Browsing by Author "Espinoza, Gerardo"
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Publication Guidelines for Emergency Management of TraumaticDental Injuries of the Chilean Ministry of Health(2025) Zaror, Carlos; Deana, Naira; Espinoza, Gerardo; Burdiles, Pamela; Mendoza, Carolina; Nahuelhual, Paula; Quiñelen, Eduardo; Flores, Marie; Abarca, Jaime; Aguilera, Raul; Aljaro, Maria; Alves, Nilton; Aguilera, Paola; Aravena, Yanela; Araya, Francisco; Arce, Monica; Brocal, Nadia; Buitrago, Diana; Carrasco, Alonso; Carvajal, Claudia; Ceballos, Francisco; Corral, Camila; Diaz, Jaime; Herrera, Paloma; Lorenzo, Moises; Lopez, Elizabeth; Muñoz, Loreto; Muñoz, Patricia; Neumann, Ignacio; Nuñez, Paulina; Parada, Patricio; Pineda, Patricia; Seiffert, Andrea; Sanchez, Barbara; Vargas, Verónica; Zuñigaz, BernarditaObjective: To provide the dental health team and patients with recommendations based on the best scientific evidenceavailable for the outpatient emergency management of people suffering from TDI. Methods: The Chilean Ministry of Health formed a multidisciplinary guideline panel balanced to minimize potential bias fromconflicts of interest. The Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Universidad deLa Frontera, supported the guideline‐development process, including evidence synthesis. The panel prioritized clinical ques-tions and outcomes according to their importance for clinicians and patients. We used the Grading of RecommendationsAssessment, Development and Evaluation (GRADE) approach, including GRADE Evidence‐to‐Decision frameworks. Recommendation: The panel agreed on 15 recommendations for outpatient management of TDIs, such as fractures, luxations andavulsions in primary and permanent dentition. Conditional recommendations for permanent teeth included performing partialpulpotomy with calcium hydroxide or bioceramic in complicated crown fractures, stabilizing with a rigid splint in cervical rootfracture, performing digital repositioning and splinting in lateral and extrusive luxation for more than 48 h, performing dentalreimplantation in avulsed teeth with extended extra‐oral time > 1 h, not treating the root surface and prescribe antibiotics in avulsedteeth. Conditional recommendations for primary teeth included performing just the extraction of the mobile fragment in complicatedcrown‐root fractures and not splint in teeth with subluxation, lateral or extrusive luxation. Conditional recommendations for the useof mouthwash with 0.12% chlorhexidine twice a day for a period of 7–14 days in people with TDIs and against prescribing antibioticsin people with crown fracture, intra‐alveolar root fracture or tooth luxation associated with trauma.