Analysis of 261 avulsed permanent teeth of patients treated in a dental urgency service

• Main Authors: Orlando Aguirre Guedes, Álvaro Henrique Borges, Matheus Coelho Bandeca, Cyntia Rodrigues de Araújo Estrela, Ana Helena Gonçalves de Alencar, Carlos Estrela
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Dental Research and Review
• Subjects: Dental trauma; oral epidemiology; tooth avulsion; tooth replantation
• Online Access: http://www.jdrr.org/article.asp?issn=2348-2915;year=2015;volume=2;issue=1;spage=25;epage=29;aulast=Guedes

Objective: The aim of this study was to evaluate the epidemiological aspects and clinical factors associated with avulsion of permanent teeth. Materials and Methods: The sample consisted of 261 avulsed teeth of 170 patients seen in the Dental School of the Federal University of Goiαs, Brazil, from 2000 to 2008. Result: The highest incidence was found among boys (71.18%) aged 6-15 years (61.18%). The main etiologic factors were falls (51.76%) and traffic accidents (29.41%). Most cases occurred in autumn (March to June; 31.18%) and winter (June to September; 27.65%). Most avulsed teeth were the maxillary central incisor (62.45%), followed by the maxillary lateral incisor (21.46%). A high proportion (67.23%) of injured teeth had a completely formed root apex. Replantation was used to treat 119 teeth (45.59%) in 86 patients. Most replantations were delayed (89.08%). Thirty-eight teeth (31.93%) were stored in dry media. Periodontal healing was found in 41 teeth (34.45%), inflammatory root resorption, in 44 (36.97%) and replacement root resorption, in 22 (18.49%). The most frequent treatments for replanted teeth were endodontic treatment and temporary filling of the root canal with calcium hydroxide (58.92%) and endodontic treatment and definitive root canal filling (26.89%). Conclusion: The epidemiological and clinical aspects of tooth avulsion in this study were similar to those reported in other studies. The number of replantation was low, the number of teeth stored in non-physiological conditions was high, and replantation was often delayed.