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Authors
Abstract(s)
Introdução: Os traumatismos dento-alveolares, são muito frequentes em
crianças e adolescentes. Estes podem variar, desde simples fraturas de esmalte
até à perda definitiva do dente. O trauma dentário apresenta implicações para
pacientes que necessitam de tratamento dentário. Assim, o propósito da
presente revisão sistemática, é determinar os parâmetros específicos ao planear
e efetuar o tratamento ortodôntico, em dentes traumatizados, para obviar o risco
de complicações dentárias.
Materiais e métodos: A presente revisão sistemática fundamentou-se nas
guidelines PRISMA. Assim, a pesquisa bibliográfica foi realizada nas bases de
dados PubMed/Medline®, Web of Science, Embase, Proquest Dissertation and
theses tendo como objetivo a resposta à pergunta de investigação, considerando
o objetivo e os critérios previamente definidos.
Resultados: Inicialmente, foram selecionados 1065 artigos, posteriormente
foram removidos os duplicados, resultando em 973 artigos. Após leitura do título
e abstract, 11 estudos acabaram por ser avaliados com o intuito de se verificar
a sua elegibilidade, onde 5 estudos foram incluídos. Os resultados são
heterogéneos, fruto da contemporaneidade da temática.
Conclusão: Os estudos incluídos permitem indicar quais os parâmetros que
deveremos ter em consideração, aquando da realização do tratamento
ortodôntico, em dentes que sofreram trauma prévio. De acordo com os
resultados obtidos, perante este tipo de situação clínica, deve-se reduzir as
forças ortodônticas nos dentes traumatizados, efetuar consultas de controlo com
maior regularidade, verificar a vitalidade pulpar, durante e após o tratamento
ortodôntico e, por fim, fazer o follow-up para garantir um bom prognóstico a longo
prazo.
Introduction: Dento-alveolar injuries are very common in children and adolescents. These can range from simple enamel fractures to permanent tooth loss. Treatment is different depending on the type of trauma. Dental trauma presents implications for patients who require dental treatment. Thus, the purpose of this systematic review is to determine the specific parameters when planning and performing orthodontic treatment on traumatized teeth to obviate the risk of dental complications. Materials and methods: This systematic review was based on the PRISMA guidelines. Thus, the literature search was conducted in PubMed/Medline®, Web of Science, Embase, Proquest Dissertation and theses databases to answer the research question, considering the objective and the criteria previously defined. Results: Initially, 1065 articles were selected, then the duplicates were removed, resulting in 973 articles. After reading the title and abstract, 11 studies were eventually assessed for eligibility, where 5 studies were included. The results are heterogeneous, a result of the contemporary nature of the theme. Conclusion: The included studies indicate which parameters should be considered when performing orthodontic treatment on teeth that have suffered prior trauma. According to the results obtained, in this type of clinical situation, we should reduce orthodontic forces on traumatized teeth, carry out more regular check-ups, check pulp vitality during and after orthodontic treatment and, finally, perform follow-up treatment to ensure a good long-term prognosis.
Introduction: Dento-alveolar injuries are very common in children and adolescents. These can range from simple enamel fractures to permanent tooth loss. Treatment is different depending on the type of trauma. Dental trauma presents implications for patients who require dental treatment. Thus, the purpose of this systematic review is to determine the specific parameters when planning and performing orthodontic treatment on traumatized teeth to obviate the risk of dental complications. Materials and methods: This systematic review was based on the PRISMA guidelines. Thus, the literature search was conducted in PubMed/Medline®, Web of Science, Embase, Proquest Dissertation and theses databases to answer the research question, considering the objective and the criteria previously defined. Results: Initially, 1065 articles were selected, then the duplicates were removed, resulting in 973 articles. After reading the title and abstract, 11 studies were eventually assessed for eligibility, where 5 studies were included. The results are heterogeneous, a result of the contemporary nature of the theme. Conclusion: The included studies indicate which parameters should be considered when performing orthodontic treatment on teeth that have suffered prior trauma. According to the results obtained, in this type of clinical situation, we should reduce orthodontic forces on traumatized teeth, carry out more regular check-ups, check pulp vitality during and after orthodontic treatment and, finally, perform follow-up treatment to ensure a good long-term prognosis.
Description
Keywords
Trauma dentário Tratamento ortodôntico Complicações dentárias Vitalidade pulpar Forças ortodônticas Dental trauma Orthodontic treatment Dental complications Pulp vitality Orthodontic forces