EPIDEMIOLOGY OF TRAUMATIC DENTAL INJURIES AMONG ADULTS IN AN INDIAN SUB-POPULATION

Abstract Background The etiology, presentation and management of traumatic dental injuries (TDI’s) varies significantly between the adult and the younger population. Most epidemiological studies on TDI’s have focused on the pediatric age group. This study aims to report and compare the distributions of TDI’s among adults in a sub-population in India. Methods This prospective observational study was performed on 1562 consecutively selected patients (1218 Males and 344 females) from a University dental hospital in India, between July 2014 to June 2018. The clinical examinations were performed by a single trained and calibrated Endodontist. Only TDI’s to anterior teeth were recorded (canine to canine in the maxilla and mandible) and classified using a modified version of the WHO’s classification. Intraoral periapical and panoramic radiographs were also taken for all the subjects. Result A total of 1562 patients aged between 20 and 73 years, with a mean age of 36 years were examined during the study period. The total number of teeth with TDI’s were 3044. Males (78%) clearly outnumbered the females (22%) in all the age groups. The most common type of injury occurring in both the genders is uncomplicated crown fracture. Avulsion injuries are more likely to be seen by a dentist within 1hour post-trauma. About two third of the TDI’s were caused by road traffic accidents (RTA) followed by falls in about 20% of the patients. Conclusion Uncomplicated crown fracture was the most commonly observed type of TDI and RTA’s were the primary cause of TDI.

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A retrospective study of Traumatic Dental Injuries in a Brazilian dental urgency service

Brazilian Dental Journal ◽

10.1590/s0103-64402010000200011 ◽

2010 ◽

Vol 21 (2) ◽

pp. 153-157 ◽

Cited By ~ 14

Author(s):

Orlando Aguirre Guedes ◽

Ana Helena Gonçalves de Alencar ◽

Lawrence Gonzaga Lopes ◽

Jesus Djalma Pécora ◽

Carlos Estrela

Keyword(s):

Traffic Accidents ◽

Statistical Treatment ◽

Significant Proportion ◽

Root Apex ◽

Epidemiological Studies ◽

Chi Square ◽

Chi Square Test ◽

Pulp Exposure ◽

Traumatic Dental Injuries ◽

Dental Injuries

Epidemiologic aspects of traumatic dental injuries (TDI) were evaluated in the permanent dentition in a sample of 847 patients treated at the Dental Urgency Service of the Dental School of the Federal University of Goiás, Brazil, between May 2000 and May 2008. The statistical treatment analyzed data from frequency distribution and chi-square test. The level of significance was set at 5% for all analyses. The results showed a higher incident among males (610; 72.01%) with mean age of 6-10 year-old. Uncomplicated crown fracture (without pulp exposure) (502; 26.95%), avulsion (341; 18.30%) and complicated crown fracture (with pulp exposure) (330; 17.71%) were the most prevalent TDI. The prevalence of trauma throughout the years showed proportionality, being observed a larger number of cases between July and September (249; 29.39%). The most affected teeth were the maxillary central incisors (65.65%), followed by the maxillary left lateral incisors (19.67%). In 311 participants (18.25%), only one tooth was involved, while in most patients (536; 81.75%), TDI occurred in more than one tooth. Significant proportion (82.27%) of traumatized teeth presented completely formed root apex. The main etiologic factors involved in TDI were falls (51.71%), traffic accidents (22.90%) and violence (5.67%). Based on the obtained data, it may be concluded that accurate policies of TDI prevention must be established, capable of stimulating the exposure of appropriate protocols for management of these lesions. The prevalence of TDI in Goiânia subpopulation is compared to the prevalence reported in epidemiological studies in others populations.

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Pattern of Traumatic Dental Injuries and associated Risk Factors: A Hospital-based Study

Orthodontic Journal of Nepal ◽

10.3126/ojn.v8i1.21347 ◽

2018 ◽

Vol 8 (1) ◽

pp. 40-44

Author(s):

Deepti Shrestha ◽

Sumita Upadhyay

Keyword(s):

Risk Factors ◽

Traffic Accidents ◽

Road Traffic ◽

Statistical Significance ◽

Age Difference ◽

Cross Sectional ◽

Female Ratio ◽

Traumatic Dental Injuries ◽

Dental Injuries ◽

Associate Risk

Introduction: Study of traumatic dental injuries (TDI);a common dental emergencycan facilitate planning of preventive measures, better assessment and carry out treatment effectively. Objective: To determine the gender and age difference in TDIs, etiology, intra-oral soft-tissue and bony injuries, types of tooth fractures and luxation injuries. Also to find out the association between the type of TDI and malocclusion, overjet and lip competency.Materials & Method: This cross-sectional study comprised of 121 patients with the history of TDI. Thorough history and clinical examination was done and data were statistically analyzed (confidence interval of 95% and statistical significance set at p≤0.05).Result: Males were more prone to injuries with a male-to-female ratio of 1.5:1. Fall and road traffic accidents were the most common cause of injuries and males were more prone to injuries due to fall (p=0.047). The main etiologies of TDIs were fall and RTA in children and adults respectively. Children had more luxation injuries, while adults had more tooth fractures. Permanent maxillary central incisors were most common to sustain tooth fracture and enamel-dentin fracture were the most common types of injuries. No statistically significant association was found between overjet and tooth fractures (p=0.19), luxation injuries (p=0.24), softtissue injuries and bony injuries (p=0.42). Similarly, no significant association was found between lip competency and dental injuries.Conclusion: Cohort studies must be conducted to associate risk factors and TDIs.

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Prevalence and attributes of traumatic dental injuries to anterior teeth among school going children of Kolkata, India

Medical Journal Armed Forces India ◽

10.1016/j.mjafi.2021.06.029 ◽

2021 ◽

Author(s):

Rahul Kaul ◽

Subrata Saha ◽

Rishu Koul ◽

Nilanjana Saha ◽

Santanu Mukhopadyay ◽

...

Keyword(s):

Anterior Teeth ◽

Traumatic Dental Injuries ◽

Dental Injuries

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Children and Terror Casualties Receive Preference in ICU Admissions

Disaster Medicine and Public Health Preparedness ◽

10.1001/dmp.2012.6 ◽

2012 ◽

Vol 6 (1) ◽

pp. 14-19 ◽

Cited By ~ 4

Author(s):

Kobi Peleg ◽

Michael Rozenfeld ◽

Eran Dolev ◽

Keyword(s):

Traffic Accidents ◽

Injury Severity ◽

Road Traffic ◽

Age Groups ◽

Trauma Patients ◽

Trauma Centers ◽

Severe Injuries ◽

Level I ◽

Hospital Emergency Departments ◽

Trauma Type

ABSTRACTObjective: Trauma casualties caused by terror-related events and children injured as a result of trauma may be given preference in hospital emergency departments (EDs) due to their perceived importance. We investigated whether there are differences in the treatment and hospitalization of terror-related casualties compared to other types of injury events and between children and adults injured in terror-related events.Methods: Retrospective study of 121 608 trauma patients from the Israel Trauma Registry during the period of October 2000-December 2005. Of the 10 hospitals included in the registry, 6 were level I trauma centers and 4 were regional trauma centers. Patients who were hospitalized or died in the ED or were transferred between hospitals were included in the registry.Results: All analyses were controlled for Injury Severity Score (ISS). All patients with ISS 1-24 terror casualties had the highest frequency of intensive care unit (ICU) admissions when compared with patients after road traffic accidents (RTA) and other trauma. Among patients with terror-related casualties, children were admitted to ICU disproportionally to the severity of their injury. Logistic regression adjusted for injury severity and trauma type showed that both terror casualties and children have a higher probability of being admitted to the ICU.Conclusions: Injured children are admitted to ICU more often than other age groups. Also, terror-related casualties are more frequently admitted to the ICU compared to those from other types of injury events. These differences were not directly related to a higher proportion of severe injuries among the preferred groups.(Disaster Med Public Health Preparedness. 2012;6:14–19)

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SPECTRUM AND OUTCOME OF BLUNT ABDOMINAL TRAUMA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.876 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Mahesh Kumar Sharma ◽

Dr. Arun Bhargava

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accident ◽

Traffic Accidents ◽

Splenic Injury ◽

Road Traffic ◽

Age Groups ◽

Operative Management ◽

Fall From Height ◽

Type Of Injury

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. So we evaluate the spectrum and outcome of blunt trauma. Methods: Hospital based prospective study conducted on 100 patients at department of general surgery. Results: Distribution according to type of injury consisted of maximum cases, 84 (84%) of road traffic accidents, 11% cases were of fall from height. Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt abdominal trauma, Liver injury, Perforation, Splenic injury

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

UNIVERSITY JOURNAL OF DENTAL SCIENCES ◽

10.21276/ujds.2020.6.3.14 ◽

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.

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Mandible fractures and dental injuries related to road traffic accidents over a 12‐year period—Retrospective multicentre study

Dental Traumatology ◽

10.1111/edt.12614 ◽

2020 ◽

Author(s):

Shinnosuke Nogami ◽

Kensuke Yamauchi ◽

Hiromitsu Morishima ◽

Yoshio Otake ◽

Atsumu Kouketsu ◽

...

Keyword(s):

Multicentre Study ◽

Traffic Accidents ◽

Road Traffic ◽

Road Traffic Accidents ◽

Mandible Fractures ◽

Dental Injuries

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Evaluation of maxillofacial injury in the central part of Nepal

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v7i3.6702 ◽

2012 ◽

Vol 7 (3) ◽

pp. 11-16 ◽

Cited By ~ 1

Author(s):

G Biswari ◽

A Khanal ◽

P Gupta ◽

P Bansal

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Physical Assault ◽

Trauma Patients ◽

Medical Sciences ◽

Type Site ◽

Dental Injuries ◽

The Relationship ◽

Animal Attack ◽

Gender Type

An evaluation of dental and maxillofacial trauma in College of Medical Sciences, Teaching Hospital, Bharatpur, Nepal was carried out to assess the causes of trauma and the relationship between the injuries to the Patient's Age, Gender, Type, Site of injury and the Influence of Alcohol from June 1, 2008 to May 31, 2011. Files of 1986 trauma patients were reviewed. Maxillofacial or dental injuries were observed in 269 (13.54%) of the trauma patients, caused by road traffic accidents 173 (64.3%), fall injury 43 (16.0%), physical assault 25 (9.3%), animal attack 9 (3.3%) and sport injury 19 (7.1%) Men were hospitalized almost three times more than women, most common site of injury was dentoalveolar fracture 79(29.37%) young people were at greater risk. The most frequent age of trauma was 15-29 years (51.7%). DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6702 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 11-16

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Visible Portion of Anterior Teeth at Rest and Analysis of Different Smile Characteristics in the Saudi Population of the Jeddah Region

International Journal of Dentistry ◽

10.1155/2020/8859376 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Mohamed Abdelmageed Awad ◽

Doaa Saleh Alghamdi ◽

Aljawharah Talal Alghamdi

Keyword(s):

Age Groups ◽

Cross Sectional Study ◽

Saudi Population ◽

Cross Sectional ◽

Crown Length ◽

Anterior Teeth ◽

Dental Hospital ◽

Mandibular Teeth ◽

And Gender ◽

Age Range

This cross-sectional study aimed to determine the degree of visibility of maxillary and mandibular anterior teeth at rest in different age groups and to evaluate the smile line, smile arc, and number of maxillary teeth displayed during smiling among the Saudi population visiting King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia. A total of 157 participants (77 males and 80 females) were included in this study with an age range of 19 to 69 years. All participants had maxillary and mandibular anterior teeth without restorations. Crown length and visible portions of anterior teeth at rest were measured using a Fowler Electronic Digital Caliper. Three measurements of each variable were recorded by two independent dental interns and calibrating their measurements was performed. Smile line, smile arc, and number of teeth displayed during smiling were examined. The collected data were statistically analyzed using SPSS software. It was found that the average clinical crown lengths in the maxillary lateral incisor, mandibular central incisor, and canine were significantly higher in males than females. At rest position, females displayed more maxillary central and lateral incisors. The displayed length of maxillary teeth at rest is inversely proportional to increasing age; the reverse occurs in mandibular teeth. The common visibility of maxillary teeth during smiling was from the second bicuspid to its counterpart. Average smile line and consonant smile arc were the most common characteristics. It was concluded that both age and gender affect the characteristics of tooth display at rest and in smiling. These effects should be considered during treatment planning and restoration of anterior teeth to obtain a more predictable esthetic outcome.

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Epidemiology of Pediatric Trauma and Its Patterns in Western Iran: A Hospital Based Experience

Global Journal of Health Science ◽

10.5539/gjhs.v8n6p139 ◽

2015 ◽

Vol 8 (6) ◽

pp. 139 ◽

Cited By ~ 9

Author(s):

Fereshteh Jalalvandi ◽

Peyman Arasteh ◽

Roya Safari Faramani ◽

Masoumeh Esmaeilivand

Keyword(s):

Head And Neck ◽

Traffic Accidents ◽

Road Traffic ◽

Pediatric Population ◽

Care Center ◽

Pediatric Trauma ◽

Age Groups ◽

Road Traffic Accidents ◽

Orthopedic Injury ◽

The Hours

BACKGROUND & OBJECTIVE: Trauma is a major cause of mortality in children aged 1 to 14 years old and its patterns differs from country to country. In this study we investigated the epidemiology and distribution of non-intentional trauma in the pediatric population.MATERIALS & METHODS: The archives of 304 children below 10 years old who presented to Taleghani trauma care center in Kermanshah, Iran from March to September 2008, were reviewed. Patients’ demographic and injury related information were registered. The participants were categorized into three age groups of 0-2, 3-6 and 7-10 years old and the data was compared among age groups and between both sexes.FINDINGS: The most common cause for trauma was falling from heights (65.5%) and road traffic accidents (16.4%). The most common anatomical sites of injury were the upper limbs followed by the head and neck (36.8% and 31.2%, respectively). Injuries mostly occurred in homes (67.4%). The injuries were mostly related to the orthopedics and the neurosurgery division (84.1% and 13.1%, respectively). Accident rates peaked during the hours of 18-24 (41.3%). Male and female patients did display any difference regarding the variables.Children between the ages of 0-2 years old had the highest rate of injury to the head and neck area (40.3%) (p=0.024). Falls and road traffic accidents displayed increasing rates from the ages of 0-2 to 3-6 and decreasing rates to the ages of 7-10 years old (p=0.013). From the ages of 0-2 to 3-6 years old, street accidents increased and household traumas decreased. After that age household trauma rates increased and street accidents decreased (p=0.005). Children between the ages of 7-10 years old had the highest rate of orthopedic injury (p=0.029).CONCLUSION: Special planning and health policies are needed to prevent road accidents especially in children between the ages of 3-6 years old. Since homes were the place where children between the ages of 0-2 were mostly injured, parents should be educated about the correct safety measures that they need to take regarding their children's environments. The orthopedics department needs to receive the most training and resources for the management of pediatric trauma.

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