(PO83) A Retrospective Chart Review of Avulsion Injuries Treated at Virginia Commonwealth University

Abstract: The objective of this study was to identify characteristics associated with patients treated for avulsion injuries at Virginia Commonwealth University, as well as prognostic factors associated with the success and failure of avulsed teeth. Virginia Commonwealth University utilizes AxiUm software to record dental treatments and treatment notes. This study involved a keyword search using the terms 'avulsion,' 'avulsed,' and 'replanted.' Based on available patient encounters, a record review was conducted to determine details surrounding the injury. These details included the age of the patient at the time of injury, tooth number, time the tooth spent outside of the mouth, storage medium, length of time until treatment was provided, the treatment provided, as well as an observation of available follow-up appointments to evaluate outcomes. Data revealed the average age at the time of injury to be 17.1 years old, with maxillary central incisors being the most commonly subject to this injury. The stage of root development varied from incomplete formation with open apices to mature fully developed teeth. The mechanism of injury has been overwhelmingly a result of injuries sustained during sports. The management of avulsion injuries has shown to have a significant impact on the survival rate of avulsed teeth. Avulsion injuries require immediate and appropriate treatment by a dental professional. Increasing awareness of evidence-based management can lead to improvements in tooth survival rates following an avulsion injury.