Prognóstico clínico de incisivos permanentes avulsionados e reimplantados devido a trauma facial acidental em crianças

Zildenilson  da Silva Sousa; Natanael Carvalho de Mesquita; Priscila Amábile Grangeiro da Silva; Maria da Conceição Freitas da Costa; Maria Ocileide de Araújo; Moyses Matias Mateus

doi:10.47990/sr7z2x34

Autores

Zildenilson da Silva Sousa Centro Universitário Maurício de Nassau https://orcid.org/0000-0002-2707-6123
Natanael Carvalho de Mesquita Centro Universitário Fametro. Fortaleza, Ceará https://orcid.org/0000-0003-0219-6986
Priscila Amábile Grangeiro da Silva Centro Universitário Fametro. Fortaleza, Ceará https://orcid.org/0009-0002-2533-1423
Maria da Conceição Freitas da Costa Centro Universitário Fametro. Fortaleza, Ceará https://orcid.org/0000-0002-9964-1961
Maria Ocileide de Araújo Centro Universitário Maurício de Nassau. Fortaleza, Ceará https://orcid.org/0000-0001-6760-6478
Moyses Matias Mateus Centro Universitário Maurício de Nassau. Fortaleza, Ceará, https://orcid.org/0000-0002-7204-8180

DOI:

https://doi.org/10.47990/sr7z2x34

Palavras-chave:

avulsão dentária, reimplante dentário, prognóstico, anquilose

Resumo

A avulsão dentária permanente causada por trauma facial acidental em pacientes infantis pode ter incidência variando de 0,5% a 3% em dentes anteriores. Este estudo teve como objetivo examinar as evidências disponíveis sobre o prognóstico clínico de incisivos permanentes reimplantados devido a trauma facial acidental em crianças menores de 12 anos de idade. A análise foi realizada seguindo a abordagem metodológica do PRISMA-ScR e do Joanna Briggs Institute (JBI). Dois pesquisadores da equipe realizarão uma busca independente nas bases de dados PubMed/MEDLINE, Web of Science e LILACS, utilizando combinações de descritores de saúde interligados por meio de “ e/ou” . Para estudos tabulados publicados no idioma inglês no intervalo de 10 anos (2013 a 2023), com auxílio do gerenciador de referências EndNote. Ao todo, 25 relatos de casos e 1 série de casos selecionada. A reabsorção inflamatória e a reabsorção por substituições estão presentes em dentes permanentes reimplantados após período de avulsão de 60 minutos e armados em água (H₂O) ou em ambiente seco (50%; 13 casos), exceto anquilose (26,93%; n =7 casos) contribuindo para um prognóstico clínico desfavorável. Um total de 9 casos demonstraram-se assintomáticos num acompanhamento variável entre 1 e 10 anos. Concluindo, reabsorção e anquiloses demonstram alta prevalência em incisivos permanentes avulsionados e reimplantados por trauma facial acidental em crianças, gerando prognóstico clínico desfavorável em um acompanhamento médio de 5 anos e 5 meses.

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