Dental Trauma at a University Dental Clinic in Milan including the SARS-CoV-2 Period

The aim of this study i.e., is to present the distribution of traumatic dental injuries (TDI) in 306 patients registered at the Unit of Dental Emergencies at a University Dental Clinic in Milan, Italy, between June 2019 and May 2021. This time frame includes the beginning of the SARS-CoV-2 pandemic. Information regarding age, gender, number and type of injured teeth, type of traumatic injury, and data on where or how the injury happened were recorded. Seventy-nine percent of patients can be classified as pediatric (under 14 years old), and in all age groups, male patients were found to be more susceptible (1.6:1). A total of 480 teeth were involved, 59% of which were deciduous, and 41% permanent. The most affected teeth in both dentitions were upper central incisors. In deciduous teeth, periodontal lesions were more common, whereas in permanent dentitions, dental fractures were diagnosed more often. Most data found in this study confirms the results found in the literature. The biggest difference, due to changes in daily routine during the SARS-CoV-2 pandemic, can be found by analyzing the incidence and etiology. As a matter of fact, there was a decrease in school accidents, whereas domestic falls remained constant.

Download Full-text

Epidemiology of Traumatic Dental Injuries in Children and Adolescents - A Review

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/353 ◽

2021 ◽

Vol 10 (22) ◽

pp. 1709-1714

Author(s):

Amitha M. Hegde ◽

Sonali Sodhi

Keyword(s):

Risk Factors ◽

Children And Adolescents ◽

Adult Population ◽

Age Groups ◽

Dental Trauma ◽

Public Health Importance ◽

Traumatic Dental Injuries ◽

Dental Injuries ◽

The Impact ◽

Incidence Prevalence

BACKGROUND Every child is prone to traumatic injuries, the impact of these injuries is directly related to the intensity, force and direction from which the trauma is inflicted. Trauma to the oral cavity is rather more common in children and adolescents as compared to the adult population. Since dental trauma is unanticipated, instantaneous and accidental, it often needs immediate and emergency management, depending on the severity of the injury. Thus, it is tremendously important to understand the patterns of incidence, prevalence, aetiology and risk factors associated with traumatic dental injuries. This article aims to review the epidemiology, incidence, prevalence, aetiology, risk factors and current trends of traumatic dental injuries in children and adolescents. The aetiologic factors vary among countries and within different age groups. The risk of sustaining traumatic dental injuries is generally dependent on several elements like age, circumstance, geography, behaviour and culture. Changing lifestyle especially related to urbanisation has led to amplification in the prevalence of dental trauma. The emergence of new trends in the modern society has led to creation of newer patterns and risk factors for the same. Traumatic dental injuries are linked to biological, social, financial and psychological factors. This article provides an overview on the epidemiology of traumatic dental injuries. This topic is of public health importance. This review is important to understand the underlying risk factors in order to reduce the prevalence and incidence of dental trauma. Educating the public regarding this will reduce the incidence of dental trauma. KEY WORDS Dental Trauma, Aetiology, Risk Factors, Epidemiology, Prevalence, Prevention, Paediatric Dentistry

Download Full-text

TRAUMATİC DENTAL INJURİES EVALUATİON İN PRESCHOOL CHİLDREN

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i8.503 ◽

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

Download Full-text

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

Medicine and Pharmacy Reports ◽

10.15386/cjmed-898 ◽

2018 ◽

Vol 91 (3) ◽

pp. 328-335 ◽

Cited By ~ 1

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.

Download Full-text

Prevalence of Traumatic Dental Injuries in Patients Attending University of Alberta Emergency Clinic

The Open Dentistry Journal ◽

10.2174/1874210601610010315 ◽

2016 ◽

Vol 10 (1) ◽

pp. 315-321 ◽

Cited By ~ 3

Author(s):

Thamer Alkhadra ◽

William Preshing ◽

Tarek El-Bialy

Keyword(s):

Alveolar Bone ◽

Dental Trauma ◽

Class Iii ◽

Root Fracture ◽

University Of Alberta ◽

Number Of Patients ◽

Dentoalveolar Trauma ◽

Traumatic Dental Injuries ◽

The University ◽

Dental Injuries

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.

Download Full-text

Intrusive Dental Injuries in Children: Manifestations and Management

Journal of Postgraduate Medicine Education and Research ◽

10.5005/jp-journals-10028-1102 ◽

2014 ◽

Vol 48 (2) ◽

pp. 53-62

Author(s):

Sarabjot Kaur Bhatia

Keyword(s):

Young Adults ◽

Periodontal Ligament ◽

Systematic Approach ◽

Alveolar Bone ◽

Dental Trauma ◽

Children And Young Adults ◽

Traumatic Dental Injuries ◽

Mandibular Teeth ◽

Dental Injuries ◽

Supporting Structures

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.

Download Full-text

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.

Download Full-text

Treatment of Traumatic Dental Injuries: Shift in Strategy

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462300004232 ◽

1990 ◽

Vol 6 (4) ◽

pp. 588-602 ◽

Cited By ~ 18

Author(s):

Frances M. Andreasen ◽

Jens O. Andreasen

Keyword(s):

Root Resorption ◽

Dental Trauma ◽

Third Party ◽

Restorative Dentistry ◽

The Public ◽

Bonding System ◽

External Root Resorption ◽

Accepted Part ◽

Traumatic Dental Injuries ◽

Dental Injuries

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.

Download Full-text

Evaluation The Effects of Home Accidents to The Traumatic Dental Injuries of Primary Teeth

10.53350/pjmhs2115113240 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3240-3243

Author(s):

Yildirim Erdoğan ◽

Z.Zahit Çiftçi ◽

Özge Erken Güngör ◽

Huseyin Karayilmaz ◽

Zuhal Kirzioğlu

Keyword(s):

Primary Teeth ◽

Dental Trauma ◽

Safe Environment ◽

Traumatized Children ◽

Common Causes ◽

Traumatic Dental Injuries ◽

Home Accidents ◽

Age Range ◽

Dental Injuries ◽

Type Of Injury

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,

Download Full-text