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治疗外伤性恒前牙的干预措施:牙齿松动(移位)

Interventions for treating traumatised permanent front teeth: luxated (dislodged) teeth.

作者信息

Belmonte Flavia M, Macedo Cristiane R, Day Peter F, Saconato Humberto, Fernandes Moça Trevisani Virginia

机构信息

Internal and Therapeutic Medicine, Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Cochrane Database Syst Rev. 2013 Apr 30;2013(4):CD006203. doi: 10.1002/14651858.CD006203.pub2.

DOI:10.1002/14651858.CD006203.pub2
PMID:23633334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8922545/
Abstract

BACKGROUND

Dental trauma is common especially in children and young adults. One group of dento-alveolar injuries is classified as luxation. This group includes a subgroup of severe injuries where the tooth is displaced from its original position. These injuries are classified further by the direction in which the tooth has been displaced, namely: intrusion, extrusion and lateral luxation.

OBJECTIVES

To evaluate the effects of a range of interventions for treating displaced luxated permanent front teeth.

SEARCH METHODS

Search strategies were developed for MEDLINE via OVID and revised appropriately for the following databases: Cochrane Oral Health Group's Trials Register (to 20 August 2012), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 8), MEDLINE via OVID (1966 to August 2012), EMBASE via Elsevier (1974 to August 2012), and LILACS via BIREME (1982 to August 2012). Dissertations, Theses and Abstracts were searched as were reference lists from articles. There were no language restrictions.

SELECTION CRITERIA

Randomised or quasi-randomised controlled trials of treatment interventions for displaced luxated permanent front teeth. Included trials had to have a minimum follow-up period of 12 months.

DATA COLLECTION AND ANALYSIS

Two review authors independently and in duplicate assessed the eligibility of all reports identified in the searches. Authors were contacted for additional information where required.

MAIN RESULTS

No randomised or quasi-randomised controlled trials were found.

AUTHORS' CONCLUSIONS: We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies.

摘要

背景

牙外伤很常见,尤其是在儿童和年轻人中。一组牙牙槽损伤被归类为牙脱位。这组损伤包括牙齿从其原始位置移位的严重损伤亚组。这些损伤根据牙齿移位的方向进一步分类,即:嵌入、脱出和侧向脱位。

目的

评估一系列治疗移位脱位恒牙的干预措施的效果。

检索方法

通过OVID制定了MEDLINE的检索策略,并针对以下数据库进行了适当修订:Cochrane口腔健康组试验注册库(至2012年8月20日)、Cochrane对照试验中心注册库(CENTRAL)(Cochrane图书馆2012年第8期)、通过OVID的MEDLINE(1966年至2012年8月)、通过爱思唯尔的EMBASE(1974年至2012年8月)以及通过BIREME的LILACS(1982年至2012年8月)。检索了学位论文、论文摘要以及文章的参考文献列表。没有语言限制。

选择标准

移位脱位恒牙治疗干预措施的随机或半随机对照试验。纳入的试验必须有至少12个月的随访期。

数据收集与分析

两位综述作者独立且重复评估检索中识别出的所有报告的合格性。必要时联系作者获取更多信息。

主要结果

未找到随机或半随机对照试验。

作者结论

我们未找到治疗移位脱位恒牙干预措施的随机或半随机试验。当前的临床指南基于病例系列研究和专家意见的现有信息。需要在牙外伤这一领域进行随机对照试验,以有力地确定不同治疗策略的益处。

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本文引用的文献

1
International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth.国际牙外伤学会牙髓治疗指南:1. 恒牙的折断和脱位。
Dent Traumatol. 2012 Feb;28(1):2-12. doi: 10.1111/j.1600-9657.2011.01103.x.
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Intrusive luxation of 60 permanent incisors: a retrospective study of treatment and outcome.60 颗恒切牙外伤性脱位的回顾性研究:治疗与预后。
Dent Traumatol. 2012 Dec;28(6):416-22. doi: 10.1111/j.1600-9657.2011.01088.x. Epub 2011 Nov 23.
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UK National Clinical Guidelines in Paediatric Dentistry: treatment of traumatically intruded permanent incisor teeth in children.英国儿童牙科国家临床指南:儿童外伤性嵌入恒切牙的治疗
Int J Paediatr Dent. 2010 Nov;20 Suppl 1:1-2. doi: 10.1111/j.1365-263X.2010.01085.x.
4
Interventions for treating traumatised permanent front teeth: avulsed (knocked out) and replanted.治疗外伤性恒牙的干预措施:牙脱位(脱出)与再植。
Cochrane Database Syst Rev. 2010 Jan 20(1):CD006542. doi: 10.1002/14651858.CD006542.pub2.
5
Intrusive luxation of permanent incisors in Norwegians aged 6-17 years: a retrospective study of treatment and outcome.6至17岁挪威人恒切牙嵌入性脱位:治疗与结果的回顾性研究
Dent Traumatol. 2008 Dec;24(6):612-8. doi: 10.1111/j.1600-9657.2008.00686.x.
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Non-carious tooth conditions in children in the UK, 2003.2003年英国儿童的非龋性牙齿疾病
Br Dent J. 2006 Apr 8;200(7):379-84. doi: 10.1038/sj.bdj.4813424.
7
Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth.恒牙外伤性嵌入。第3部分。关于治疗延迟、复位方法、夹板类型、夹板固定时长及抗生素等治疗变量对140颗牙齿影响的临床研究
Dent Traumatol. 2006 Apr;22(2):99-111. doi: 10.1111/j.1600-9657.2006.00423.x.
8
Traumatic intrusion of permanent teeth. Part 2. A clinical study of the effect of preinjury and injury factors, such as sex, age, stage of root development, tooth location, and extent of injury including number of intruded teeth on 140 intruded permanent teeth.恒牙外伤性嵌入。第2部分。一项关于伤前和损伤因素影响的临床研究,这些因素包括性别、年龄、牙根发育阶段、牙齿位置以及损伤程度(包括嵌入恒牙的数量)对140颗嵌入恒牙的影响。
Dent Traumatol. 2006 Apr;22(2):90-8. doi: 10.1111/j.1600-9657.2006.00422.x.
9
Clinical outcomes for permanent incisor luxations in a pediatric population. I. Intrusions.儿科人群中恒切牙脱位的临床结果。I. 嵌入性脱位
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10
Comfort and discomfort of dental trauma splints - a comparison of a new device (TTS) with three commonly used splinting techniques.牙外伤夹板的舒适度与不舒适度——一种新型装置(TTS)与三种常用夹板固定技术的比较
Dent Traumatol. 2002 Oct;18(5):275-80. doi: 10.1034/j.1600-9657.2002.00121.x.