Rivera-Pimentel Narda Lorena, Campos-Lara Nadia Phenelope, Benítez-Cárdenas Oscar Arturo, Méndez-González Verónica, Comas-García Andreu, Vitales-Noyola Marlen, Torre-Delgadillo Gabriela
Pediatric Dentistry Postgraduate, Faculty of Dentistry, Autonomous University of San Luis Potosi, San Luis Potosí 78290, Mexico.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Autonomous University of San Luis Potosi, San Luis Potosí 78290, Mexico.
Dent J (Basel). 2024 Nov 23;12(12):380. doi: 10.3390/dj12120380.
Dental trauma very commonly comprises lesions that affect the teeth and their supporting structures. In pediatric ages, the main reasons for dental trauma are falls and accidents at school and while practicing recreative activities and sports. Fortunately, dental avulsions are not common; however, they are key factors in the loss of teeth if the issue is not adequately treated in a quick way, so is very important for parents, teachers, or any person that is present with a child during the accident to have knowledge about dental trauma, specifically regarding avulsed teeth, since the best treatment is reimplantation. In this case of dentoalveolar trauma, concerning two avulsed teeth, it was very interesting that the tooth that was reimplanted more quickly (40 min) had a worse prognosis than the tooth that was reimplanted 2 h later, since the tooth that was reimplanted more quickly was transported in a personal wallet, which was a highly contaminated area, unlike the tooth that was reimplanted later, which was transported in a solution as an alternative means of transport. So, it is very important that this type of trauma is adequately managed in an interdisciplinary way across multiple dentistry specialties.
牙外伤通常包括影响牙齿及其支持结构的病变。在儿童时期,牙外伤的主要原因是跌倒以及在学校、进行娱乐活动和运动时发生的意外事故。幸运的是,牙脱位并不常见;然而,如果问题没有得到迅速妥善的处理,牙脱位是牙齿缺失的关键因素,因此对于父母、教师或在事故发生时与孩子在一起的任何人来说,了解牙外伤,特别是关于脱位牙的知识非常重要,因为最佳治疗方法是再植。在这例涉及两颗脱位牙的牙槽外伤病例中,非常有趣的是,再植更快(40分钟)的牙齿预后比2小时后再植的牙齿更差,因为再植更快的牙齿是放在个人钱包中运送的,而钱包是高度污染的区域,与后来再植的牙齿不同,后者是放在溶液中作为替代运送方式。所以,以跨多个牙科专业的跨学科方式对这类外伤进行妥善处理非常重要。