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Knowledge of orthodontic treatment approach of traumatized teeth by a group of Belgian general dentists, pediatric dentists, and orthodontists.

Authors
  • Van Gorp, Gertrude1
  • Bormans, Naomi2
  • Vanham, Ingrid2
  • Willems, Guy3
  • Declerck, Dominique1
  • 1 KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Leuven, Belgium. , (Belgium)
  • 2 KU Leuven Master in Dentistry, Leuven, Belgium. , (Belgium)
  • 3 KU Leuven Department of Oral Health Sciences Orthodontics, KULeuven and Dentistry, UHLeuven, Leuven, Belgium. , (Belgium)
Type
Published Article
Journal
Dental traumatology : official publication of International Association for Dental Traumatology
Publication Date
Oct 01, 2019
Volume
35
Issue
4-5
Pages
233–240
Identifiers
DOI: 10.1111/edt.12474
PMID: 30963684
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Traumatized teeth are more susceptible to complications during orthodontic tooth movement. The aim of this study was to explore current practices among Belgian dental practitioners regarding orthodontic treatment of children with a history of dental trauma. A questionnaire survey was organized among general dentists, pediatric dentists, and orthodontists in Flanders (Belgium). Questionnaires were distributed at the occasions of annual meetings or symposia. They consisted of questions regarding exposure to dental trauma and orthodontic treatment approach for patients with a dental trauma history. The questionnaire was completed by 121 general dentists, 47 pediatric dentists, and 99 orthodontists. A history of dental trauma influenced referral for orthodontic treatment by general dentists and pediatric dentists moderately (median VAS scores of 5 and 6, respectively, on a scale of 0 (not at all) to 10 (utmost)), indicating uncertainty and doubt. Additional checkups during tooth movement were usually not organized by general dentists in 33.6% and by pediatric dentists in 19.1% of cases (P = 0.006). One-third of the orthodontists (33.3%) experienced tooth loss linked to orthodontic movement of a tooth with dental trauma history in at least one patient. Only a minority of the practitioners knew of the existence of specific guidelines (7.6%, 15.6% and 22.7%, respectively, of general dentists, pediatric dentists, and orthodontists) (P = 0.007). The Dental Trauma Guide was the guideline mentioned most frequently, although this tool does not contain recommendations regarding orthodontic treatment after trauma. In the group of Belgian general dental, pediatric and orthodontists surveyed, there was uncertainty regarding the orthodontic management of patients with a history of dental trauma especially among general practitioners. Further educational training is recommended. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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