scholarly journals Soft palatal wound associated with dental avulsion: an exceptional consequence of a bovine horn blow in children

2020 ◽  
Vol 26 (4) ◽  
pp. 38
Author(s):  
Eric Kouassi Zegbeh-N'guessan ◽  
Rokiatou Koné ◽  
Ernest Martial Djémi ◽  
Pornan Issa Jules Bérété ◽  
Gohi bi Serge Irié ◽  
...  

Introduction: Palatal wounds in children as a result of a bovine horn blow have rarely been observed in adults and almost never in children. They are serious and can lead to fatal complications. Dental injuries by bovine horn are also rare. Observation: This study presents the unpublished case of an 11-year-old child who developed a soft palate penetrating wound associated with traumatic loss of the lower incisors as a result of a bovine horn blow. The surgical outcomes were positive. Comment: This type of childly bovine trauma is common in rural African agricultural areas. Dental trauma probably served as a mitigator to the soft palate trauma thus avoiding an associated injury of the hard palate and a contusion of the internal carotid artery. Although, there is a consensus among practitioners on leaving palate wounds to heal spontaneously, we chose a debridement and a suture because of the severity of the wound and the potential risk of turning into an oral-nasal fistula. Conclusion: The potential severity of palate and dental damage from bovine horns should lead to dehorning of cattle for better protection of children in rural agriculture.

2018 ◽  
Vol 91 (3) ◽  
pp. 328-335 ◽  
Author(s):  
Preene Juneja ◽  
Sadanand Kulkarni ◽  
Sapna Raje

Background. Dental injuries result in functional, esthetic and psychological disturbances accompanied by great concern from the child, the parent and the dentist. Oral injuries are fourth most common area of bodily injuries among 7-30 year-old individuals.Aim. a) To assess the prevalence of traumatic dental injuries (TDI) and their relation with predisposing factors among 8-15 years old school children in Indore city, India.b) To collect baseline data as there have been no reported studies of TDI in central India to this date.Methods. A cross sectional study was carried out among 4000 children of 60 schools in Indore using multistage random sampling method. Examination of permanent incisor teeth was done in accordance with the modified Elli’s and Davey Classification using a standard mouth mirror and probe. Subjects who had clinical evidence of trauma were interviewed for details of the injury event by using structured questionnaire. Chi square test was used to analyze the distribution of all the measurement in this study at the statistical significance of 0.05.Results. Among the 4000 children of 60 schools examined, 10.2% experienced TDI. 68.38% boys experienced TDI, which was approximately twice as higher in females being 31.62%. The most commonly affected teeth were maxillary central incisors. A higher number of children with incisal overjet greater than 3 mm had TDI than those with less than 3mm, although this difference was not statistically significant. Lip closure incompetence was found to be more common in subjects having a TDI. Fall was the most common cause for TDI and place of occurrence was home. Most common type of fracture was class I and most of them were untreated.Conclusion. The high level of dental trauma and low percentage of children with trauma seeking treatment stresses the need for increased awareness in Indore population.


2016 ◽  
Vol 10 (1) ◽  
pp. 315-321 ◽  
Author(s):  
Thamer Alkhadra ◽  
William Preshing ◽  
Tarek El-Bialy

Objectives:This study evaluated the prevalence of dental trauma for patients attending the emergency dental clinic at the University of Alberta Hospital between 2006-2009. Patients’ examination and treatment charts were reviewed.Methods:Total number of patients’ charts was 1893.The prevalence of different types of trauma was 6.4 % of the total cases (117 patients). Trauma cases were identified according to Ellis classification and as modified by Hollandet al.,1988.Results:Logistic statistical model showed that 21.7% were Ellis class I trauma, 16.7% were Ellis class II trauma, and 6.7% were Ellis class III. In addition, 11.7 % presented with avulsion, 7.5 % presented with dentoalveolar fracture and 7.5% presented with sublaxation. Also, 17.55 % presented with tooth displacement within the alveolar bone, 3.3 % presented with crown fracture with no pulp involvement, 4.16 % presented with crown fracture with pulp involvement and 3.3 % presented with root fracture. In conclusion, the general prevalence of dentoalveolar trauma in patients attending the emergency clinic at the University of Alberta is less than other reported percentages in Canada or other countries.


2015 ◽  
Vol 26 (1) ◽  
pp. 68-70

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.


2014 ◽  
Vol 48 (2) ◽  
pp. 53-62
Author(s):  
Sarabjot Kaur Bhatia

ABSTRACT Traumatic dental injuries occur frequently in children and young adults. Orofacial trauma that results in fractured, displaced or lost teeth can have signifi cant negative functional, esthetic and psychological effect on child. Intrusive luxation of teeth results in axial impacts on maxillary and mandibular teeth and is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. To correctly diagnose the injury, effi ciently determine the extent of injury to teeth and periodontium and supporting structures and to have a favorable outcome after management requires a systematic approach. How to cite this article Gauba K, Goyal A, Bhatia SK. Intrusive Dental Injuries in Children: Manifestations and Management. J Postgrad Med Edu Res 2014;48(2):53-62.


2020 ◽  
Vol 6 (3) ◽  
pp. 32-38
Author(s):  
Tanzeem Ahmed ◽  
Nikhil Kaushal ◽  
Sujeet Singh ◽  
Rashmi Agarwal

Aims and Objectives: To determine the prevalence and etiology of fractured anterior teeth due to trauma among 8–14 years old school going children of Hyderabad city. Materials and method: A cross-sectional study was carried out in 8-14 year old children studying in various schools of Hyderabad for the assessment of traumatic injuries of anterior teeth. Clinical examination was carried out and type of teeth affected, type of fracture, overjet and lip competence were noted. A closed end questionnaire was given to children with questions regarding etiology of trauma, place of injury, symptoms or outcomes after the injury, whether a dentist was consulted, type of treatment done by dentist and time elapsed between trauma and treatment. All the results were analyzed using “statistical package for social sciences” (SPSS) 20.0 software. Results: The prevalence of dental trauma was found to be 7.84%. 11-14year old children showed higher prevalence. Males were more affected than females. Maxillary central incisors were most affected. Fracture involving enamel and dentin were recorded the highest. Children having overjet of >3mm and incompetent lips were at a higher risk of dental trauma (p value = 0.001). The most common cause of injury was sports and home was the most common place of occurrence of injury. Most of the traumatic dental injuries (TDI) did not undergo any treatment. Conclusion: Increasing the awareness of the parents and teachers about the prevention of TDI and the importance of consulting the dentist after trauma should be instituted.


1990 ◽  
Vol 6 (4) ◽  
pp. 588-602 ◽  
Author(s):  
Frances M. Andreasen ◽  
Jens O. Andreasen

AbsractA more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogensis of external root resorption, increased knowledge about wound healing processes in the pulp and periodintium, as well as by advances in restorative dentistry (reattachment of crown fragments with a dentin bonding system, the use of adhesive bridges, and advances in autotransplantation and implantation). However, a rethinking by the public, clinicians, and third-party payers is necessary for these procedures to gain wider acceptance. The present article describes the state of the art of treating dental trauma in the hope that these advances cam become an accepted part of the dental trauma armamentarium and not merely scientific curiosities.


2021 ◽  
Vol 15 (11) ◽  
pp. 3240-3243
Author(s):  
Yildirim Erdoğan ◽  
Z.Zahit Çiftçi ◽  
Özge Erken Güngör ◽  
Huseyin Karayilmaz ◽  
Zuhal Kirzioğlu

Objective:The primary aim of this study was to retrospectively evaluate the effects of home accidents(HAs) on the traumatic dental injuries(TDIs) of primary teeth. Furthermore, the secondary aim was to bring attention to the importance of preventive measures for HAs, especially in this pandemic period where children all over the world spend most of their time in their homes due to coronavirus(COVID-19) disease. Material and Methods:The records of the patients with TDIs of the primary teeth, aged 6 months-8 years, who applied to the xxxxxxxxxUniversity, Faculty of Dentistry, Department of Pedodontics, between the years 2000¬2010 and yyyyyyyyUniversity, Faculty of Dentistry, Department of Pedodontics, between the years 2012–2019 were investigated. Results:The sample consisted of 504 children that had TDIs to the primary teeth. The age range of the children was 1–8 years(3.5±1.8years old) and 37.3%(n=188) of the patients were girls and 62.7%(n=316) boys. The prevalence of the TDIs due to HAs was found to be 43.25%(n=218). A total of 380 teeth in the 218 patients who were found to have TDIs due to HAs were examined. The highest prevalence of traumatized children was in the age range 2-4 years(63.3%). Collisions with objects(45%) were found to be most common causes of dental trauma and the most common type of injury was found to be lateral luxation(35.8%). Conclusions:Measures to prevent HAs should primarily target preschool children, the riskiest group. Accidents can be largely prevented by taking simple precautions such as providing a safe environment for children's healthy mental and physical development at home. Key words: Home accidents, Dental trauma, Primary teeth,


Author(s):  
R. Welbury ◽  
J.M. Whitworth

Dental trauma in childhood and adolescence is common. At 5 years of age 31–40% of boys and 16–30% of girls, and at 12 years of age 12–33% of boys and 4–19% of girls, will have suffered some dental trauma. Boys are affected almost twice as often as girls in both the primary and the permanent dentitions. The majority of dental injuries in the primary and permanent dentitions involve the anterior teeth, especially the maxillary central incisors. Concussion, subluxation, and luxation are the most common injuries in the primary dentition, while uncomplicated crown fractures are most common in the permanent dentition. Prognosis of traumatic injuries has improved significantly in the last 20 years. This has been largely due to a greater understanding of dental pulp reaction patterns and vital pulp therapies. Children are most accident prone between 2 and 4 years for the primary dentition and between 7 and 10 years for the permanent dentition. Coordination and judgement are incompletely developed in children during the primary dentition years, and the majority of injuries are due to falls in and around the home as the child becomes more adventurous and explores his/her surroundings. Most injuries in the permanent dentition are caused by falls and collisions while playing and running, although bicycles are a common accessory. The place of injury varies in different countries according to local customs, but accidents in the school playground remain common. Sports injuries usually occur in the teenage years and are commonly associated with contact sports. Injuries due to road traffic accidents and assaults are most commonly associated with the late teenage years and adulthood, and are often closely related to alcohol abuse. One form of injury in childhood that must never be forgotten is child physical abuse or non-accidental injury (NAI). More than 50% of these children will have orofacial injuries (see also Chapter 4, Safeguarding Children). Accidental dental injuries can result from direct or indirect trauma. Direct trauma occurs when a tooth receives a direct blow, making this sort of injury more common at the front of the mouth.


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