{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T16:56:01Z","timestamp":1793897761969,"version":"4.8.0"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/aim<\/jats:title>\n                    <jats:p>The overall prognosis for teeth that have suffered concussion and\/or subluxation is not yet known. The aim of this study was to systematically review the literature to identify the incidence of sequelae or complications associated with concussion and subluxation of permanent teeth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four databases were used as follows: PubMed, Web of Science, Scopus, and Lilacs. The search for studies was carried out up to March 31, 2019, to identify studies evaluating patients diagnosed with dental trauma classified as concussion or subluxation and reporting their respective sequelae and\/or complications. No restrictions were made for gender, follow\u2010up period, and the year of publication or language. The selection of studies and data extraction were carried out independently by two researchers. The studies were grouped according to the type of trauma. A random\u2010effect model was applied to calculate the pooled odds ratios (OR) and their respective 95% confidence intervals for each type of trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen articles were included in the systematic review, and six were included in the meta\u2010analysis. The pooled incidence of unfavorable outcomes (any sequel or complication) in teeth with concussion was 12% by the end of 1\u00a0year of follow up (0.12; CI95% 0.00\u20100.26). The pooled incidence of unfavorable outcomes in teeth with subluxation was 18% (0.18; CI95 % 0.07\u20100.29) by the end of 1\u00a0year of follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Concussion and subluxation showed sequelae and\/or complications by the end of 1\u00a0year, including pulp necrosis. Patients who have suffered mild supportive tissue injuries should be monitored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.12588","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T17:52:02Z","timestamp":1597341122000},"page":"557-567","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Complications and sequelae of concussion and subluxation in permanent teeth: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"36","author":[{"given":"Rodrigo Moreira","family":"Darley","sequence":"first","affiliation":[{"name":"School of Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Fernandes e Silva","sequence":"additional","affiliation":[{"name":"Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9558-937X","authenticated-orcid":false,"given":"Francine dos Santos","family":"Costa","sequence":"additional","affiliation":[{"name":"Center for Biological and Health Sciences University of Vale do Taquari \u2010 Univates Lajeado Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina Braga","family":"Xavier","sequence":"additional","affiliation":[{"name":"Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fl\u00e1vio Fernando","family":"Demarco","sequence":"additional","affiliation":[{"name":"Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"10","volume-title":"Traumatic Dental Injuries: A Manual","author":"Andreasen JO","year":"2011"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12389"},{"key":"e_1_2_7_4_1","first-page":"102","article-title":"Epidemiology of traumatic dental injuries","volume":"35","author":"Andersson L","year":"2013","journal-title":"Pediatr Dent"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1985.tb00583.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12395"},{"key":"e_1_2_7_7_1","first-page":"443","volume-title":"Textbook and Color Atlas of Traumatic Injuries to the Teeth","author":"Andreasen FM","year":"2018"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2008.00696.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2011.01103.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2009.06.004"},{"key":"e_1_2_7_11_1","first-page":"661","article-title":"Obliteration of pulp canal space after concussion and subluxation: Endodontic considerations","volume":"33","author":"Cleen M","year":"2002","journal-title":"Quintessence Int"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2012.01165.x"},{"key":"e_1_2_7_13_1","first-page":"123","article-title":"The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence","volume":"3","author":"Munn Z","year":"2014","journal-title":"Int J Health Plan M"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2011.01102.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2011.01101.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2010.00924.x"},{"key":"e_1_2_7_17_1","first-page":"273","article-title":"Luxation of permanent teeth due to trauma. A clinical and radiographic follow\u2010up study of 189 injured teeth","volume":"78","author":"Andreasen JO","year":"1970","journal-title":"Scand J Dent Res"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1991.tb00436.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01757.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1987.tb00638.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1987.tb00611.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.4103\/ejd.ejd_85_17"},{"key":"e_1_2_7_23_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/1678-7757-2017-0287","article-title":"Evaluation of cases of concussion and subluxation in the permanent dentition: A retrospective study","volume":"26","author":"Pedrini D","year":"2018","journal-title":"J Appl Oral Sci"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-4469.2004.00218.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-7-11"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1985.tb00651.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12407"},{"key":"e_1_2_7_28_1","first-page":"194","article-title":"The prevalence of traumatic dental injuries: a 24\u2010month survey","volume":"74","author":"Shayegan A","year":"2007","journal-title":"J Dent Child"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2005.00330.x"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12199"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12415"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-02976-z"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12588","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.12588","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12588","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:56:33Z","timestamp":1776063393000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.12588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,9]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/edt.12588"],"URL":"https:\/\/doi.org\/10.1111\/edt.12588","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,9]]},"assertion":[{"value":"2019-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}