration most detected through radiographic analysis was hypoplasia (86.0%). Root alterations were rare; root dilaceration was observed in only one case. The age of the children when their primary teeth received damage varied between 6 and 36 months (P =0.000325). Intrusive luxation and avulsion were related with most of the cases of sequelae in the successor permanent teeth (P = 0.000001).

Conclusion: The results of the present investigation emphasize the special attention required for children who suffered dental trauma at an early age, especially in cases of intrusive luxation and avulsion.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.