专家就牙齿松动和脱落的处理达成共识

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Oral Science Pub Date : 2024-09-26 DOI:10.1038/s41368-024-00321-z
Ruijie Huang, Chenchen Zhou, Ling Zhan, Yuan Liu, Xian Liu, Qin Du, Jun Wang, Wei Zhao, Guangtai Song, Li-an Wu, Beizhan Jiang, Yanhong Li, Hongmei Zhang, Jing Zou
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引用次数: 0

摘要

牙齿外伤(TDI)经常发生在儿童和青少年身上。影响牙周组织和牙槽组织的牙外伤可分为震荡、半脱位、挤压性脱位、侵入性脱位、侧向脱位和撕脱。在这些 TDI 中,处理受伤的软组织(主要是牙周韧带和牙髓)对于保持受伤牙齿的功能和寿命至关重要。处理松动伤时需要考虑的因素包括创伤牙齿的成熟阶段、活动度、移位方向、移位距离以及是否存在牙槽骨骨折。在撕脱伤中,还应该考虑恒牙的成熟阶段、脱出牙槽窝的时间、撕脱牙的保存介质/条件以及 PDL 的管理。特别是在本综述中,我们将未成熟牙细分为青少年牙(Nolla 9 期)和非常年轻的牙(Nolla 8 期及以下)。本共识文件旨在讨论这些因素对 TDI 的创伤管理和预后的影响,从而为临床医生提供从临床评估、诊断过程、管理计划决策、随访到牙齿脱落和撕脱伤矫治的简化指南。
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Experts consensus on management of tooth luxation and avulsion

Traumatic dental injuries (TDIs) of teeth occur frequently in children and adolescents. TDIs that impact the periodontal tissues and alveolar tissue can be classified into concussion, subluxation, extrusive luxation, intrusive luxation, lateral luxation, and avulsion. In these TDIs, management of injured soft tissue, mainly periodontal ligament, and dental pulp, is crucial in maintaining the function and longevity of the injured teeth. Factors that need to be considered for management in laxation injuries include the maturation stage of the traumatic teeth, mobility, direction of displacement, distance of displacement, and whether there are alveolar fractures. In avulsion, the maturation stage of the permanent tooth, the out-socket time, storage media/condition of the avulsed tooth, and management of the PDL should also be considered. Especially, in this review, we have subdivided the immature tooth into the adolescent tooth (Nolla stage 9) and the very young tooth (Nolla stage 8 and below). This consensus paper aimed to discuss the impacts of those factors on the trauma management and prognosis of TDI to provide a streamlined guide for clinicians from clinical evaluation, diagnostic process, management plan decision, follow-up, and orthodontic treatment for tooth luxation and avulsion injuries.

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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
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