International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 4 ( July-August, 2021 ) > List of Articles

RESEARCH ARTICLE

Traumatic Dental Injuries in Pediatric Patients: A Retrospective Analysis

Deepika Patidar, Dinesh C Patidar, Aayush Malhotra

Keywords : Dental trauma, Fracture, Management

Citation Information : Patidar D, Patidar DC, Malhotra A. Traumatic Dental Injuries in Pediatric Patients: A Retrospective Analysis. Int J Clin Pediatr Dent 2021; 14 (4):506-511.

DOI: 10.5005/jp-journals-10005-2004

License: CC BY-NC 4.0

Published Online: 29-10-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim: This retrospective study aimed to analyze dental traumatic injuries and their management in children up to 16 years of age. Materials and methods: Records of the patients who sustained dental trauma from 2013 to 2018 were evaluated for age, gender, etiology, type of injuries, and their management. Children were divided into three groups—primary (0–5 years), mixed (6–11 years), and permanent dentition group (12–16 years). Dental trauma was assessed by Ellis and Davey's classification of tooth fracture along with other associated injuries. Results: Total records of 466 children with 750 injured teeth (665 permanent and 85 primary) were evaluated. Males were reported twice as females. Fall was noted as the major etiological factor (93.1%). The highest frequency of dental trauma was observed in the permanent dentition group (54.7%). Ellis class IV fracture was the most common dental injury and maxillary central incisor was the most frequently injured tooth. Soft tissue injury was noted as the most commonly associated injury. Most of the dental traumatic injuries in permanent teeth were treated by root canal treatment while the majority of primary dentitions were managed by observation and wound care. Conclusion: Ellis class IV fracture was noted as the most frequent type of dental injury and fall was a major etiological factor. The permanent dentition group of children was more affected and a male predominance was observed. Clinical significance: The information gained from the present study would help in providing various preventive modalities to parents, caregivers, and teachers regarding these injuries in the future and also facilitate several new researches in this field.


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  1. Gassner R, Tuli T, Hachl O, et al. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004;62(4):339–407. DOI: 10.1016/j.joms.2003.05.013.
  2. Lydia NG, Malandris M, Cheung W. Traumatic dental injuries presenting to a paediatric emergency department in a tertiary children's hospital, Adelaide, Australia. Dent Traumatol 2020;36(4):360–370. DOI: 10.1111/edt.12548.
  3. Dıaz JA, Bustos L, Brandt AC, et al. Dental injuries among children and adolescents aged 1–15 years attending to public hospital in Temuco, Chile. Dent Traumatol 2010;26(3):254–261. DOI: 10.1111/j.1600-9657.2010.00878.x.
  4. Rocha MJ, Cardoso M. Traumatized permanent teeth in Brazilian children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol 2001;17(6):245–249. DOI: 10.1034/j.1600-9657.2001.170601.x.
  5. Ashrafullaha, Pandey RK, Mishra A. The incidence of facial injuries in children in Indian population: a retrospective study. J Oral Biol Craniofac Res 2018;8(2):82–85. DOI: 10.1016/j.jobcr.2017.09.006.
  6. Kumaraswamy S, Madan N, Keerthi R, et al. Pediatric injuries in maxillofacial trauma: a 5 year study. J Maxillofac Oral Surg 2009;8(2):150–153. DOI: 10.1007/s12663-009-0037-4.
  7. Guideline on Management of Acute Dental Trauma. Pediatric sentistry. Reference Manual 2012/13;34(6):230–238.
  8. Sharma A, Patidar DC, Gandhi G, et al. Mandibular fracture in children: a new approach for management and review of literature. Int J Clin Pediat Dentis 2019;12(4):357–359.
  9. Casey RP, Bensadigh BM, Lake MT, et al. Dentoalveolar trauma in the pediatric population. J Craniofac Surg 2010;21(4):1305–1309. DOI: 10.1097/SCS.0b013e3181e206c1.
  10. Tandon S. Textbook of pedodontics. 3rd ed., vol. 2, Hyderabad: Paras Medical Publisher; 2018. p. 1005.
  11. Unal M, Oznurhan F, Kapdan A, et al. Traumatic dental injuries in children. Experience of a hospital in the Central Anatolia Region of Turkey. Eur J Paediatr Dent 2014;15(1):17–22.
  12. Kargul B, Caglar E, Tanboga I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19(2):72–75. DOI: 10.1034/j.1600-9657.2003.00091.x.
  13. Caldas AF, Burgos ME. A retrospective study of traumatic dental injuries in a Brazilian Dental Trauma Clinic. Dent Traumatol 2001;17(6):250–253. DOI: 10.1034/j.1600-9657.2001.170602.x.
  14. Marcenes W, Alessi ON, Traebert J. Causes and prevalence of traumatic injuries to the permanent incisors of school children aged 12 years in Jaragua do Sul. Brazil Int Dent J 2000;50(2):87–92. DOI: 10.1002/j.1875-595x.2000.tb00804.x.
  15. Marcenes W, Zabot NE, Traebert J. Socio-economic correlates of traumatic injuries to the permanent incisors in school children aged 12 years in Blumenau, Brazil. Endod Dent Traumatol 2001;17(5):222–226. DOI: 10.1034/j.1600-9657.2001.170507.x.
  16. Nicolau B, Marcenes W, Sheiham A. Prevalence, causes and correlates of traumatic dental injuries among 13-years-olds in Brazil. Endod Dent Traumatol 2001;17(5):213–217. DOI: 10.1034/j.1600-9657.2001.170505.x.
  17. Marcenes W, Beiruti NA, Tayfour D, et al. Epidemiology of traumatic dental injuries to permanent incisors of school children aged 9-12 in Damascus, Syria. Endod Dent Traumatol 1999;15(3):117–123. DOI: 10.1111/j.1600-9657.1999.tb00767.x.
  18. Kovacs M, Pacurar M, Petcu B, et al. Prevalence of traumatic dental injuries in children who attended two dental clinics in Targu Mures between 2003 and 2011. Oral Health Dent Manag 2012;11(3):116–124.
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