Traumatic Dental Injuries of Permanent Anterior Teeth in Children referred to Dental School of Tehran University of Medical Sciences: A Retrospective Study Traumatic Dental Injuries
Journal of Dental School,
Vol. 41 No. 1 (2023),
21 November 2023
,
Page 29-34
https://doi.org/10.22037/jds.v41i1.41827
Abstract
Objectives Children frequently encounter dental problems related to traumatic dental injuries (TDIs). This study aimed to investigate TDIs among children aged 7-13 years, who were admitted to the Tehran School of Dentistry in Tehran, Iran.
Methods This retrospective study was performed on 70 patients with 129 TDIs. Information, such as age at the time of the accident, gender, cause and type of TDI, the interval between the accident and the emergency care, and treatment, was gathered from the patients’ records. During the follow-up session, the pulp sensibility, probing, and percussion tests were conducted. The collected data was statistically analyzed using Fisher’s exact test and Chi-square test. The significance level was set at P<0.05.
Results A total of 129 TDIs were reported during 2018-2021. Maxillary central incisors (80.62%) were the most commonly involved teeth, followed by maxillary lateral incisors (17.82%) and mandibular lateral incisors (1.55%). Falls were the main contributor to TDIs (31.78%). The most frequent TDIs involved enamel-dentin fractures without pulp involvement (37.20%) and subluxation (19.37%), followed by enamel-dentin fractures exposing the pulp (10.85%), avulsion (10.85%), infraction (4.65%), lateral luxation (3.87%), intrusion (3.87%), and extrusion (3.10%). Splinting (26.61%) and restoration (23.74%) were the most frequent treatments. The average follow-up period was 2-3 years, with a survival rate of 67%.
Conclusion It appears that a significant number of parents are unaware of the necessity of immediate treatment and regular follow-up after TDIs, which can result in a high rate of treatment failure.
- Tooth avulsion
- Tooth fracture
- Tooth injuries
- Tooth luxation
- Trauma
How to Cite
References
Caeiro-Villasenín L, Serna-Muñoz C, Pérez-Silva A, Vicente-Hernández A, Poza-Pascual A, Ortiz-Ruiz AJ. Developmental dental defects in permanent teeth resulting from trauma in primary dentition: a systematic review. Int J Environ Res Public Health. 2022;19(2):2-13.
Sen Yavuz B, Sadikoglu S, Sezer B, Toumba J, Kargul B. An assessment of the knowledge of dentists on the emergency management of avulsed teeth. Acta Stomatol Croat. 2020;54(2):136-46.
Andersson L. Epidemiology of traumatic dental injuries. J Endod. 2013;39(3 Suppl):S2-5.
Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009;31(2):96-101.
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—one billion living people have had traumatic dental injuries. Dental Traumatology. 2018;34(2):71-86.
Patnana AK, Chugh A, Chugh VK, Kumar P, Vanga NRV, Singh S. The prevalence of traumatic dental injuries in primary teeth: a systematic review and meta-analysis. Dent Traumatol. 2021;37(3):383-99.
Tewari N, Mathur VP, Siddiqui I, Morankar R, Verma AR, Pandey RM. Prevalence of traumatic dental injuries in India: a systematic review and meta-analysis. Indian J Dent Res. 2020;31(4):601-14.
Saikiran KV, Gurunathan D, Nuvvula S, Jadadoddi RK, Kumar RH, Birapu UC. Prevalence of dental trauma and their relationship to risk factors among 8-15-year-old school children. Int J Dent. 2022;2022:3343827.
Trope M. Avulsion of permanent teeth: theory to practice. Dent Traumatol. 2011;27(4):281-94.
Majewski M, Kostrzewska P, Ziółkowska S, Kijek N, Malinowski K. Traumatic dental injuries - practical management guide. Pol Merkur Lekarski. 2022;50(297):216-8.
Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 2. avulsion of permanent teeth. Dent Traumatol. 2012;28(2):88-96.
Tian J, Lim J, Moh F, Siddiqi A, Zachar J, Zafar S. Parental and training coaches' knowledge and attitude towards dental trauma management of children. Aust Dent J. 2022;67 Suppl 1(Suppl 1): S31-S40.
Elareibi I, Fakron S, Gaber A, Lambert M, El Tantawi M, Arheiam A. Awareness of sports-related dental emergencies and prevention practices among Libyan contact sports coaches: a cross-sectional study. Health Sci Rep. 2022;6(1):e977.
van Vliet KE, Brand HS, Lobbezoo F, de Lange J. Knowledge about the emergency management of dental injuries among field hockey coaches. Dent Traumatol. 2022;38(6):526-31.
Arhakis A, Athanasiadou E, Vlachou C. Social and psychological aspects of dental trauma, behavior management of young patients who have suffered dental trauma. Open Dent J. 2017;11:41-7.
Rajab LD, Abu Al Huda D. Impact of treated and untreated traumatic dental injuries on oral health-related quality of life among 12-year-old schoolchildren in Amman. Dent Traumatol. 2019;35(3):153-62.
Al-Ansari A, Nazir M. Prevalence of dental trauma and receipt of its treatment among male school children in the Eastern Province of Saudi Arabia. ScientificWorldJournal. 2020;2020:7321873.
Bendo CB, Vale MP, Figueiredo LD, Pordeus IA, Paiva SM. Social vulnerability and traumatic dental injury among Brazilian schoolchildren: a population-based study. Int J Environ Res Public Health. 2012;9(12):4278-91.
Feldens CA, Senna RA, Vargas-Ferreira F, Braga VS, Feldens EG, Kramer PF. The effect of enamel fractures on oral health-related quality of life in adolescents. Dent Traumatol. 2020;36(3):247-52.
Baginska J, Rodakowska E, Milewski R, Wilczynska-Borawska M, Kierklo A. Polish school nurses' knowledge of the first-aid in tooth avulsion of permanent teeth. BMC Oral Health. 2016;16:30.
Yassen GH, Chin JR, Younus MS, Eckert GJ. Knowledge and attitude of dental trauma among mothers in Iraq. Eur Arch Paediatr Dent. 2013;14(4):259-65.
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. STOMATOLOGY EDU JOURNAL. 2019.
Antipovienė A, Narbutaitė J, Virtanen JI. Traumatic dental injuries, treatment, and complications in children and adolescents: a register-based study. Eur J Dent. 2021;15(3):557-62.
Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dent Traumatol. 2014;30(2):154-61.
Abdel Malak C, Chakar C, Romanos A, Rachidi S. Prevalence and etiological factors of dental trauma among 12- and 15-year-old schoolchildren of Lebanon: a national study. ScientificWorldJournal. 2021;2021:5587431.
Ogordi PU, Ize-Iyamu IN, Adeniyi EO. Prevalence of traumatic dental injury to the anterior teeth in children attending paramilitary and nonparamilitary schools in Nigeria. Ann Afr Med. 2019;18(2):80-5.
Nagarajappa R, Ramesh G, Uthappa R, Kannan SPK, Shaikh S. Risk factors and patterns of traumatic dental injuries among Indian adolescents. J Dent Sci. 2020;15(1):96-103.
Vieira WA, Pecorari VGA, Figueiredo-de-Almeida R, Carvas Junior N, Vargas-Neto J, Santos ECA, et al. Prevalence of dental trauma in Brazilian children and adolescents: a systematic review and meta-analysis. Cad Saude Publica. 2021;37(12):e00015920.?
Eslamipour F, Iranmanesh P, Borzabadi-Farahani A. Cross-sectional study of dental trauma and associated factors among 9- to 14-year-old schoolchildren in Isfahan, Iran. Oral Health Prev Dent. 2016;14(5):451-7.
Glendor U. Epidemiology of traumatic dental injuries--a 12 year review of the literature. Dent Traumatol. 2008;24(6):603-11.
Eltair M, Pitchika V, Standl M, Lang T, Krämer N, Hickel R, et al. Prevalence of traumatic crown injuries in German adolescents. Clin Oral Investig. 2020;24(2):867-74.
Gümüş H, Öztürk G, Kürem B. Profiles of traumatic dental injuries among children aged 0-15 years in Cappadocia, Turkey: a retrospective cohort study. Dent Traumatol. 2021;37(3):419-29.
Tan YZ, Levin L, Guo W, Chen Y. Dental injuries at the Xi'an, China stomatological hospital: a retrospective study. Dent Traumatol. 2020;36(5):505-9.
Prieto-Regueiro B, Gómez-Santos G, Diéguez-Pérez M. Prevalence of traumatic injuries in deciduous dentition and associated risk factors in a Spanish children population. J Clin Exp Dent. 2021;13(7):e678-e84.
Chaplin TM, Aldao A. Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull. 2013;139(4):735-65.
Maume DJ, Parrish M. Heavy-Contact Sport Participation and Early Adolescent Delinquency. Soc. Curr. 2020;8(2):126-44.
Levin L, Day PF, Hicks L, O'Connell A, Fouad AF, Bourguignon C, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol. 2020;36(4):309-13.
Zhang Y, Zhu Y, Su W, Zhou Z, Jin Y, Wang X. A retrospective study of pediatric traumatic dental injuries in Xi'an, China. Dent Traumatol. 2014;30(3):211-5.
Ng L, Malandris M, Cheung W, Rossi-Fedele G. Traumatic dental injuries presenting to a paediatric emergency department in a tertiary children's hospital, Adelaide, Australia. Dent Traumatol. 2020;36(4):360-70.
Bücher K, Neumann C, Hickel R, Kühnisch J. Traumatic dental injuries at a German university clinic 2004-2008. Dent Traumatol. 2013;29(2):127-33.
Yamashita FC, Previdelli ITS, Pavan NNO, Endo MS. Retrospective study on sequelae in traumatized permanent teeth. Eur J Dent. 2017;11(3):275-80.
Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O'Connell AC, Day PF, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 1. fractures and luxations. Dent Traumatol. 2020;36(4):314-30.
Tzimpoulas N, Markou M, Zioutis V, Tzanetakis GN. A questionnaire-based survey for the evaluation of the knowledge level of primary school teachers on first-aid management of traumatic dental injuries in Athens, Greece. Dent Traumatol. 2020;36(1):41-50.
Tewari N, Goel S, Rahul M, Mathur VP, Ritwik P, Haldar P, et al. Global status of knowledge for prevention and emergency management of traumatic dental injuries among school teachers: a systematic review and meta-analysis. Dent Traumatol. 2020;36(6):568-83.
Chopra A, Lakhanpal M, Rao N, Gupta N, Vashisth S. Traumatic dental injuries among 12-15-year-old-school children in panchkula. Arch Trauma Res. 2014;3(1):e18127.
Toprak ME, Tuna EB, Seymen F, Gençay K. Traumatic dental injuries in Turkish children, Istanbul. Dent Traumatol. 2014;30(4):280-4.
Akhlaghi N, Nourbakhsh N, Khademi A, Karimi L. General dental practitioners' knowledge about the emergency management of dental trauma. Iran Endod J. 2014;9(4):251-6.
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