{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:45:22Z","timestamp":1791783922097,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Infant oral mutilation (IOM) is a traditional practice involving manipulation or removal of unerupted primary tooth buds during infancy. Although its developmental effects on the permanent dentition are well documented, the clinical presentation and management of affected teeth later in life remain insufficiently characterized. The aim of this study was to characterize the clinical and radiographic findings and documented management of IOM\u2010affected teeth in a clinically identified cohort of young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients with documented IOM identified from institutional electronic dental records between 2010 and 2025. Potential cases were reviewed by four dental clinicians, and inclusion required consensus among all four reviewers. Demographic, clinical, radiographic, and management data were extracted from existing records, with the first encounter at the specialist dental clinic defined as the index encounter. Analyses were performed primarily at the tooth level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty patients with 58 IOM\u2010affected teeth were included (mean age, 21.5\u2009\u00b1\u20092.8\u2009years; 38% female). A negative response to pulp sensibility testing was documented in 40 of 57 teeth with available data (70%). Spontaneous pain, localized swelling, and sinus tract were all documented as absent in 28 of 58 teeth (48%). Management data were available for 52 teeth; documented management included root canal treatment (RCT) in 32 (62%), extraction in 7 (13%), biopsy in 3 (5.8%), follow\u2010up in 6 (12%), and no treatment in 4 (7.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this clinically identified cohort of young adults with IOM, affected teeth showed a range of late clinical manifestations, including frequent negative pulp sensibility responses, and many had documented dental management, most commonly RCT. Nearly half had spontaneous pain, localized swelling, and sinus tract all documented as absent at the index encounter. These findings characterize the clinical presentation and documented management of IOM\u2010affected teeth in young adulthood.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.70146","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:59:11Z","timestamp":1791781151000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Late Clinical Manifestations and Documented Management of Infant Oral Mutilation"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3733-084X","authenticated-orcid":false,"given":"Talia","family":"Becker","sequence":"first","affiliation":[{"name":"Department of Oral Medicine Israel Defense Forces Medical Corps  Tel Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa Revivo","family":"Tuchner","sequence":"additional","affiliation":[{"name":"Department of Endodontics Israel Defense Forces Medical Corps  Tel Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4650-8188","authenticated-orcid":false,"given":"Revital","family":"Hailu","sequence":"additional","affiliation":[{"name":"Department of Endodontics Israel Defense Forces Medical Corps  Tel Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadas","family":"Azizi","sequence":"additional","affiliation":[{"name":"Department of Endodontics Israel Defense Forces Medical Corps  Tel Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"issue":"12","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1038\/s41415-022-5317-0","article-title":"Infant Oral Mutilation: Data Collection, Clinical Management and Public Health Guidelines","volume":"233","author":"Anjum Z.","year":"2022","journal-title":"British Dental Journal"},{"issue":"3","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.identj.2023.11.012","article-title":"The Prevalence, Dental Complications, and Effects of Infant Oral Mutilation","volume":"74","author":"Spang D.","year":"2024","journal-title":"International Dental Journal"},{"issue":"3","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/ipd.12063","article-title":"Infant Dental Enucleation in an East African Population in Sweden: A Cross\u2010Sectional Study on Dental Records","volume":"24","author":"Barzangi J.","year":"2014","journal-title":"International Journal of Paediatric Dentistry"},{"issue":"1","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/ccd.ccd_319_20","article-title":"A Fatal Case of Infant Oral Mutilation Practice","volume":"12","author":"Kemoli A. M.","year":"2021","journal-title":"Contemporary Clinical Dentistry"},{"issue":"6","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1038\/s41415-021-3456-3","article-title":"Long\u2010Term Dental Implications of Infant Oral Mutilation: A Case Series","volume":"231","author":"Dinur N.","year":"2021","journal-title":"British Dental Journal"},{"issue":"1","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1186\/s12903-019-0890-6","article-title":"Prevalence and Dental Effects of Infant Oral Mutilation or Ebiino Among 3\u20105 Year\u2010Old Children From a Rural District in Uganda","volume":"19","author":"Musinguzi N.","year":"2019","journal-title":"BMC Oral Health"},{"issue":"7","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1038\/sj.bdj.2016.264","article-title":"Infant Oral Mutilation \u2010 a Child Protection Issue?","volume":"220","author":"Girgis S.","year":"2016","journal-title":"British Dental Journal"},{"issue":"3","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1111\/ipd.13063","article-title":"Traumatic Effects of Infant Oral Mutilation on Odontogenesis: A Case Report","volume":"33","author":"Zachariadou C.","year":"2023","journal-title":"International Journal of Paediatric Dentistry"},{"issue":"2","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"754","DOI":"10.3390\/ijerph19020754","article-title":"Developmental Dental Defects in Permanent Teeth Resulting From Trauma in Primary Dentition: A Systematic Review","volume":"19","author":"Caeiro\u2010Villasen\u00edn L.","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"12","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.joen.2019.05.006","article-title":"How Does Orofacial Trauma in Children Affect the Developing Dentition? Long\u2010Term Treatment and Associated Complications","volume":"45","author":"Flores M. T.","year":"2019","journal-title":"Journal of Endodontics"},{"issue":"12","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1038\/sj.bdj.2010.1137","article-title":"Infant Oral Mutilation","volume":"209","author":"Longhurst R.","year":"2010","journal-title":"British Dental Journal"},{"issue":"2","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/edt.12728","article-title":"Odontoma Malformation and Disturbances of Eruption Subsequent to Traumatic Dental Injuries: A Literature Review and a Case Report","volume":"38","author":"Silva D. R.","year":"2022","journal-title":"Dental Traumatology"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:59:12Z","timestamp":1791781152000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":12,"alternative-id":["10.1111\/edt.70146"],"URL":"https:\/\/doi.org\/10.1111\/edt.70146","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"assertion":[{"value":"2026-09-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"edt.70146"}}