Friday, September 10, 2010

Sequlae and prognosis of intruded primary incisors: a retrospective stud

Resident: Roberts

Date: 9/10/10

Article title: Sequlae and prognosis of intruded primary incisors: a retrospective study

Author: Holan, Gideon

Journal Pediatric Dentistry

Volume 21:4

pages: 242-246

Year: 1999


Purpose :

This research was designed to assess the outcome of intruded incisors looking back through a retrospective study


Method:


196 children, 310 intruded primary incisors presented to an emergency clinic. 110 chldren or 172 teeth were reevaluated at a later date. Male to female ratio was 1.7:1 and age range was between 12 and 72 months. Follow up time ranged between 0 and 59 months.


Results:


Fifty seven percent of all teth were completely intruded. 55 of those teeth reerupted. 45% of these reerupted into an ectopic position. 52% showed pulp obliteration. 23 teeth required extraction. 68% survived more than 36 months after the accident.


Conclusion:


Survival rate: 68% for 36 months after accident

88% will completely reerupt

Ectopic eruption is very common

Habits such as pacifier sucking or thumb sucking may prevent full eruption

Systemic antibiotics did not seem to have an outcome affecting the result of the tooth

Pulp canal obliteration is the most common sequelae following an intruded prim. incisor

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