Association between Trauma to Primary Incisors and Crown Alterations in Permanent Successors

Abstract

The aim of this study was to determine the prevalence of sequelae in permanent teeth that had their predecessors traumatized and investigate associated factors. The study was carried out with clinical and radiographic data from 137 patient charts of the Traumatized Patient Care Program, Federal University of Santa Catarina (Brazil), totalizing 253 teeth. Data were gathered on gender, age at the time of trauma, type of trauma, type of post-trauma sequelae, trauma recurrence and crown alteration in the permanent successors. No statistically significant associations were found between permanent successor's crown alteration and gender, age at the time of trauma, post-trauma sequelae or trauma recurrence (p>0.05). Significant associations were found between severe trauma (crown fracture with pulp exposure, lateral luxation, intrusion and extrusion) in the primary incisors and permanent successor's crown alteration (p<0.05). Multivariate analysis revealed an association between severe trauma to the primary incisors and permanent successor's crown alteration (OR: 4.1 - IC: 1.7-10.1). Alterations in the crown of permanent successors are associated with severe trauma to the primary incisors, as primary teeth affected by severe trauma have a fourfold greater chance of exhibiting permanent successor crown alteration in comparison to primary teeth that had minor trauma.