Chehertma E.

PATHOLOGICAL ROOT AND BONE RESORPTION OF PERMANENT TEETH, AS A RESULT OF NON-COMPLIANCE WITH DENTAL TRAUMA MANAGEMENT GUIDELINES

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About the author:

Chehertma E.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

At present, traumatic injuries to permanent teeth represent a significant concern for the dental community. Equally critical is the issue of preventing post-traumatic complications, such as pathological root resorption and periapical bone loss. A review of contemporary international research indicates that one of the primary causes of these complications is failure to follow the management guidelines for patients with dental trauma. Aim - to examine the development of pathological root and periapical bone resorption in permanent teeth as a result of non-compliance with dental trauma management protocols by analyzing clinical cases. The study involved 11 patients aged 9 to 14 years with a history of traumatic injuries to permanent teeth in the anterior region of the upper and lower jaws, referred by dental surgeons or orthodontists. At the time of the visit, clinical and radiographic examinations revealed pathological root resorption and/or periapical bone loss in 100% of the patients. Radiographic diagnostic methods included targeted radiography and CBCT. Subsequent patient management followed the guidelines of the International Association of Dental Traumatology (IADT) 2020. Treatment was provided according to the European Academy of Paediatric Dentistry (EAPD) 2017 apexification guideline. This study confirms a high probability of complications arising from violations or non-adherence to management protocols by both dental professionals and patients or their guardians. The findings highlight that a significant proportion of complications, including pathological resorption, stem from the absence of timely and appropriate treatment. The study emphasizes the critical need for strict adherence to management protocols to prevent these adverse outcomes. The conclusions drawn from this study serve as a key reminder of the importance of immediate and consistent follow-up care in the management of dental trauma to improve treatment outcomes and prevent long-term complications.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 691-704 pages, index UDC 616.314-001.5:616.314.163:616.716.1/.4]-06-073.7-08-053.2/.5

DOI:

10.29254/2077-4214-2024-4-175-691-704