Dentoalveolar trauma in Glasgow: an audit of mechanism and injury

Journal of dentistry for children (Chicago, Ill.)

The aim of the present investigation was to assess the prevalence of dental traumatic injuries in children referred to Queen Fabiola Children's Hospital, Free University of Brussels, Belgium. This study was based on the clinical data of 457 traumatized teeth in 214 children. Most injuries involved 2 teeth (51%). Of these, maxillary central incisors were the most affected teeth (89%). The highest frequency of trauma occurred between 2 and 4 years of age. Falls were the most common cause of injury in both girls and boys. The most common type of injury in the primary and permanent teeth was subluxation. Gingival and mucosal laceration was the most common type of soft tissue lesion (61%). Only 42% of children came for dental treatment on the same day that they were injured.

Background: Traumatic dental injury (TDI) has become an important public health problem not only because their prevalence is high, but also because it has substantial impact on the child's quality of life. This study aimed to determine the prevalence and the causes of TDI among the children that attended the dental clinic of the University of Abuja Teaching Huspital (UATH) Methods. This was a prospective study of pediatric patients aged 1-16 years that visited the dental clinic of UATH over a period of 12 months. The data obtained included age, sex, causes of dental trauma, place of trauma, number of teeth affected, type of tooth, and type of tooth trauma. Traumatized teeth were classified using Garcia-Godoy's classification. Statistical analysis was carried out using SPSS version 20.0. Results. The overall TDI prevalence was 9.5%, higher in male than in female, 11.7 % and 7.5% respectively. The highest number of TDIs, 41(36.0%) occurred within the age group of 1-5 years and the least susceptible group was the 16-years age group, 6 (5.3%). Falls of various types accounted for 64 (56.0%) of causes of TDIs, followed by violence/assault 19 (16.7%), collision 15 (13.2%), RTA 7 (6.1%) sports 6 (5.3%), and biting on bone 1 (0.9%) while the cause of TDIs was unknown in 2 (1.8%) of the patients. TDIs from falls, violence/assaults and RTA were higher among males while injuries from sports and collision were commoner among females. The majority 104 (91.2%) of TDIs occurred either at home 45 (39.4%), in school 41 (36%) or in the street 18 (15.8%). The commonest injury in permanent dentition was enamel-dentine fracture without pulp exposure 23 (14.2%), while luxation was most frequent injury sustained in deciduous dentition 15 (9.2%). The majority of TDIs involved upper central incisors 129 (79.6%), and most children 73 (64%) had TDIs involving a single tooth. Conclusion. The prevalence of TDI among our study population was relatively low (9.5%), with a slightly higher prevalence among boys. The commonest cause was fall and majority occurred at home and in school with highest prevalence among the age group 1-5 years. There is need for oral health education and promotion on the causes and prevention of TDIs among parents and educators.

International journal of health sciences, 2021

Dental trauma is a significant public health problem because of its frequency, impact on economic productivity and quality of life. It is not a disease and no individual is ever at zero risk of sustaining these potentially life-changing injuries. The aim of this article was to review the literature on the prevalence, incidence, a etiology, prognosis and outcomes of dental trauma. The importance of standardized reporting, oral health policy, adjunctive research methods, prevention and education will also be discussed. Approximately one-third of children and toddlers (primary teeth) and one-fifth of adolescents and adults (permanent teeth) sustained a traumatic dental injury. The majority involved the maxillary central incisors, mainly from falls in toddlers at home and contact sport in adolescents.

MEDIS – International Journal of Medical Sciences and Research

Traumatic dental injuries are significant public health problem because of its frequency, impact on economic productivity and quality of life. It is not a disease and no individual is ever at zero risk of sustaining these potentially life-changing injuries. Traumatic dental injuries occur most frequently in children and young adults. Older adults also suffer from traumatic dental injuries but at significantly lower rates than individuals in the younger cohorts. Luxation injuries are the most common traumatic dental injuries in the primary dentition, whereas crown fractures are more commonly reported for the permanent teeth. Proper diagnosis, treatment planning and follow up are very important to assure a favorable outcome. The aim was to overview the etiology, prevalence and possible outcomes of dental trauma. An electronic search of Medline (PubMed), Cochrane, SSCI (Social Citation Index), SCI (Science Citation Index) databases from 2000 to the present, using the following search w...

Journal of endodontics, 2013

The oral region comprises 1% of the total body area, yet it accounts for 5% of all bodily injuries. In preschool children, oral injuries make up as much as 17% of all bodily injuries. The incidence of traumatic dental injuries is 1%-3%, and the prevalence is steady at 20%-30%. The annual cost of treatment is US $2-$5 million per 1 million inhabitants. Etiologic factors vary between countries and with age groups. Important public health implications such as how to best organize emergency dental care and how to prevent dental injuries, decrease cost, and increase lay knowledge are important factors needed to change epidemiologic data toward more favorable figures in the future.

Dental Traumatology, 2008

Applied Sciences

Our aim was to investigate the epidemiology of dental trauma (DT) injuries in primary teeth, a health hazard issue that is often neglected by the public health care system. The records of 298 children who attended the Unit of Dental Care for Special Needs Patients and Pediatric Dentistry, University of Bologna, Bologna, Italy and had suffered a DT between January 2011 and December 2021 were examined to assess age, gender, cause and place of the DT, type of lesion and teeth involved. The chi-squared test was used to compare categorical variables. A total of 265 children (89%) suffered a single trauma, and 33 (11%) suffered from repeated DT. A total of 511 teeth (mean 1.7 ± 0.5) experienced dental trauma. Most of the trauma occurred in the 2–3 years range (153 DT, 30%). The most affected teeth were the upper central incisors (n = 388; 76%). The DT involved periodontal tissue in 316 teeth (62%) and hard dental tissue in 262 cases (51%). DT in primary teeth is commonly caused by acciden...

Dental traumatology : official publication of International Association for Dental Traumatology, 2014

AimSome of the commonly encountered dental emergencies are traumatic dental injuries. The aim of this study was to evaluate traumatic dental injuries with regard to age, gender, etiology, classification of trauma, teeth involved, place of injury, and treatment received by patients who were referred over a 2-year period to the Istanbul University, Faculty of Dentistry, Clinics of Pedodontics, Istanbul, Turkey.Some of the commonly encountered dental emergencies are traumatic dental injuries. The aim of this study was to evaluate traumatic dental injuries with regard to age, gender, etiology, classification of trauma, teeth involved, place of injury, and treatment received by patients who were referred over a 2-year period to the Istanbul University, Faculty of Dentistry, Clinics of Pedodontics, Istanbul, Turkey.Materials and MethodsThe study was based on the clinical data of 154 patients (337 traumatized teeth). The children were examined clinically for dental injuries by the same investigator. The following information was recorded: age, gender, etiology, localization, place, number of injured teeth, type of trauma, type of tooth, time elapsed between injury and treatment, and treatment provided. Traumatized teeth were assessed according to the classification of the World Health Organization slightly modified.The study was based on the clinical data of 154 patients (337 traumatized teeth). The children were examined clinically for dental injuries by the same investigator. The following information was recorded: age, gender, etiology, localization, place, number of injured teeth, type of trauma, type of tooth, time elapsed between injury and treatment, and treatment provided. Traumatized teeth were assessed according to the classification of the World Health Organization slightly modified.ResultsA total of 154 patients aged 1–13 years presented a total of 337 traumatized teeth (255 permanent and 82 primary). 94 boys (61%) and 60 girls (39%) with a mean age of 7.91 ± 3.15 years participated in the study. Dental injuries were frequent in the 6–12 year age group. The most common type of dental injuries recorded was luxation injuries (43.3%), uncomplicated crown fractures (20.5%), and complicated crown fractures (19.4%). The main causes were falls (55.2%) and being struck by an object (22.1%). The most frequent treatment was examination only (31.8%).A total of 154 patients aged 1–13 years presented a total of 337 traumatized teeth (255 permanent and 82 primary). 94 boys (61%) and 60 girls (39%) with a mean age of 7.91 ± 3.15 years participated in the study. Dental injuries were frequent in the 6–12 year age group. The most common type of dental injuries recorded was luxation injuries (43.3%), uncomplicated crown fractures (20.5%), and complicated crown fractures (19.4%). The main causes were falls (55.2%) and being struck by an object (22.1%). The most frequent treatment was examination only (31.8%).ConclusionsIn childhood, a correct diagnosis may affect the management methods and prevent the occurrence of complications after treatment for traumatic dental injuries. Therefore, continuing education programs offering the latest updates in the management of traumatized teeth should be provided for dental and medical practitioners.In childhood, a correct diagnosis may affect the management methods and prevent the occurrence of complications after treatment for traumatic dental injuries. Therefore, continuing education programs offering the latest updates in the management of traumatized teeth should be provided for dental and medical practitioners.

IOSR Journals , 2019

Aims: The aims of the study were to assess the etiology and pattern of distribution of traumatic injuries to the teeth of 4 to 6 year old children reporting to tertiary dental setting, Kottayam and to compare the prevalence of these injuries between boys and girls. Methods: Study group was selected from the patients reporting with a history of acute dental trauma and in the age group of 4-6 years. A detailed history of all the patients who were willing to take part in the study was taken, followed by a thorough extra and intra oral examination by trained examiner using a mouth mirror and dental probe. Intra-examiner consistency was assessed by kappa values on tooth-by-tooth basis. The chi square test was used to analyze any gender and age differences. Children with chronic medical conditions or other disabilities were excluded. Results: Avulsion and mobility were the most prevalent, followed by crown fracture with only enamel involvement. Highly significant differences was found between boys and girls for avulsion of teeth and Crown fracture involving enamel, dentine (P<0.001). The commonest cause of injury was due to a fall (60%) and in 40% of cases, the injury occurred at home. Conclusions: The prevalence of traumatic injuries to the anterior teeth of the 4 to 6 year olds who took part in this study was very high. There is a need to run educational programmes to increase parents' awareness of the risks of dental trauma.