DENTAL TRAUMATOLOGY

Implementation of Public Health Policies and Integration of Artificial Intelligence and Social Media in Dental Traumatology-Cornerstones for Effective Dental Trauma Management
Levin L and Budak L
A Cross-Sectional Survey of Anesthesiologists' Awareness Toward Traumatic Dental Injuries During General Anesthesia in Syrian Arab Republic
Al-Shiekh MN, Altinawi MK, Darwish B and Alzoubi H
Traumatic dental injuries with tracheal intubation during general anesthesia are considered one of the most common complications. It is also the primary reason for malpractice legal claims against anesthesiologists according to insurance companies. There is much information regarding the incidence, consequences, and risk factors of traumatic dental injuries during general anesthesia. This study aimed to assess the awareness (knowledge, practice, and attitude) of anesthetists regarding peri-anesthetic traumatic dental injuries and discuss measures to reduce the risk regarding peri-anesthetic traumatic dental injuries.
Simplified Composite Restorations for Fractured Young Incisors: A Clinical Review
Çehreli ZC
Tooth fractures are a common consequence of dental trauma in young patients, requiring prompt and effective restorative interventions that ensure both functional integrity and esthetic appeal. Although resin stratification (layering) is the gold standard for achieving life-like restoration of fractured teeth, many clinicians find it technically challenging due to the time and effort required for precise shade matching, concealing the fracture line, and accurate placement of resin composite layers with different levels of opacity. The more recent generation of monoshade composites, with their ability to adapt to various tooth shades, reduce the complexity of multi-layer restorations, and improve chairside efficiency. Additionally, the composite cutback technique has gained attention as an effective method for restoring fractured teeth in young patients. This method combines the benefits of monoshade composites and the precision of simple additional layering to enhance both the esthetic and functional outcomes of the restorations. This mini-review provides a comprehensive analysis of the composite cutback technique, the role of monoshade composites, and their clinical application in the restoration of fractured young teeth.
Non-Surgical Endodontic Management of Large Periapical Lesions After Traumatic Dental Injuries
Tewari N, Rajeswary A, Wikström A and Tsilingaridis G
Traumatic dental injuries of permanent teeth result in multiple immediate and long-term consequences depending upon the severity of trauma, age of the patient, the status of root maturity, and the emergency care provided. The healing responses may get disturbed due to severe damage, loss of vascularity of the supporting structures, and infections. As a result, the prohealing mediators and pathways are overpowered by the destructive stimuli often manifested by an increased osteoclastic activity. Among the various late complications, the apical periodontitis or the periapical lesions are most worrisome for the patients and create clinical dilemma for the dentists. In the past, many such lesions were classified as cysts and subjected to surgical management. However, better understanding of lesion pathophysiology, three-dimensional imaging, and molecular pathways have established their inflammatory nature. The advancements in materials such as calcium silicates, and regenerative techniques have propelled the research related to non-surgical endodontic management as its clinical acceptability. The treatment largely follows the recommendations of regenerative medicine and is based on four principles: (a) establishing the drainage or an endodontic access to the area, (b) removal of most of the triggering agents such as necrosed pulp, toxins, and inflammatory mediators, (c) disinfection of the area, controlling inflammation and reversal of the acidic pH, and (d) maintenance of this infection/inflammation-free state for a long time through adequate sealing. This review aims to highlight the rationale of the approach, case selection, pathophysiology of the causation and healing, clinical protocols, and the limitations of non-surgical endodontic management of large periapical lesions secondary to traumatic dental injuries.
Global Trends and Perspectives on Dental Fragment Reattachment (1988-2024): A Bibliometric and Altmetric Review
Mulinari J, de Souza ID, Pinho NS, Dos Anjos LM, Santana CM, Cardoso M and de Oliveira Rocha A
Fragment reattachment in traumatic injuries is notable for its excellent esthetic, morphological, and functional results. The aim of this study was to investigate the scientific history and trends in publications on dental fragment reattachment through a bibliometric and altmetric analysis. The search was conducted in October 2024 using Web of Science. Two researchers selected articles and extracted key study characteristics. Collaborative networks were generated using VOSviewer software. Dimensions was consulted to measure altmetric data. The Spearman correlation was used. A total of 129 articles were included. The most cited article received 160 citations. Studies were published between 1988 and 2024. The leading journal was Dental Traumatology (n = 55). Case reports (n = 63) were the most frequent study design. The majority of studies aimed at clinical case follow-up (n = 71), with coronal fractures being most commonly reported (n = 96). Young patients were most affected in the selected studies (n = 49). Tewari N stood out (n = 8). The All India Institute of Medical Sciences was prominent with seven articles. Brazil was the most prevalent country (n = 29), and Asia was the most frequent continent (n = 57). Vosviewer demonstrated collaborations among authors. According to Dimensions, significant mentions were identified on Mendeley, followed by X users. This bibliometric analysis provides a comprehensive description of the technique of fragments reattachment in traumatized teeth, which has been studied for over 36 years. Studies on this technique primarily rely on case reports describing follow-up in young patients. Intervention studies and systematic reviews are recommended. Additionally, more studies in Africa, Oceania, and North America are encouraged.
Analysis of the Prevalence of Traumatic Dental Injuries in the Primary Dentition: Findings From a Cohort Study Involving 4-Year-Old Children From South Brazil
Rivera López MD, Cademartori MG, Goettems ML, Demarco FF, Hallal PC and da Costa VPP
To identify factors associated with the prevalence of traumatic dental injuries (TDI) in children at 4 years of age.
A New Approach for Analyzing Root Development in Autogenous Tooth Transplants Using Computed Tomography
Beltrame LSA, Bronzato JD, Almeida TJDS, Intra JBG, de Britto CF and Frozoni M
The aim of this study was to evaluate root development in autotransplanted teeth using cone-beam computed tomography (CBCT) images.
Appropriate Terminology for the Time Elapsed From Avulsion of a Permanent Tooth to Replantation: A Scoping Review and Delphi Consensus
Tewari N, Garima J, O'Connell A, Sharawat N, Rahul M, Mathur VP and Haldar P
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.
Evidence-Based Potential of Generative Artificial Intelligence Large Language Models on Dental Avulsion: ChatGPT Versus Gemini
Tokgöz Kaplan T and Cankar M
In this study, the accuracy and comprehensiveness of the answers given to questions about dental avulsion by two artificial intelligence-based language models, ChatGPT and Gemini, were comparatively evaluated.
Stress Distribution in Traumatized Teeth Splinted With Fiber Localizing on Incisal/Cervical Positions: A Three-Dimensional Finite Element Analysis
Ding QW, Yang H, Wang T and Lin M
The fiber splint represents an advanced treatment for traumatized dental injuries. The complete understanding of the localization of a splint on traumatized teeth remains elusive. The aim of this study was to assess the impact of the incisal/cervical positions of the fiber splint on the stress distribution of traumatized dental roots in various occlusal relationships.
Clinical Efficacy of CBCT and 3D-Printed Replicas in Molar Autotransplantation: A Controlled Clinical Trial
Lejnieks M, Akota I, Jākobsone G, Neimane L and Uribe SE
To evaluate the efficacy of the combined cone-beam (CBCT)/3D-replicas protocol on the clinical and radiographic outcomes of autotransplanted molars.
Stress Distribution in Proclined Anterior Teeth of Pediatric Patients With and Without Mouthguard Use: A 3D Finite Element Analysis
Bhadule SN, Kalaskar RR and Doiphode A
Traumatic dental injuries related to sports are a significant concern, as they can have severe physical and psychological impacts on children. Using mouthguards is essential, particularly in sports like skating, where high-impact forces are common.
Evaluation of validity and reliability of AI Chatbots as public sources of information on dental trauma
Johnson AJ, Singh TK, Gupta A, Sankar H, Gill I, Shalini M and Mohan N
This study aimed to assess the validity and reliability of AI chatbots, including Bing, ChatGPT 3.5, Google Gemini, and Claude AI, in addressing frequently asked questions (FAQs) related to dental trauma.
"In Their Own Words": Families' Experiences With Tooth Autotransplantation for the Replacement of Maxillary Incisors in Children
Williams BO, Jean-Baptiste M, Divaris K, Moretti A, De Kok I and Christensen JR
To examine families' experiences, including motivation and barriers to undergoing tooth autotransplantation (AT), and their perceptions of associated esthetic and functional outcomes.
Time-Dependent Morphological Changes in Traumatic Immature Teeth With Necrotic Pulps Following Regenerative Endodontic Treatment: A Retrospective Study
Maree M, Nabriski O, Yoshpe M, Lin S and Kaufman AY
Regenerative endodontic treatment is a promising approach for healing periapical lesions and continuous root maturation. Although previous studies have reported its outcomes, the dynamics of morphological changes over time remain unclear. Therefore, this study aimed to evaluate changes in the periapical status and root dimensions over a 60-month follow-up period.
Transient Apical Breakdown: Incidence, Pathogenesis, and Healing
Tsukiboshi M, Berlin-Broner Y and Levin L
Transient apical breakdown (TAB) is a phenomenon that indicates temporary apical periodontal destruction and root resorption after tooth luxation injuries, followed by the healing process of the dental pulp. Andreasen in 1986, reported that TAB was seen in approximately 4.2% of all luxation injuries. However, there have been no reports thereafter on the types and frequency of the luxation traumatic injuries in which TAB occurs. Therefore, this retrospective study was aimed to assess the incidence and pathogenesis of dental trauma-induced TAB and to suggest a possible mechanism of subsequent healing based on a series of cases.
Influence of Using a Puncturing Method and Cooldown Period Before Pressing the Second-Layered Sheet on the Final Thickness of Double-Layered Sports Mouthguards: An Experimental Study
Uma U, Tretanyuth P, Panitchumroen P and Chomin S
The thickness of the mouthguard is a crucial factor in its protective ability for athletes. This study aimed to investigate the final thickness of double-layered sports mouthguards, which were fabricated using different methods before pressing the second layer.
Impact Absorption Power of Polyolefin Fused Filament Fabrication 3D-Printed Sports Mouthguards: In Vitro Study
Nassani LM, Storts S, Novopoltseva I, Place LA, Fogarty M and Schupska P
This study aims to evaluate and compare the impact absorption capacities of thermoformed ethylene vinyl acetate (EVA) mouthguards and 3D-printed polyolefin mouthguards used in sports dentistry applications. The objective is to determine whether 3D-printed polyolefin mouthguards offer superior impact toughness compared to traditional EVA mouthguards commonly used in sports settings.
Accuracy and Consistency of Gemini Responses Regarding the Management of Traumatized Permanent Teeth
Portilla ND, Garcia-Font M, Nagendrababu V, Abbott PV, Sanchez JAG and Abella F
The aim of this cross-sectional observational analytical study was to assess the accuracy and consistency of responses provided by Google Gemini (GG), a free-access high-performance multimodal large language model, to questions related to the European Society of Endodontology position statement on the management of traumatized permanent teeth (MTPT).
The Importance of Immediate Dental Trauma Care: Comprehensive Education, Treatment Approaches, and Their Profound Impact on Patients' Quality of Life
Budak L and Levin L
Analyzing the Burden of Midface Fractures Due to Road Traffic Accidents in Vietnam: An Epidemiological Approach
Nguyen CTH, Hoang HT, Van Nguyen T, Tran CM and Dao KQ
Road traffic accidents have significantly impacted public health in Vietnam. This study investigated the patterns of midface fractures in Vietnam and their correlation with road traffic accidents in the country.