{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:50:52Z","timestamp":1791298252437,"version":"4.1.0"},"reference-count":41,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"MINEDUC-UA","award":["ANT 22991"],"award-info":[{"award-number":["ANT 22991"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Traumatic dentoalveolar injuries (TDI) in children often require urgent stabilization using splints. Titanium trauma splints (TTS) represent a practical option; however, pediatric evidence from hospital-based emergency settings remains limited. This study describes the clinical and contextual characteristics of children treated with TTS and explores factors associated with early complications and splint stability. Materials and Methods: A retrospective observational cohort study was conducted at a Pediatric Dentistry Service, including children with TDI managed with TTS and followed for a minimum of three months. Clinical records were reviewed to collect demographic, contextual, and clinical variables. Early complications and the need for re-splinting were recorded, and associations between selected variables and outcomes were analyzed. Results: Seventy-three patients (64.4% male; mean age 10.29 \u00b1 2.99 years) and 127 traumatized teeth (98.4% permanent) were included. A predominance of school-based injuries was observed (52.1%). The most frequent injury types were subluxation (39.1%), avulsion (26.6%), and extrusion (16.4%). A longer interval between trauma and splint placement was associated with inflammatory root resorption (p = 0.011), although this finding should be interpreted with caution given the limited number of events. Mixed-dentition splints showed a higher likelihood of requiring re-splinting (OR = 12.23; 95% CI: 1.18\u2013126.60); however, this estimate was imprecise and should be interpreted as an exploratory signal. Overall, 90.4% of patients completed treatment with a single splint. Conclusions: Within the limitations of this retrospective observational cohort, TTS showed satisfactory short-term clinical stability in pediatric traumatic dental injuries. Longer time between trauma and splint placement was associated with inflammatory root resorption, while mixed-dentition splints emerged as a potential signal of increased re-splinting. These findings are exploratory and hypothesis-generating and require confirmation in future studies.<\/jats:p>","DOI":"10.3390\/medicina62061146","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:53:10Z","timestamp":1781247190000},"page":"1146","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Outcomes and Re-Splinting in Pediatric Dental Trauma Managed with Titanium Trauma Splints: Insights from a Hospital-Based Retrospective Study"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1156-0743","authenticated-orcid":false,"given":"Elvira","family":"Ferr\u00e9s-Amat","sequence":"first","affiliation":[{"name":"Service of Pediatric Dentistry, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"},{"name":"Pediatric Dentistry Department, Faculty of Dentistry, Universitat Internacional de Catalunya (UIC), 08195 Barcelona, Spain"},{"name":"Pediatric Dentistry Service, Institut Ferr\u00e9s Amat, 08021 Barcelona, Spain"},{"name":"Service of Oral and Maxillofacial Surgery, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6166-7515","authenticated-orcid":false,"given":"Sira","family":"Herrera-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Service of Pediatric Dentistry, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria, HM Hospitales, 08009 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"D\u00edaz-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Service of Pediatric Dentistry, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria, HM Hospitales, 08009 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Maura-Solivellas","sequence":"additional","affiliation":[{"name":"Service of Pediatric Dentistry, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria, HM Hospitales, 08009 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jesus","family":"Campillay","sequence":"additional","affiliation":[{"name":"Dentistry Department, Universidad de Antofagasta, Antofagasta 1270300, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7835-2001","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Valdivia-Gandur","sequence":"additional","affiliation":[{"name":"Biomedical Department, Faculty of Health Sciences, Universidad de Antofagasta, Antofagasta 1270300, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduard","family":"Ferr\u00e9s-Padr\u00f3","sequence":"additional","affiliation":[{"name":"Service of Oral and Maxillofacial Surgery, Hospital HM Nens, HM Hospitales, 08009 Barcelona, Spain"},{"name":"Service of Oral and Maxillofacial Surgery, Institut Ferr\u00e9s Amat, 08021 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/edt.12389","article-title":"World Traumatic Dental Injury Prevalence and Incidence: A Meta-Analysis\u2014One Billion Living People Have Had Traumatic Dental Injuries","volume":"34","author":"Petti","year":"2018","journal-title":"Dent. 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