Open research questions in Dental Trauma and Treatments
92 unresolved questions extracted from the limitations and future-work sections of 2,404 Dental Trauma and Treatments papers in our library. Each links back to the study that raised it.
What the literature leaves open
Future research should focus on prospective long-term studies of orthodontic treatment in RET- or apexified immature teeth, CBCT-based root volume analyses, patient-centred outcome measures, and standardised monitoring protocols to strengthen the evidence base.
Orthodontic treatment in immature teeth: A contemporary review of endodontic, periodontal, and biomechanical aspects · 2026 · DOIExisting studies are limited by small sample sizes, short follow-ups, and variable reporting on injury outcomes.
Sports mouthguards and orthodontics: Current evidence and clinical perspectives - a narrative review · 2026 · DOIThe success outcome is attributed substantially to patient compliance, oral hygiene protocols, and minimally invasive surgical procedures, yet the paper does not establish which specific surgical technique variables (e.g., replantation site preparation, socket conditioning, suture type, repositioning force) most critically influence healing outcomes in 180° rotation replantation.
Management of a complicated crown root fractured tooth via intentional replantation with 180° rotation: a 4-year case report · 2026 · DOIThe paper compares two different root canal treatment timing protocols (treatment before versus after replantation) but does not provide quantitative comparative data on healing outcomes, periapical status, or periodontal healing rates between these two approaches in crown-root fractured teeth specifically.
Management of a complicated crown root fractured tooth via intentional replantation with 180° rotation: a 4-year case report · 2026 · DOIThe paper notes that replanted teeth tend to stabilize at approximately 48 months post-operation, yet this patient's 4-year follow-up represents a single observation point. Long-term longitudinal studies tracking ankylosis, root resorption, and bone loss progression beyond 48 months in teeth treated with 180° rotation intentional replantation are absent from the literature.
Management of a complicated crown root fractured tooth via intentional replantation with 180° rotation: a 4-year case report · 2026 · DOIThe paper acknowledges that as a single case report, the findings are not generalizable, and the success of 180° rotation intentional replantation is highly dependent on strict case selection criteria. Comparative studies examining intentional replantation outcomes across different patient age groups, developmental stages, and specific crown-root fracture classifications are needed to establish evidence-based case selection protocols.
Management of a complicated crown root fractured tooth via intentional replantation with 180° rotation: a 4-year case report · 2026 · DOIFuture research should include longer-term follow-up studies extending beyond 6-12 months to evaluate late-stage bone remodeling and long-term stability of maxillary arch width in closed reduction techniques using palatal splints.
Closed reduction of midline palatal fracture using a palatal acrylic splint and interdental wiring: case report · 2026 · DOIThe relatively short follow-up period is a notable limitation; while immediate structural integrity and functional recovery were confirmed, the absence of long-term follow-up precludes a comprehensive assessment of late-stage bone remodeling and the enduring stability of the maxillary arch width over several years.
Closed reduction of midline palatal fracture using a palatal acrylic splint and interdental wiring: case report · 2026 · DOIDuring that period, a major paucity existed for the question of “what is the prevalence of TDIs in India?” This was interesting because there was only one survey done for the entire country in 2003 by the Dental Council of India with no standardized system of classification used.
However, subdisciplinary investigations of intradisciplinary (within the same discipline) variations of move structures in dentistry RA abstracts are lacking.
A MOVE STRUCTURE MODEL FOR DENTISTRY RESEARCH ARTICLE ABSTRACTS: A GENRE-BASED STUDY OF VARIATIONS AND SIMILARITIES IN EIGHT DENTISTRY SUBDISCIPLINES · 2021 · DOIBACKGROUND/AIMS: There is a lack of data regarding the influence of different laminates for mouthguard reinforcement in the mechanical response during an impact in the orofacial region.
Biomechanical Analysis of a Custom-Made Mouthguard Reinforced With Different Elastic Modulus Laminates During a Simulated Maxillofacial Trauma · 2020 · DOICONCLUSION: Within the limitations of this study, traumatised teeth treated using RET showed no significant root lengthening, however, acceptable periapical healing, slow thickening of root dentinal walls, and rapid development of apical closure were evident over a period of 43 months.
Revitalisation endodontic treatment of traumatised immature teeth: a prospective long-term clinical study · 2019 · DOIWhile adhesive bonding techniques to enamel surfaces in patients with AI feature merely limited predictability and longevity and as the available data is scarce, further laboratory and clinical studies should be performed to investigate the performance of minimally invasive indirect restorations bonded to enamel in patients with AI.
EnglishIntroduction: According to the scientific literature, traumatic dental injury is considered to be one of the most under-researched topics dentistry.
¿De que evidencia disponemos en traumatología dentaria?: Estudio bibliométrico · 2017Conclusion: All available subjective methods, except for AIEL method did not have scientific evidence, lacking validation in any country, and requiring proof of methodology.
Critical analysis of methodologies for valuation of esthetic damage and the forensic application in Brazil · 2017 · DOIAlthough evidence from two RCTs suggests that coronectomy can reduce the risk of IAN injury compared to surgical removal of high-risk mandibular third molars, the quality of evidence is insufficient to provide definitive conclusions regarding the preferred technique.
Risk of inferior alveolar nerve injury with coronectomy vs surgical extraction of mandibular third molars—A comparison of two techniques and review of the literature · 2017 · DOIBACKGROUND/AIM: School is a place with a high frequency of dental trauma, and several studies have shown that teachers' knowledge in how to act during acute dental emergencies is lacking.
Traumatic dental injury in permanent teeth: knowledge and management in a group of Brazilian school teachers · 2015 · DOIBACKGROUND: Invasive cervical resorption (ICR) is not well understood by the professional, being misdiagnosed, leading to inappropriate treatment and unnecessary loss of tooth.
BACKGROUND/AIM: Several reports have been published during the past decades showing a lack of care of traumatic dental injuries (TDIs) as well as dentists and lay people having insufficient knowledge on how to manage TDIs.
Has the education of professional caregivers and lay people in dental trauma care failed? · 2009 · DOIThe majority of the children were transferred to the Dentistry Department either quite long after the avulsion incident and without the avulsed teeth, or with the avulsed teeth which were carried in an inappropriate transport medium, indicating that there is insufficient knowledge of adult people, especially the ones who are in daily contact with children, on how to provide first aid in cases of dental avulsion.
Although it has been shown in animal experiments that replanted teeth without splinting showed analogous healing outcomes compared to splinted teeth, the placement of a splint in dental trauma situations is warranted for medico-legal reasons, for the comfort of the patient, and for the avoidance of additional trauma during periodontal healing.
Various articles have described prostheses used to prevent SIB-related injuries to the oral tissues of patients who have developmental or medical problems, such as psychological problems, congenital syndromes or mental retardation; however, reports of oral SIB in individuals unaffected by the above conditions are scarce.
No agreement among practitioners when orthodontic treatment should be terminated; the general practitioners were conservative suggesting termination after 35% root loss.
Therefore, after detecting gaps in knowledge about first aid in the care of dental trauma, this study provided a training program and face-to-face updates for responders, to guarantee correct knowledge for health professionals about dental trauma.
Traditional imaging methods, such as periapical, occlusal, and panoramic radiographs, are limited by their two-dimensional nature, often necessitating larger flap elevations and greater bone removal, which increases surgical trauma.
Position indicating impaction guide: An innovative guided protocol in managing impacted teeth – A three-case pilot study · 2026 · DOI
Most-cited papers in Dental Trauma and Treatments
- Post Placement and Restoration of Endodontically Treated Teeth: A Literature Review · Journal of Endodontics · 2004 · 634 citations
- Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries – a review article · Dental Traumatology · 2002 · 254 citations
- Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth · Dental Traumatology · 2011 · 154 citations
- Critical review of some dogmas in prosthodontics · Journal of Prosthodontic Research · 2008 · 136 citations
- Endodontic management of traumatized permanent teeth: a comprehensive review · International Endodontic Journal · 2021 · 112 citations
- Autotransplantation of teeth with incomplete root formation: a systematic review and meta-analysis · Clinical Oral Investigations · 2018 · 111 citations
- Comparison of achieved and predicted crown movement in adults after 4 first premolar extraction treatment with Invisalign · American Journal of Orthodontics and Dentofacial Orthopedics · 2021 · 101 citations
- Guidelines for the evaluation and Management of traumatic dental injuries<sup>Editors Note</sup> · Dental Traumatology · 2001 · 98 citations
- Abfraction: separating fact from fiction · Australian Dental Journal · 2009 · 97 citations
- Assessment of artificial intelligence applications in responding to dental trauma · Dental Traumatology · 2024 · 80 citations
Most recent work
- Preschool and primary school teachers’ knowledge of emergency management of traumatic dental injuries: a cross-sectional study · Journal of Oral Science · 2026
- Tooth-level risk modeling and prediction of fixed orthodontic bracket bonding failure: a real-world retrospective cohort study · Head & Face Medicine · 2026
- Closed reduction of midline palatal fracture using a palatal acrylic splint and interdental wiring: case report · Oral Biology Research · 2026
- Long-term outcomes of two surgical protocols for the autotransplantation of mandibular third molars: a randomized controlled trial · Annals of Medicine & Surgery · 2026
- Management of a complicated crown root fractured tooth via intentional replantation with 180° rotation: a 4-year case report · Frontiers in Dental Medicine · 2026
- Comparative evaluation of the efficacy of human placental extract gel with metronidazole gel as a gingival wound healing agent following Erich arch bar placement: An in vivo study · Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology · 2026
- Ankylosis and external root resorption following intentional replantation using intermittent oxygenation technique: a Bayesian observational study · Clinical Oral Investigations · 2026
- Sports mouthguards and orthodontics: Current evidence and clinical perspectives - a narrative review · South Asian Journal of Health Sciences · 2026
- Control de autotrasplante de premolar a central con 23 años de evolución mediante odontología digital · LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades · 2026
- MECHANICAL INJURIES OF TEETH: ETIOLOGY, CLINICAL FORMS AND MODERN TREATMENT METHODS · Zenodo (CERN European Organization for Nuclear Research) · 2026
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