Effect of root canal infection and treatment of traumatized primary incisors on their permanent successors.
The purpose of the present retrospective study was to evaluate the effect of trauma, root canal infection and treatment of non-vital primary incisors on their permanent successors. A total of 117 permanent central incisors were examined clinically and radiographically for the presence of discolorations, hypoplasia, or disturbances in root development. Of these, 29 were succedaneous to traumatized, endodontically involved and treated primary incisors (Group A). Another 29 had their traumatized, endodontically involved, primary predecessors extracted or left untreated (Group B). The remaining 59 incisors were intact and had no history of trauma (Group C). Severe hypoplasia could not be observed in any of the teeth, and no disturbances in root development could be disclosed radiographically. The incidence of defects in Groups B and C was similar, whereas in Group A it was 2 or 3 times higher than in each of the other two groups. Despite this fact, root canal treatment of traumatized non-vital primary incisors should be considered a treatment option, as premature extraction of a primary incisor may lead to speech problems, premature eruption and/or malalignment of the permanent successor, or affect the child's self image.
Holan
G
G
The Hebrew University, Jerusalem, Israel.
Topf
J
J
Fuks
A B
AB
D016009:Chi-Square Distribution; D002648:Child; D003744:Dental Enamel Hypoplasia / Q000209:etiology; D003790:Dental Pulp Necrosis / Q000150:complications; D006801:Humans; D007180:Incisor / Q000293:injuries*; D012189:Retrospective Studies; D012390:Root Canal Therapy / Q000009:adverse effects*; D014084:Tooth Avulsion / Q000150:complications*; D014076:Tooth Diseases / Q000209:etiology*; D014092:Tooth Root / Q000254:growth & development; D014094:Tooth, Deciduous / Q000293:injuries*; D014947:Wounds and Injuries / Q000150:complications