Role of periodontics in the treatment to traumatized teeth: a 4-year retrospective evaluation

Abstract

Treatment of dental trauma should be planned based on a multidisciplinary approach. It is known that the maintenance of oral health in these situations depends not only on the viability of dental tissues, but also on the periodontal damage occurred and the emergency therapeutic procedures performed. Aim: The purpose of this epidemiological retrospective study was to assess the periodontal involvement in traumatized teeth treated at the Piracicaba Dental School/,UNICAMP Dental Trauma Attendance Service (DTAS), during a period of 4 years. Methods: Clinical charts of patients (n=203) treated between 2006 and 2009 at DTAS were retrospectively analyzed. Results: A total of 295 traumatized teeth were assessed about history, type of dental trauma, and periodontal tissue damage detected during clinical and radiographic examination. Moreover, the treatment associated with periodontal damage resolution was also determined. Of the 295 traumatized teeth, 184 had periodontal damage (62.3%) and from this total, crown-root fractures with invasion of biological width were found in 42% of the cases, followed by bone injury (30%). Regarding the periodontal treatment performed, periodontal surgery to re-establish the biological width prevailed between procedures with 39% of the cases. Conclusions: It could be concluded that Periodontics has an essential role in the multidisciplinary approach for the treatment of traumatized patients and that the conjunct work is important to re-establish the overall oral health.