Treatments for intrusive luxation in permanent teeth: a systematic review and meta-analysis

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• 作者：L.A. Costa¹ ; ^{lu_artioli@hotmail.com} ; C.C.C. Ribeiro² ; L.M. Cantanhede² ; J.F. Santiago Jú ; nior³ ; M.R. de Mendonç ; a¹ ; A.L.P. Pereira²
• 关键词：tooth injuries ; dental trauma ; dentition ; permanent ; meta-analysis
• 刊名：International Journal of Oral and Maxillofacial Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：46
• 期：2
• 页码：214-229
• 全文大小：3051 K
• 卷排序：46

文摘

Intrusive luxation is a severe form of dental trauma and there is no consensus regarding its management for permanent teeth. A systematic review and meta-analysis was performed to identify the appropriate treatment for teeth with intrusive luxation. The PubMed/MEDLINE, Embase, US Clinical Trials, and ISRCTN Registry electronic databases were used to search for articles in English and unpublished studies without a date limit. Eligible studies evaluated periodontal results (root resorption as the primary outcome; marginal bone defects and/or pulpal changes as secondary outcomes) after spontaneous re-eruption (SRE), orthodontic repositioning (ORP), or surgical repositioning (SRP) for patients with one or more traumatically intruded permanent teeth. Risk ratios with 95% confidence intervals were used to compare treatments. The meta-analysis revealed no significant difference (P > 0.05) between SRP and SRE for root resorption. For secondary outcomes, SRE was significantly better than SRP and ORP (P < 0.05). Subgroup analyses showed no significant differences among treatments in teeth with completely formed roots (P > 0.05) and a better prognosis when SRE was performed in teeth with incompletely formed roots (P < 0.05). The available evidence does not allow us to conclude on the best treatment for traumatically intruded teeth. More reliable evidence is needed.