Traumatic injuries to the teeth

2018 ◽  
Author(s):  
R. Welbury ◽  
J.M. Whitworth
Keyword(s):  
Road Traffic ◽  
Sports Injuries ◽  
Dental Trauma ◽  
Permanent Dentition ◽  
Child Physical Abuse ◽  
Primary Dentition ◽  
Childhood And Adolescence ◽  
Accidental Injury ◽  
Traumatic Injuries ◽  
Dental Injuries

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.

scholarly journals Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey

2020 ◽  
Vol 14 (1) ◽  
pp. 59-65
Author(s):  
Jerry Jose ◽  
Ajitha P. ◽  
Haripriya Subbaiyan
Keyword(s):  
Traffic Accidents ◽  
Sports Injuries ◽  
Dental Trauma ◽  
Treatment Modalities ◽  
Practical Application ◽  
Traumatic Injuries ◽  
Adequate Knowledge ◽  
Dental Practitioners ◽  
Knowledge And Attitude

Introduction: Dental trauma is one of the most commonly seen injuries involving teeth and surrounding structures. The frequent causes of dental trauma are usually falls, traffic accidents, fights and sports injuries. Rapid treatment can prevent long-term damage to the orofacial structures and save the teeth. Ellis class 2 fracture is classified as the involvement of enamel and dentin excluding pulp. Dental practitioners are used to treating Ellis class 2 fracture very often in their dental practice and is usually considered as a dilemma among dental practitioners for the different treatment modalities followed for treatment of Ellis class 2 fracture. A survey is done among dental practitioners to assess the different treatment modalities followed by them in the case of Ellis class 2 fracture. Materials and Methods: A survey was done among 380 dental practitioners in the Chennai region in which 360 dental practitioners responded. The survey was distributed through electronic media and other means of communication. The survey data was collected, analysed and interpreted. Results: The results suggested that about 90% of dental practitioners had adequate knowledge and attitude towards the management of dental traumatic injuries. However, the practical application of the different treatment modalities was seen to be varied among dental practitioners. Based on this survey it was clear that majority of the dental practitioners in Chennai have good knowledge, attitude but there was a lack of clinical practice regarding the different treatment modalities followed by general practitioners for Ellis class 2 fracture. Conclusion: The survey shows that dental practitioners have a sound knowledge, attitude, but the practical application of the various treatment modalities available was seen to vary among various dental practitioners for Ellis class 2 fracture.

scholarly journals Prevalence and aetiology of dental trauma in 8-14 year old school-going children of Hyderabad city, India

2020 ◽  
Vol 6 (3) ◽  
pp. 32-38
Author(s):  
Tanzeem Ahmed ◽  
Nikhil Kaushal ◽  
Sujeet Singh ◽  
Rashmi Agarwal
Keyword(s):  
Social Sciences ◽  
Dental Trauma ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Traumatic Injuries ◽  
Anterior Teeth ◽  
Traumatic Dental Injuries ◽  
Dental Injuries ◽  
Type Of Fracture

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.

Does dental trauma in the primary dentition increases the likelihood of trauma in the permanent dentition? A longitudinal study

2016 ◽  
Vol 21 (8) ◽  
pp. 2415-2420 ◽  
Author(s):  
Marília Leão Goettems ◽  
Letícia Coutinho Brancher ◽  
Catiara Terra da Costa ◽  
Maria Laura Menezes Bonow ◽  
Ana Regina Romano
Keyword(s):  
Longitudinal Study ◽  
Dental Trauma ◽  
Permanent Dentition ◽  
Primary Dentition

scholarly journals Dental trauma characteristics in the primary dentition in Greifswald, Germany: a comparison before and after German unification

2021 ◽  
Author(s):  
M. A. Eissa ◽  
M. Mustafa Ali ◽  
C. H. Splieth
Keyword(s):  
Periodontal Ligament ◽  
Dental Trauma ◽  
Trauma Centre ◽  
Primary Dentition ◽  
German Unification ◽  
Ligament Injuries ◽  
Traumatic Injuries ◽  
Before And After ◽  
Paediatric Cohort

Abstract Background The data on the distribution and pattern of dental trauma in the primary dentition are very rare. Aim To investigate primary dental trauma patterns in relation to gender, age, time and cause for a recent paediatric cohort and to compare this with a historic one before German unification. Methods This retrospective study compared the patterns of dental trauma injuries at the trauma centre at Greifswald University/Germany for a recent paediatric cohort (2014–16, 103 children) with a historic one (1974–1989, n = 120). The data contained details on etiology, injury types and treatment delivered for 450 injured teeth (247 historic, 203 recent). Results In both cohorts, the occurrence was more common in males than females (63%/55%, resp.) with an age peak from 2 to 6 years. Maxillary incisors were most affected (89.6%/88.6%, resp.) and periodontal ligament injuries dominated (77.8%/90.3%, resp.). Almost half of the injuries occurred at home (46.6%), mostly due to falling (48.5%) or during playing (37.8%) in the recent paediatric cohort which provided better forensic data due to insurance issues and potential concern about child abuse. Advice and follow up was the most common approach in the recent paediatric cohort (76%). Conclusion Even after 30 years and a change in the health care system due to German unification, the patterns of dental traumatic injuries in the primary dentition were similar.

scholarly journals TRAUMATİC DENTAL INJURİES EVALUATİON İN PRESCHOOL CHİLDREN

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Can Özükoç ◽  
Aykut Kanat
Keyword(s):  
Preschool Children ◽  
School Children ◽  
Dental Trauma ◽  
Pediatric Dentistry ◽  
Primary Dentition ◽  
Deciduous Teeth ◽  
Economic Level ◽  
Traumatic Dental Injuries ◽  
Clinical Records ◽  
Dental Injuries

Background: There are a lot of studies in the literature related to dental traumatic injuries. However, most of such studies were carried out on individuals with low socio-economic level and in public clinics or in university clinics giving dental health services. The purpose of this study is to determine the type of traumatic dental injuries occurring in pre-school children of families with high socio-economic level applying to private dental clinics and to measure the incidence of such injuries, to determine the reasons and to assess the count of treatments carried out. Methods: Clinical records of 68 patients in total between the ages of 0-5, 32 of whom were female and 36 of whom were male, having applied to a private dental clinic in Istanbul between February 01 2018 and January 31 2019 were examined; the data were obtained after retrospective assessment. Results: While it was discovered that dental trauma occurred more frequently in male children(52.94%). An increase in the count of traumas was observed between the ages of 1 and 3 and there is a statistically significant relationship between age and frequency of dental trauma (p<0.05). The most common cause of trauma was determined to be ''falling''(72.05%) both in females and males. While the type of dental trauma most frequently encountered was concussion(28.37%), the treatment most frequently conducted for deciduous teeth was determined to be ''examination and monitoring''(36.48%). Conclusions: In addition to the fact that similar findings were obtained in pre-school children in this study in a similar way to the ones in retrospective and prospective studies carried out in the past, it has been revealed that traumatic dental injuries must be assessed carefully during primary dentition and precautions must be taken before the occurrence of trauma, that when it occurs, it must be treated fast and accurately. Keywords: Dental Trauma, Pediatric Dentistry, Retrospective Study, Injury, Preschool Children, Primary Dentition

scholarly journals Short and Long Term Oral Hygiene Maintenance Protocols for Traumatic Dental Injuries

2021 ◽  
Author(s):  
Girish Suragimath ◽  
Ashwinirani SR
Keyword(s):  
Oral Hygiene ◽  
Dental Trauma ◽  
Treatment Team ◽  
Dental Injury ◽  
Traumatic Injuries ◽  
Pediatric Dentist ◽  
Hygiene Measures ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries (TDIs) occur when a person undergoes trauma due to variety of reasons. Traumatic injuries are part of the growing up years and can have ever lasting wounds with scarring on the affected individuals. Treatment and rehabilitation of the teeth with traumatic injuries are essential for long term survival of the teeth. Immediate care, appropriate diagnosis and treatment with comprehensive follow-up are essential for a favorable prognosis of the affected teeth. A coordinated effort from different specialties including general dentist, oral radiologist, pediatric dentist, periodontist, oral surgeon, orthodontist and endodontist is essential for success of the treatment. Team efforts involving these different specialists will help the patient to receive successful long term outcome. Proper oral hygiene maintenance during and after traumatic dental injury, is required to stop the deterioration of the tooth and periodontal structures. The caregiver in children and the adult with traumatic dental injuries should be educated and guided about the proper oral hygiene techniques especially in the areas with dental injury. Dentist must be aware of the treatments rendered to the teeth with trauma and should have up-to-date knowledge of the oral hygiene measures to be inculcated in the subjects with dental trauma. This chapter highlights the oral hygiene measures to be followed by the subjects with TDIs and also includes measures to be followed by the dentist in such a scenario.

scholarly journals Management of the Sequelae of a Sport-Related Traumatic Dental Injury Using Ultrasound Examination in the Diagnosis and Follow-Up

2021 ◽  
Vol 9 (3) ◽  
pp. 27
Author(s):  
Davide Musu ◽  
Giulia Bardini ◽  
Francesca Ideo ◽  
Silvia Mezzena ◽  
Elisabetta Cotti
Keyword(s):  
Ultrasound Examination ◽  
Sports Injuries ◽  
Present Report ◽  
Dental Trauma ◽  
Final Diagnosis ◽  
Sinus Tract ◽  
Traumatic Injuries ◽  
Healthy Female ◽  
Dental Apparatus

About a quarter of all oral pathologies involving the oral cavity and dental apparatus are traumatic injuries, and a substantial number of these cases are the result of sports injuries affecting adolescents and young adults. Here, we report the case of a 25-year-old healthy female referred to the department of Endodontics for the evaluation and management of teeth 1.2 and 1.1 because of a chronic apical abscess in an area involved in a sport-related dental trauma in the past. A multi-modular diagnostic assessment, comprising conventional periapical radiographs, CBCT imaging, ultrasound, and histopathologic examination, led to a final diagnosis of an apical granulomatous lesion connected to both teeth, and an associated sinus tract. During the follow-up period of three years, the patient was reviewed twice a year and showed progressive healing of the bone and absence of the sinus tract. The present report shows the challenges of diagnosing complications arising from past dental trauma. Furthermore, it is the first documented traumatic case where ultrasound examination was fruitfully used. Emphasis should be put on introducing diagnostic ultrasound for the management of both apical periodontitis and the related sinus tract.

scholarly journals Molariform Mesiodens in Primary Dentition

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Sachin B. Mangalekar ◽  
Tajammul Ahmed ◽  
M. Zakirulla ◽  
Halawar Sangmesh Shivappa ◽  
F. B. Bheemappa ◽  
...  
Keyword(s):  
Rare Case ◽  
Treatment Plan ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Occlusal Surface ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Dentigerous Cysts ◽  
Delayed Eruption ◽  
Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.

Investigation of Knowledge and Practices Managing Traumatic dental injuries among dental Professionals

2021 ◽  
Vol 15 (7) ◽  
pp. 1617-1619
Author(s):  
S. Akbar Abbas Zaidi ◽  
P. Rani Harjani ◽  
M. Mubeen Arshad ◽  
S. Z. Abbas Zaidi ◽  
Rajesh Kumar ◽  
...  
Keyword(s):  
International Association ◽  
Dental Students ◽  
Care Providers ◽  
Cross Sectional ◽  
Traumatic Injuries ◽  
Dental Practitioners ◽  
Tertiary Healthcare ◽  
Management Approaches ◽  
Dental Injuries ◽  
Dental Professionals

Background: The rise in prevalence and complications associated with dental traumatic injuries among Pakistani population is considered a topic of discussion at International Association of Dental Traumatology nowadays. Understanding the multifactorial etiology, therapeutic techniques and choosing management approaches are vital to dental traumatic injuries. Aim: To assess the knowledge, qualification and practices followed by dental professionals from a tertiary healthcare centers based in Sindh Pakistan. Methodology: The study population of this cross-sectional descriptive study comprised of dental care providers attending the seminar on World Oral Health Day at Bibi Aseefa Dental College, Larkana, Sindh, Pakistan. A self-administered questionnaire consisting of two parts; demographic and knowledge about management of trauma was administered to participants on 20 March 2021. The detailed demographic details of research participants were collected and further analyzed by using SPSS 20 and MS Office 2010 tools. Results: Out of total 134 participants, 40(29.9%) were males while, 94(70.1%) were females with mean age of 24.314.088. Among them 45(33.6%) were undergraduate dental students; in them 4(8.9%) were in 1st year dental students, 17(37.8%) in 2nd year, 10(22.2%) in 3rd year and 14(31.1%) were in final year of their undergraduate studies. 31(23.1%) were house officers, 19(14.2%) were post graduate residents and 39(29.1%) were general dental practitioners (GDP). Conclusion: Lack of qualified dental experts with post-residency trainings dealing dental traumatic complexity in Sindh Pakistan is considered a major underlying associated with heightened case rates of pediatric dental injuries. Keywords: tooth injuries, Dentists, Restorative, Pediatric

scholarly journals Prevalence of Traumatic Dental Injuries and their relation with predisposing factors among 8-15 years old school children of Indore city, India

2018 ◽  
Vol 91 (3) ◽  
pp. 328-335 ◽  
Author(s):  
Preene Juneja ◽  
Sadanand Kulkarni ◽  
Sapna Raje
Keyword(s):  
School Children ◽  
Statistical Significance ◽  
Dental Trauma ◽  
Central India ◽  
Cross Sectional Study ◽  
Predisposing Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

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.

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