Systematic Review on Relation Between Surface Treatment and Outcome of Delayed Replantation of Permanent Anterior Avulsed TeethCorrespondence Address :
Dr. Shaili Mehta,
Department of Conservative Dentistry and Endodontics, MGM Dental College and
Hospital, Junction of NH4 and, Sion-Panvel Expy, Sector 18,
Navi Mumbai, Maharashtra-410209, India.
Introduction: One of the most severe dental injury is Tooth Avulsion or exarticulation. Tooth avulsion is the complete displacement of tooth out of the socket. The common treatment employed for avulsed teeth is replantation, the prognosis of which depends on the handling of the tooth specimen and time lag between avulsion and replantation of the teeth. Surface treatment of root surface of avulsed teeth prior to delayed replantation is a common practice and a variety of agents and methods have been used for the same. The literature lacks evidence that establishes a definitive relation between surface treatment and prognosis of delayed replantation of avulsed teeth.
Aim: To understand the effect of surface treatment and outcome after replantation of avulsed anterior permanent teeth with an extraoral dry time of more than 60 minutes.
Materials and Methods: The protocol for systematic review was registered on PROSPERO, registration number was CRD42020222919. A search was performed on case reports and case series available on delayed replantation of avulsed anterior permanent teeth on databases like Medline/PubMed, Google Scholar, and Cochrane from the year 2000 to 2018. The MESH terms and keywords like tooth avulsion*, tooth fractures*, tooth injuries*, traumatology*, delayed replantation methods and delayed replantation standards with Boolean operators were used for data identification and screening. After applying inclusion and exclusion criteria, total five articles were included.
Results: The duration of storage of the teeth were variable with cases reported from 24 hours to 72 hours of extraoral dry time. All five reports used different methods for surface treatments. No complications were reported after 12 months in three cases. No complication was reported after 24 months in one case. After 12 weeks, one article reported ankylosis and infraocclusion after replantation.
Conclusion: As a result of data heterogenicity and a short follow-up period of the articles, a clear relation between surface treatment and delayed replantation of an avulsed teeth could not be established. However, it can be safely concluded that surface treatment of avulsed teeth prior to delayed replantation results in a better prognosis and predictable outcomes.
Dental trauma, Extraoral dry time, Prognosis, Storage medium, Tooth avulsion
Date of Submission: Jan 30, 2021
Date of Peer Review: Apr 20, 2021
Date of Acceptance: May 10, 2021
Date of Publishing: Jun 01, 2021
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. No
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Feb 01, 2021
• Manual Googling: Apr 29, 2021
• iThenticate Software: May 27, 2021 (21%)
ETYMOLOGY: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)