Joyce Ganas
| Joyce Ganas |
Joyce Ganas1,2, Jessica Chen2, Sumin Lee2, Evlambia Hajishengallis1
1Division of Pediatrics, Preventive & Restorative Sciences, University of Pennsylvania School of Dental Medicine; 2Endodontics, University of Pennsylvania School of Dental Medicine
Introduction
By critically reviewing the literature and presenting two cases, the aim of this study was to discuss the sequalae of a prolong delay in the management of traumatized immature permanent teeth.
Methods
Two cases of severely traumatized (avulsion and intrusion) immature anterior permanent teeth with a delay in their endodontic management are presented. The cases were followed for at least 12 months and the sequalae of their trauma and delayed endodontic treatment is discussed. Data were collected searching the literature for keywords endodontics, tooth avulsion, intrusion in PubMed, Ovid Medline, Embase and Cochrane. The results were screened for publishing time, language, subject age, injury type and intervention technique. Variations in time to initial treatment, initial treatment type, time between initial treatment to endodontic intervention and types of endodontic intervention were recorded and studied in relation to healing outcome.
Results
Clinical and radiographic examinations in the two cases during the initial and follow-up periods showed resolution of the signs and symptoms as well as inhibition of the resorption process despite the delay in their endodontic management. However, there was no continuation of root development. For our literature review, 24 immature permanent teeth from 19 publications were included and we are currently at the stage of the data analysis.
Conclusion
A delay in the endodontic management of severely traumatized immature permanent teeth may affect the treatment outcome.