PREVALENCE OF TRAUMATIC INJURIES CAUSING NON VITALITY OF TOOTH LEADING TO ROOT CANAL TREATMENT - A RETROSPECTIVE ANALYSIS

Authors

  • Reshma Harikrishnan Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University Author
  • Dr. Manish Ranjan Corresponding author: Department of Conservative and Endodontics, Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University Author
  • Dr. Balaji Ganesh. S Senior lecturer, Department of Periodontology, Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University Author

DOI:

https://doi.org/10.61841/nzzft003

Keywords:

Fracture, Injury, Root canal, Trauma, Vitality

Abstract

Traumatic dental injuries are impact injuries that occur due to external factors. It is frequent and unavoidable. These injuries are more common in younger age groups, particularly in children and adolescence. Males are more prone to these dental injuries than females. Anterior teeth are the most affected. Few of the complications of these injuries include pulp necrosis, infection, internal resorption, apical periodontitis, disturbances in root development, etc. Pulp vitality tests are done to examine the presence of blood flow. Treatments for traumatic dental injuries depend on the severity of the injury. Re-implantation of the tooth, restoration of the fractured tooth, root canal treatment, crowns, extractions, etc. The aim of this study is to assess the association between traumatic dental injuries that lead to root canal treatments and gender. A retrospective study was done in an institutional setting. A sample size 872 was taken into consideration. All patients who underwent root canal treatment in the time frame of June 2019 – April 2020. Only anterior teeth that underwent trauma and required RCT were taken into account. The patients detailed case sheets were evaluated. Collected data was imported into SPSS software for data analysis. The total number of patients involved in the study was 289, out of which 76.4% (220 patients) were males and 23.6% were females. Ellis Type II and Type III fractures were taken into account. 13.9% (40 patients) were diagnosed with Ellis type II fracture and 86.1% (248 patients) were diagnosed with Type III fractures. Majority of the patients (96.5% - 278 patients) had undergone RCT as their treatment and the remaining 3.5% had LCR restorations done. A cross analysis between age and Ellis fracture was done. Majority of the patients were prone to getting a dental injury in the age group of 21-40, for both Type II and Type III fractures. (p value< 0.05= significant) The cross analysis between gender and Ellis fracture showed that male patients were higher in number for both type II (23 patients) and Type III (197 patients). (p value < 0.05= significant). Young males are more prone to traumatic dental injuries as compared to females. There were higher chances of the injury leading to a Root Canal Treatment in both Type II and III Ellis fractures. 

Downloads

Download data is not yet available.

References

1. Goyal N, Singh S, Mathur A, Makkar DK, Aggarwal VP, Sharma A, et al. Traumatic Dental Injuries

Prevalence and their Impact on Self-esteem among Adolescents in India: A Comparative Study. J Clin

Diagn Res. 2017 Aug;11(8):ZC106–10.

2. Brüllmann D, Schulze RK, d’Hoedt B. The treatment of anterior dental trauma. Dtsch Arztebl Int. 2010

Aug;108(34-35):565–70.

3. Jose J, P. A, Subbaiyan H. Different Treatment Modalities followed by Dental Practitioners for Ellis Class

2 Fracture – A Questionnaire-based Survey [Internet]. Vol. 14, The Open Dentistry Journal. 2020. p. 59–

65. Available from: http://dx.doi.org/10.2174/1874210602014010059

4. Young EJ, Macias CR, Stephens L. Common Dental Injury Management in Athletes. Sports Health. 2015

May;7(3):250–5.

5. Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature [Internet]. Vol.

61, Australian Dental Journal. 2016. p. 4–20. Available from: http://dx.doi.org/10.1111/adj.12395

6. Kumar D, Delphine Priscilla Antony S. Calcified Canal and Negotiation-A Review [Internet]. Vol. 11,

Research Journal of Pharmacy and Technology. 2018. p. 3727. Available from:

http://dx.doi.org/10.5958/0974-360x.2018.00683.2

7. Salami KK, Jegede AS, Oshiname FO. Dynamics of Household Role Performance and the Culture of

Child Health Production in Igbo-Ora, Southwestern Nigeria [Internet]. Vol. 11, Journal of Social,

Behavioral, and Health Sciences. 2017. Available from: http://dx.doi.org/10.5590/jsbhs.2017.11.1.17

8. Siddique R, Sureshbabu NM, Somasundaram J, Jacob B, Selvam D. Qualitative and quantitative analysis

of precipitate formation following interaction of chlorhexidine with sodium hypochlorite, neem, and tulsi.

J Conserv Dent. 2019 Jan;22(1):40–7.

9. R R, Rajakeerthi R, Ms N. Natural Product as the Storage medium for an avulsed tooth – A Systematic Review [Internet]. Vol. 22, Cumhuriyet Dental Journal. 2019. p. 249–56. Available from:

http://dx.doi.org/10.7126/cumudj.525182

10. Rajendran R, Kunjusankaran RN, Sandhya R, Anilkumar A, Santhosh R, Patil SR. Comparative

Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream

Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study [Internet]. Vol. 19,

Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2019. p. 1–10. Available from:

http://dx.doi.org/10.4034/pboci.2019.191.61

11. Hussainy SN, Nasim I, Thomas T, Ranjan M. Clinical performance of resin-modified glass ionomer

cement, flowable composite, and polyacid-modified resin composite in noncarious cervical lesions: Oneyear follow-up. J Conserv Dent. 2018 Sep;21(5):510–5.

12. Choudhari S, Ranjan M. Knowledge, awareness, and perception regarding occlusal stamp technique for

composite restorations. Drug Invention Today [Internet]. 2019;11(10).

13. Prabha JL, Lakshmi Prabha J, Ranjan M. Effect of total etch on enamel [Internet]. Vol. 11, Research

Journal of Pharmacy and Technology. 2018. p. 813. Available from: http://dx.doi.org/10.5958/0974-

360x.2018.00488.2

14. Gopalasamy K, Ranjan M. Knowledge, Awareness and Perception Of Cention Being Used As A

Replacement For Amalgam Restoration [Internet]. Vol. 11, International Journal of Research in

Pharmaceutical Sciences. 2020. p. 7–12. Available from: http://dx.doi.org/10.26452/ijrps.v11i1.1777

15. Reshma HK, Ranjan M. Consequences of amalgam restorations on soft tissues of the oral cavity. Int J Sci

Res. 2017;6:1916–9.

16. Ravinthar K, Jayalakshmi. Recent Advancements in Laminates and Veneers in Dentistry [Internet]. Vol.

11, Research Journal of Pharmacy and Technology. 2018. p. 785. Available from:

http://dx.doi.org/10.5958/0974-360x.2018.00148.8

17. Janani K, Palanivelu A, Sandhya R. Diagnostic accuracy of dental pulse oximeter with customized sensor

holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in vivo study [Internet].

Vol. 23, Brazilian Dental Science. 2020. Available from: http://dx.doi.org/10.14295/bds.2020.v23i1.1805

18. V DN, S SP, Subha M. Effects of flipped class based teaching in orthodontics & dentofacial orthopedics –

A prospective study [Internet]. Vol. 10, International Journal of Research in Pharmaceutical Sciences.

2019. p. 1415–9. Available from: http://dx.doi.org/10.26452/ijrps.v10i2.619

19. Ibiyemi O, Ibiyemi T, Taiwo J. Pattern of tooth discoloration and care-seeking behavior among

adolescents in an underserved rural community in Nigeria [Internet]. Vol. 6, European Journal of General

Dentistry. 2017. p. 36. Available from: http://dx.doi.org/10.4103/2278-9626.198606

20. Hegde M, Sajnani A. Prevalence of permanent anterior tooth fracture due to trauma in the South Indian

population [Internet]. Vol. 4, European Journal of General Dentistry. 2015. p. 87. Available from:

http://dx.doi.org/10.4103/2278-9626.154183

21. Patel MC, Sujan SG. The prevalence of traumatic dental injuries to permanent anterior teeth and its

relation with predisposing risk factors among 8-13 years school children of Vadodara city: An

epidemiological study [Internet]. Vol. 30, Journal of Indian Society of Pedodontics and Preventive

Dentistry. 2012. p. 151. Available from: http://dx.doi.org/10.4103/0970-4388.99992

22. Udry JR. Why are males injured more than females? [Internet]. Vol. 4, Injury Prevention. 1998. p. 94–5.

Available from: http://dx.doi.org/10.1136/ip.4.2.94

23. Rana V, Chaturvedi R, Kumar A, Aggarwal A, Chandra L. A Correlation of Permanent Anterior Tooth

Fracture with Type of Occlusion and Craniofacial Morphology [Internet]. Vol. 6, International Journal of

Clinical Pediatric Dentistry. 2013. p. 80–4. Available from: http://dx.doi.org/10.5005/jp-journals-10005-

1194

24. Martin IG, Daly CG, Liew VP. After-hours treatment of anterior dental trauma in Newcastle and western

Sydney: a four-year study [Internet]. Vol. 35, Australian Dental Journal. 1990. p. 27–31. Available from:

http://dx.doi.org/10.1111/j.1834-7819.1990.tb03023.x

25. PradeepKumar AR, Shemesh H, Jothilatha S, Vijayabharathi R, Jayalakshmi S, Kishen A. Diagnosis of

Vertical Root Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective

Cohort Study. J Endod. 2016 Aug;42(8):1175–80.

26. Goyal N. Traumatic Dental Injuries Prevalence and their Impact on Self-esteem among Adolescents in

India: A Comparative Study [Internet]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH.

2017. Available from: http://dx.doi.org/10.7860/jcdr/2017/27496.10510

27. Hasan AA, Qudeimat MA, Andersson L. Prevalence of traumatic dental injuries in preschool children in

Kuwait - a screening study [Internet]. Vol. 26, Dental Traumatology. 2010. p. 346–50. Available from:

http://dx.doi.org/10.1111/j.1600-9657.2010.00891.x

28. Ramamoorthi S, Nivedhitha MS, Divyanand MJ. Comparative evaluation of postoperative pain after using

endodontic needle and EndoActivator during root canal irrigation: A randomised controlled trial. Aust

Endod J. 2015 Aug;41(2):78–87.

29. Ramanathan S, Solete P. Cone-beam Computed Tomography Evaluation of Root Canal Preparation using

Various Rotary Instruments: An in vitro Study [Internet]. Vol. 16, The Journal of Contemporary Dental

Practice. 2015. p. 869–72. Available from: http://dx.doi.org/10.5005/jp-journals-10024-1773

30. Noor SSSE, S Syed Shihaab, Pradeep. Chlorhexidine: Its properties and effects [Internet]. Vol. 9,

Research Journal of Pharmacy and Technology. 2016. p. 1755. Available from:

http://dx.doi.org/10.5958/0974-360x.2016.00353.x

31. Baskran RNR, Pradeep S. Recent advancement of local anasthesia advancement to recent advancement of

local anaesthesia administration [Internet]. Vol. 9, Research Journal of Pharmacy and Technology. 2016.

p. 1761. Available from: http://dx.doi.org/10.5958/0974-360x.2016.00354.1

32. Ojeda-Gutierrez F, Martinez-Marquez B, Arteaga-Larios S, Socorro Ruiz-Rodriguez M, Pozos-Guillen A.

Management and Followup of Complicated Crown Fractures in Young Patients Treated with Partial

Pulpotomy [Internet]. Vol. 2013, Case Reports in Dentistry. 2013. p. 1–5. Available from:

http://dx.doi.org/10.1155/2013/597563

33. Krishna A, Malur MH, Swapna DV, Benjamin S, Deepak CA. Traumatic dental injury-an enigma for

adolescents: a series of case reports. Case Rep Dent. 2012 Nov 7;2012:756526.

34. Anand S, Hegde D, Yeluri R, Masih U, Yadav P, Kumar S. Comprehensive management of complicated

crown fracture in a 10-year-old child [Internet]. Vol. 2, International Journal of Pedodontic Rehabilitation.

2017. p. 46. Available from: http://dx.doi.org/10.4103/ijpr.ijpr_1_17

35. Upadhyay RS, Tanwar P. A Review on Bone Fracture Detection Techniques using Image Processing

[Internet]. 2019 International Conference on Intelligent Computing and Control Systems (ICCS). 2019.

Available from: http://dx.doi.org/10.1109/iccs45141.2019.9065874

36. Farhat Yaasmeen Sadique Basha, Rajeshkumar S, Lakshmi T, Anti-inflammatory activity of Myristica

fragrans extract . Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI:

https://doi.org/10.26452/ijrps.v10i4.1607

37. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: A review of the literature

[Internet]. Vol. 45, Australian Dental Journal. 2000. p. 2–9. Available from:

http://dx.doi.org/10.1111/j.1834-7819.2000.tb00234.x

Downloads

Published

29.02.2020

How to Cite

Harikrishnan, R., Ranjan, M., & Ganesh. S, B. (2020). PREVALENCE OF TRAUMATIC INJURIES CAUSING NON VITALITY OF TOOTH LEADING TO ROOT CANAL TREATMENT - A RETROSPECTIVE ANALYSIS. International Journal of Psychosocial Rehabilitation, 24(1), 7075-7086. https://doi.org/10.61841/nzzft003