Management of facial trauma with tooth avulsion in children and adolescent, investigation on knowledge of parents and teachers (original) (raw)
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Traumatic dental injuries in Turkish children, Istanbul
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.
Tooth Loss and Survival Analysis after Traumatic Injuries in Primary Dentition
Background/Aim: The aim of the present study was to investigate the treatment options, survival rate of traumatized primary teeth and evaluate the factors influencing the outcome. Material and Methods: The sample consisted of all dental trauma cases treated over a 14 years period at the Department of Pediatric and Preventive Dentistry, Dental Clinic of Vojvodina, Novi Sad. Criteria for inclusion in this study were: dental trauma to primary teeth and age in the moment of injury up to seven years. Dental trauma records were analyzed in order to obtain the following: gender and age of the child at the time of trauma, type of trauma, as well as the type and timing of treatment received. After data analysis a survival rate of traumatized primary teeth was evaluated. Results: The study was designed as retrospective and it included 225 children, with 346 traumatized primary teeth. The occurrence of trauma was higher in male patients (60,4%) and in children up to 4 years of age. Luxations were more frequent (72.8%) compared to isolated teeth fractures (20.8%), while the two types of injury combined were rare (6,3%). One year following dental trauma 231 teeth (0.67%) developed complications. Falls were the main cause of trauma (68.9%) and the presence of more than one traumatized tooth was frequent. A percentage of 48.8 children received dental care during first 24 h after the injury. Conclusions: Survival of injured primary teeth is relatively low, regardless of trauma type, time interval between injury and treatment and the type of provided treatment.
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.
KNOWLEDGE OF TEACHERS AND PARENTS ABOUT EMERGENCY MANAGEMENT OF DENTAL TRAUMA IN CHILDREN.
Introduction: Traumatic dental injuries (TDI) are frequent in children and adolescents, affecting teeth, supporting structures and adjacent soft tissues and contributing to the appearance of major psychosocial and economic problems. Tooth avulsion is a dental emergency where the prognosis of avulsed teeth significantly depends on prompt and efficient action at the site of the accident, thus requiring that parents or teachers to be knowledgeable about the correct management of this situation. Objective: the present study aimed to assess the level of knowledge of parents & teachers concerning the emergency management of tooth avulsion. Subjects & methods: 200 teachers (65.8% males) (34.2% females) and 200 parents (51.3% males) and (48.7% females) were interviewed from 6 major cities in Al-Qassim Province. The data were collected by questionnaire. The questions were focused on the teacher?s and parent?s background, knowledge and management of tooth fracture, avulsion. Results: A total of 200 teachers were interviewed, 170 agreed to respond with response rate 85%). A total of 200 parents were interviewed, 150 agreed to respond with response rate 75%) Majority of teachers and parents had little knowledge related to handling of traumatic dental injuries and emergency management of avulsed permanent teeth. Conclusion: This study revealed the lack of Knowledge of Teachers and Parents about Emergency Management of Dental Trauma in Qassim Province, Saudi Arabia. There is a need for awareness programs to improve teachers? and parent?s knowledge and attitudes related to the emergency management of TDIs in children.
PURPOSE: To assess the prevalence of dental trauma (DT) and its associated factors in 9- to 14-year-olds. SUBJECTS AND METHODS: A cross-sectional survey was carried out through clinical examination of the permanent incisors and canines of 907 schoolchildren (9 to 14 years old, average age = 11 ± 0.5 [SD] years, 55% female and 45% male) enrolled in 20 public schools in Isfahan, Iran. The demographic data, history and cause of trauma were recorded during patient interviews and with a structured questionnaire filled in by their parents. The overjet, lip coverage, and visible signs of DT (permanent incisors only, similar to the classification used by the US National Health and Nutrition Examination Survey 1988-1994, NHANES III) were recorded. DT in permanent canines were also recorded. RESULTS: Approximately 36% (n = 325) recalled the occurrence of dental trauma, but only 23.8% (n = 216) of children had visible signs of dental trauma to the permanent incisors (girls [18.8%], boys [29.9%], OR = 0.54; 95% CI 0.40- 0.74; p = 0.000). The maxillary central incisors were commonly injured (69.5%). The most frequent types of injuries were the enamel fracture (59.0%), craze lines (16.3%), and enamel and dentin fracture (13.4%). Tooth avulsion was seen in 0.7%. No significant association was found between dental trauma and increased overjet of > 3 mm (p = 0.328), but a tendency was identified for overjet > 5 mm (OR = 1.51; 95% CI 0.89-2.58; p = 0.060). The relationship between DT and lip coverage was statistically significant (OR = 1.63; 95% CI 1.18-2.25; p = 0.003). Violence (30%) and fall (22.7%) were the main causes of DT. CONCLUSION: The prevalence of DT in permanent incisors was high (23.8%) and significantly lower in girls. The association between DT and lip coverage was significant. There was no association between DT and increased overjet of > 3 mm.
Dental trauma in children in Budapest. A retrospective study
European journal of paediatric dentistry, 2019
AIM Traumatic dental injuries (TDIs) are among the most serious dental public health problems in childhood. This study aimed to determine the prevalence of anterior tooth TDIs in 7- to 18-year-old children who presented for treatment over a period between January 2007 and December 2016, and to survey the effect of an increased health awareness and educational campaign about the risk of TDIs and the importance of prevention methods in decreasing their prevalence compared with data published in the years 1985-1999. MATERIALS AND METHODS The current study was carried out on 454 children who presented for treatment at the Department of Paediatric Dentistry and Orthodontics in Budapest, Hungary. RESULTS The prevalence of TDIs was 1%. Males experienced more dental injuries than females. The incidence of dental trauma peaked at 9 years of age. The most observed injury was luxation. Most accidents occurred during playtime at home. TDIs occurred most frequently in the spring. CONCLUSION The ...
Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 2015
Objective: To investigate the prevalence of dental trauma, its causes, sites and age at the occurrence of injuries and treatment needs related to dental trauma in schoolchildren aged 12 years at Brasília, DF, Brazil. Material and Methods: A crosssectional, population-based study was conducted on a sample of 1,389 schoolchildren of public and private schools. Two questionnaires were used: one targeted to parents/legal caretakers and the other responded by the schoolchildren. The criteria for classification of trauma used in the Children's Dental Survey in the United Kingdom were adopted. The examinations were performed by two trained and calibrated examiners (inter and intra-examiner kappa: 0.85 to 1.00). The association between dental trauma and the study variables was evaluated by the chi-square test. Results: A total of 1,445 students were examined, with a response rate of 80.48%. Prevalence of 14.63% (public schools) and 23.40% (private schools) of dental trauma was found. The most common cause of dental trauma was fall (7.87%), followed by collision with objects or persons (5.03%), inadequate use of the teeth (2.33%), sports accidents (2.11%) and car accidents (0.66%). It was observed that 256 students presented injury to at least one tooth, with predominance of enamel fracture (88.67%) followed by discoloration (5.47%), enamel and dentin fracture (3.90%) and tooth loss (1.95 %). The teeth most affected by trauma were the maxillary central incisors. The accidents occurred predominantly at home (44.25%) and at the school (26.99%). Only 28.51% had received treatment for the injuries. Conclusion: Dental trauma in the study population was significant, presenting diverse etiology and expressive treatment needs, indicating the importance of preventive programs to inform the population on the possible complications after trauma, as well as the need to follow-up traumatized teeth to avoid subsequent problems.
2022
Aim: In this study aimed to evaluate the knowledge of 4th and 5th grade students of Dicle University Faculty of Medicine and Dentistry and their approach to first intervention in the face of avulsion, which is the one of the types of dentoalveolar injuries. Material and Method: 300 students selected by random sampling method among 4th and 5th grade students of Dicle University Faculty of Medicine and Dentistry. 17 questions and a questionnaire consisting of three parts were applied to the total of three hundred students from two faculties. The data obtained in this study were analyzed with IBM SPSS 21 package program. While interpreting the results, 0.05 was used as the significance level. Results: There is a statistically significant relationship between the faculty and the previous trauma/emergency or first aid course status (p <0.05). While 34% of the medical school and 86.67% of the dental students had not taken a trauma/emergency or first aid course before, 66% of the medicine faculty and 13.33% of the dentistry faculty have previously taken a trauma/ emergency or first aid course. There is a statistically significant correlation between gender and previous trauma/emergency or first aid course status (p <0.05). While 76.64% of women and 51.3% of men had not taken traum /emergency or first aid courses before; 23.36% of women and 48.7% of men have previously received a trauma/emergency or first aid course. Conclusion: According to this study, it is thought that the medical and dental faculty students who came to the clinical stage of their education had insufficient knowledge about dental trauma, so it would be appropriate to provide dental health information with more comprehensive and understandable way in the education curriculum of the faculties. It will be appropriate to give interdisciplinary seminars, case presentations and lectures on practical emergency response on dental trauma.