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Knowledge, attitudes and practices of orthodontists regarding orthodontic treatment of traumatized teeth: a systematic review

Evidence-Based Dentistry volume 26, pages 154–155 (2025)Cite this article

Subjects

Abstract

Purpose

To assess the global status of the knowledge, attitudes, and practices of orthodontists regarding the orthodontic treatment of traumatized teeth.

Methods

An a priori protocol was developed and registered (PROSPERO, CRD42022342038). The literature search based on the Population, Intervention, Comparator, and Outcome (PICO) elements of the research question was developed and conducted electronically in PubMed, LILACS, Web of Science, EMBASE, Scopus, and the Cochrane Library, up to 31st August 2024. Gray literature and reference searches were also performed. Titles and abstracts were screened, and later, full-text articles were identified. Data extraction and analysis were performed, and the risk of bias was analyzed via the Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional analytical studies. The data was synthesized in form of tables and interpretation was performed.

Results

From a total of 1272 articles initially identified, six studies qualified for the final synthesis. The awareness of orthodontic treatment of teeth with root fractures, crown fractures, crown‒root fractures, mild and severe injury to the periodontium, and teeth managed by revascularization and root canal treatment was found to be less than 40% in most of the studies. Awareness regarding the risk of resorption in teeth with external inflammatory root resorption and avoiding forces on teeth with ankylosis was greater than 90%. The risk of bias was found to be low in three studies.

Conclusions

The knowledge of orthodontists regarding most aspects of orthodontic management of traumatized teeth was found to be low or inadequate. There are wide variations in the protocols preferred, which differ from contemporary recommendations and evidence.

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The data has been provided as annexures.

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Author information

Authors and Affiliations

  1. PhD Student, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark

    Sukeshana Srivastav

  2. Additional Professor, Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India

    Nitesh Tewari

  3. Assistant Professor, Department of Pediatric and Preventive Dentistry, Z A Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

    Mohammad Atif

  4. Associate Professor and Head, Division of Orthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland

    Gregory S. Antonarakis

  5. Principal, Professor and Head, Department of Orthodontics, Kantipur Dental College, Kathmandu, Nepal

    Rabindra Man Shrestha

  6. Additional Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

    Partha Haldar

Authors
  1. Sukeshana Srivastav
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  2. Nitesh Tewari
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  3. Mohammad Atif
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  4. Gregory S. Antonarakis
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  5. Rabindra Man Shrestha
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  6. Partha Haldar
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Contributions

The idea was conceptualized by SS and NT. The team comprising all the co-authors designed the protocol and the methods of the study. The review of the literature was conducted by NT, and SS supervised by GA. The steps of study were conducted by MA and SS and supervised by RMS. Interpretation was performed by all the authors and co-authors. The initial draft of the manuscript was prepared by SS and MA. It was revised by all the authors.

Corresponding author

Correspondence to Nitesh Tewari.

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The authors declare no competing interests.

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Srivastav, S., Tewari, N., Atif, M. et al. Knowledge, attitudes and practices of orthodontists regarding orthodontic treatment of traumatized teeth: a systematic review. Evid Based Dent 26, 154–155 (2025). https://doi.org/10.1038/s41432-025-01166-z

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