Prospective Study on Therapeutic Approaches in Dental Traumatology: Management of Traumatic Tooth Avulsion
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 13
- 试验地点
- 1
- 主要终点
- Tooth survival
研究概览
简要总结
Dental traumatology is a field of dentistry , especially in pediatric age, but also in adulthood with permanent dentition. Dental trauma has a higher incidence in preschool, school-age, and adolescent patients, accounting for about 5% of injuries for which the intervention of a specialist physician is required. Traumatic avulsion of permanent teeth accounts up to 0.5-16% of all dental injuries and is considered one of the true emergencies in dentistry.The treatment of choice in case of traumatic avulsion of permanent teeth is the quickest-as-possible replantation. The primary objectives of this prospective study were to evaluate the incidence of complications and survival rates of replanted teeth over time. The secondary objectives were to assess and to examine the correlation between the development of complications and factors such as extra-oral time, storage media, root maturity and the presence of alveolar fractures.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult and pediatric patients who experienced a dental trauma
- •Adult and pediatric patients who experienced a traumatic avulsion of one or more permanent teeth
- •Patients treated with dental replantation following the International Association of Dental Traumatology (IADT) guidelines
- •Availability of clinical and radiographic follow-up for at least one year
排除标准
- •- Patients with absolute contraindications to dental replantation
结局指标
主要结局
Tooth survival
时间窗: 60 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Incidence of complications
时间窗: 60 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Tooth survival
时间窗: 2 weeks after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following IADT guidelines.
Tooth survival
时间窗: 4 weeks after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 3 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 6 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 12 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 24 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 36 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Tooth survival
时间窗: 48 months after trauma
Tooth survival was defined as the presence of the tooth in the oral cavity at the time of follow-up. Tooth survival is assessed at each follow-up visit after replantation following the IADT guidelines.
Incidence of complications
时间窗: 2 weeks after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 4 weeks after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 3 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 6 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 12 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 24 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 36 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
Incidence of complications
时间窗: 48 months after trauma
Evaluated as presence/absence of a dental complication following trauma.
次要结局
- Dental mobility(60 months after trauma)
- Complication - root resorption(60 months after trauma)
- Complication - ankylosis(60 months after trauma)
- Extra-oral time(At baseline (toorh replantation after avulsion))
- Storage medium(At baseline (tooth replantation following avulsion))
- Alveolar fracture(At baseline (tooth replantation following avulsion))
- Dental mobility(2 weeks after trauma)
- Dental mobility(4 weeks after trauma)
- Dental mobility(3 months after trauma)
- Dental mobility(6 months after trauma)
- Dental mobility(12 months after trauma)
- Dental mobility(24 months after trauma)
- Dental mobility(36 months after trauma)
- Dental mobility(48 months after trauma)
- Complication - root resorption(2 weeks after trauma)
- Complication - root resorption(4 weeks after trauma)
- Complication - root resorption(3 months after trauma)
- Complication - root resorption(6 months after trauma)
- Complication - root resorption(12 months after trauma)
- Complication - root resorption(24 months after trauma)
- Complication - root resorption(36 months after trauma)
- Complication - root resorption(48 months after trauma)
- Complication - ankylosis(2 weeks after trauma)
- Complication - ankylosis(4 weeks after trauma)
- Complication - ankylosis(3 months after trauma)
- Complication - ankylosis(6 months after trauma)
- Complication - ankylosis(12 months after trauma)
- Complication - ankylosis(24 months after trauma)
- Complication - ankylosis(36 months after trauma)
- Complication - ankylosis(48 months after trauma)
研究者
Antonio Barone
Full Professor
University of Pisa