Experts consensus on management of tooth luxation and avulsion  

作　　者：Ruijie Huang Chenchen Zhou Ling Zhan Yuan Liu Xian Liu Qin Du Jun Wang Wei Zhao Guangtai Song Li'an Wu Beizhan Jiang Yanhong Li Hongmei Zhang Jing Zou 

机构地区：[1]State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu,China [2]Department of Orofacial Sciences,School of Dentistry,University of California,San Francisco,San Francisco,CA,USA [3]Division of Pediatric Dentistry,Preventative&Restorative Sciences,School of Dental Medicine,University of Pennsylvania,Philadelphia,PA,USA [4]State Key Laboratory of Oral Diseases,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Department of Emergency,West China Hospital of Stomatology,Sichuan University,Chengdu,China [5]Department of Stomatology,Sichuan Provincial People’s Hospital,University of Electronic Science and Technology of China,Chengdu,China [6]Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai,China [7]Department of Pediatric Dentistry,Guanghua School of Stomatology,Hospital of Stomatology,Sun Yat-Sen University,Guangzhou,China [8]Department of Pediatric Dentistry,School and Hospital of Stomatology,Wuhan University,Wuhan,China [9]Department of Pediatric Dentistry,School of Stomatology,State Key Laboratory of Military Stomatology,National Clinical Research Center for Oral Diseases,Shanxi Key Laboratory of Military Stomatology,Fourth Military Medical University,Xi’an,China [10]Department of Pediatric Dentistry,Stomatological Hospital and Dental School of Tongji University,Shanghai,China [11]Department of Pediatric and Preventive Dentistry,Kunming Medical University School and Hospital of Stomatology,Kunming,China [12]Department of Pediatric Dentistry,The Affiliated Stomatological Hospital of Chongqing Medical University,Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences,Chongqing,Chi

出　　处：《International Journal of Oral Science》2024年第4期563-574,共12页国际口腔科学杂志(英文版)

基　　金：supported by the National Key Clinical Specialty Construction Projects of China(0040305401313)。

摘　　要：Traumatic dental injuries(TDIs)of teeth occur frequently in children and adolescents.TDIs that impact the periodontal tissues and alveolar tissue can be classified into concussion,subluxation,extrusive luxation,intrusive luxation,lateral luxation,and avulsion.In these TDIs,management of injured soft tissue,mainly periodontal ligament,and dental pulp,is crucial in maintaining the function and longevity of the injured teeth.Factors that need to be considered for management in laxation injuries include the maturation stage of the traumatic teeth,mobility,direction of displacement,distance of displacement,and whether there are alveolar fractures.In avulsion,the maturation stage of the permanent tooth,the out-socket time,storage media/condition of the avulsed tooth,and management of the PDL should also be considered.Especially,in this review,we have subdivided the immature tooth into the adolescent tooth(Nolla stage 9)and the very young tooth(Nolla stage 8 and below).This consensus paper aimed to discuss the impacts of those factors on the trauma management and prognosis of TDI to provide a streamlined guide for clinicians from clinical evaluation,diagnostic process,management plan decision,follow-up,and orthodontic treatment for tooth luxation and avulsion injuries.

关 键 词：INJURIES subdivided MANAGEMENT 

分 类 号：R782.1[医药卫生—口腔医学]