Amaral Marina F, de Almeida Melyna M, de Faria Lorraine P, Brandini Daniela A, Poi Wilson R, Okamoto Roberta
Faculdade de Odontologia, UNESP - Univ Estadual Paulista Araçatuba, Department of Surgery and Integrated Clinics Araçatuba São Paulo Brazil, Phone: +551836362899, e-mail:
Faculdade de Odontologia, UNESP - Univ Estadual Paulista Araçatuba, Surgery and Integrated ClinicsAraçatuba São Paulo Brazil.
J Contemp Dent Pract. 2017 Mar 1;18(3):241-245.
Extrusive luxation is a traumatic dental injury caused by the action of oblique forces, characterized by partial displacement of the tooth out of its socket. The ideal treatment for this type of trauma involves repositioning the tooth in its socket. However, in cases where the tooth cannot be repositioned, different options may be considered, such as intentional reattachment and orthodontic intrusion. The aim is to review the literature on the extrusive luxation of permanent teeth while assessing the risks of complications for two methods of delayed treatment for extrusive luxation.
An electronic search from August 2005 to August 2014 was performed by two reviewers independently, and conflicts were resolved by a third reviewer. The databases used were PubMed and Scopus; the reviewers performed a manual search of the following journals: Dental Traumatology, American Journal of Orthodontics, and Clinical Oral Investigation.
After removing the duplicate studies, 328 articles were found. Out of these, 321 were rejected as not addressing the proposed research topic. In addition, five articles were excluded because apical repositioning was used for treatment. Therefore, four articles formed the basis of the study.
Factors, such as root formation, the degree of tooth mobility, and the presence of tooth vitality were decisive for the choice of treatment. However, both treatments were effective and showed favorable results, i.e., without periodontal and root damage.
Knowledge of the risks of complications among two methods of delayed treatment for extrusive luxation, as well as other important factors to take into consideration when choosing a treatment assists dentists in improving the prognostic.
牙齿脱出性脱位是一种由斜向力作用导致的创伤性牙损伤，其特征为牙齿部分脱出牙槽窝。这类创伤的理想治疗方法是将牙齿复位至牙槽窝内。然而，在牙齿无法复位的情况下，可考虑不同的治疗方案，如有意再植和正畸压低。目的是回顾恒牙脱出性脱位的相关文献，同时评估两种脱出性脱位延迟治疗方法的并发症风险。
两名评价者于2005年8月至2014年8月独立进行电子检索，如有分歧则由第三名评价者解决。所使用的数据库为PubMed和Scopus；评价者还对以下期刊进行了手工检索：《牙外伤学》《美国正畸学杂志》和《临床口腔研究》。
剔除重复研究后，共找到328篇文章。其中，321篇因未涉及所提出的研究主题而被排除。此外，有5篇文章因采用根尖复位进行治疗而被排除。因此，4篇文章构成了本研究的基础。
牙根形成情况、牙齿松动程度和牙齿活力等因素对治疗方案的选择起决定性作用。然而，两种治疗方法均有效且效果良好，即未造成牙周和牙根损伤。
了解两种脱出性脱位延迟治疗方法的并发症风险以及选择治疗时需考虑的其他重要因素，有助于牙医改善预后。
