A literature critical review of current post-trauma guidelines in the primary dentition

Abstract

The optimal healing of the injured tissues depends on several factors, including the post trauma orientations. For this reason, the objective of this study was to perform a critical analysis of the actual guidelines post-trauma on primary dentition. The search strategy was performed in August-September 2021, in MEDLINE/PubMed; SCOPUS; BVS; ProQuest; Science Direct under the terms DeCS/MeSH, within the last 5 years, without language restriction. Eleven articles were selected, and the following topics were analyzed: oral hygiene, antiseptics, medications, risk activity, diet/nutrition, sucking habits, complications, follow-up and associated sequelae. The use of soft brushes and alcohol-free chlorhexidine digluconate, limitation of medication prescription, soft diet, suspension of sucking habits and post-traumatic sequelae in the permanent dentition were the main findings. It seems to be necessary studies verify the effectiveness of the actual post-trauma orientation and to standardize the instructions given after traumatic dental injuries (TDI) in the primary dentition with the aim of improving the short -and long- term prognosis.

Keywords

• Tooth injuries
• Primary tooth
• Child
• Pediatric dentistry