目的:外侧脱位损伤是一种外伤性牙齿损伤,其中牙齿向腭/舌或唇方向移位。这种损伤在儿童中很常见,可导致牙髓管闭塞或牙髓坏死。这项系统评价的目的是收集有关未成熟牙齿外侧脱位损伤的现有数据,以评估其总体预后。
方法:使用Medline进行了系统搜索,Pubmed,Scopus,丁香花,EMBASE和Cochrane数据库于2017年10月发布。还手工搜索了参考文献列表以鉴定其他文献。纳入前瞻性和回顾性观察性研究。共筛选了502篇文章,其中6篇被纳入研究。
结果:牙髓管闭塞是未成熟牙齿侧脱位最常见的并发症(31.3%)。其次是牙髓坏死(17.5%),炎性再吸收(5.7%),和表面吸收(3.2%)。由于研究的异质性,未尝试进行荟萃分析.研究中报告的结果差异很大。
结论:由于目前的研究是回顾性或前瞻性队列研究,因此很难准确评估外伤性牙齿损伤的预后。侧向脱位是一种常见的外伤性牙齿损伤,对患者来说是终身关注的问题。对于未来的研究来说,重要的是报告相同的结果,以提高有关预后和治疗干预的证据质量。不仅是侧面脱位伤,但对于所有的牙齿外伤.
OBJECTIVE: Lateral luxation injuries are a type of traumatic dental injury in which the tooth becomes displaced in the palatal/lingual or labial direction. This injury is common among children and can result in pulp canal
obliteration or pulp necrosis. The objective of this systematic
review was to gather existing data on lateral luxation injuries to immature teeth to evaluate their overall prognosis.
METHODS: A systematic search was conducted using Medline, Pubmed, Scopus, Lilacs, EMBASE and Cochrane databases in October 2017. Reference lists were also hand-searched to identify additional literature. Prospective and retrospective observational studies were included. A total of 502 articles were screened and six articles were included in the study.
RESULTS: Pulp canal
obliteration was the most frequent complication of immature teeth with lateral luxation (31.3%). This was followed by pulp necrosis (17.5%), inflammatory resorption (5.7%), and surface resorption (3.2%). Due to the heterogeneity of the studies, a meta-analysis was not attempted. There was great variation in the reported outcomes among the studies.
CONCLUSIONS: Accurate prognosis evaluation of traumatic dental injuries is difficult due to the nature of current studies being retrospective or prospective cohort studies. Lateral luxation is a common traumatic dental injury and has life-long concerns for a patient. It is important for future studies to report on the same outcomes to increase the quality of evidence regarding prognosis and treatment interventions, not only for lateral luxation injuries, but for all traumatic dental injuries.