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CC BY 4.0 · Eur J Dent 2021; 15(03): 557-562
DOI: 10.1055/s-0041-1723066
Original Article

Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study

Austė Antipovienė
1   Department of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania
,
Julija Narbutaitė
2   Department of Preventive and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania
,
Jorma I. Virtanen
3   Department of Clinical Dentistry, University of Bergen, Bergen, Norway
4   Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
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Abstract

Objective Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications.

Materials and Methods  We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients’ (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist.

Statistical Analysis The χ 2-test, analysis of variance (ANOVA), and Kruskal–Wallis and Mann–Whitney tests served in the statistical analyses.

Results A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury.

Conclusion The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

Keywords

traumatic dental injuries - treatment - complications - children and adolescents


Publication History

Article published online:
03 February 2021

© 2021. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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  • References

  • 1 Andersson L. Epidemiology of traumatic dental injuries. J Endod 2013; 39 (Suppl. 03) S2-S5
    CrossrefPubMedGoogle Scholar
  • 2 Glendor U. Aetiology and risk factors related to traumatic dental injuries–a review of the literature. Dent Traumatol 2009; 25 (01) 19-31
    CrossrefPubMedGoogle Scholar
  • 3 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. Dent Traumatol 2018; 34 (02) 71-86
    CrossrefPubMedGoogle Scholar
  • 4 Lenzi MM, Alexandria AK, Ferreira DM, Maia LC. Does trauma in the primary dentition cause sequelae in permanent successors? A systematic review. Dent Traumatol 2015; 31 (02) 79-88
    CrossrefPubMedGoogle Scholar
  • 5 Flores MT, Onetto JE. How does orofacial trauma in children affect the developing dentition? Long-term treatment and associated complications. Dent Traumatol 2019; 35 (06) 312-323
    CrossrefPubMedGoogle Scholar
  • 6 Lin S, Pilosof N, Karawani M, Wigler R, Kaufman AY, Teich ST. Occurrence and timing of complications following traumatic dental injuries: A retrospective study in a dental trauma department. J Clin Exp Dent 2016; 8 (04) e429-e436
    PubMedGoogle Scholar
  • 7 Trope M. Avulsion of permanent teeth: theory to practice. Dent Traumatol 2011; 27 (04) 281-294
    CrossrefPubMedGoogle Scholar
  • 8 Andersson L, Andreasen JO, Day P. et al. International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012; 28 (02) 88-96
    CrossrefPubMedGoogle Scholar
  • 9 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 (01) 41-50
    CrossrefPubMedGoogle Scholar
  • 10 Kroon J, Cox JA, Knight JE, Nevins PN, Kong WW. Mouthguard use and awareness of junior rugby league players in the Gold Coast, Australia: A need for more education. Clin J Sport Med 2016; 26 (02) 128-132
    CrossrefPubMedGoogle Scholar
  • 11 Frujeri MdeL, Frujeri JA, Bezerra AC, Cortes MI, Costa Jr ED. Socio-economic indicators and predisposing factors associated with traumatic dental injuries in schoolchildren at Brasília, Brazil: a cross-sectional, population-based study. BMC Oral Health 2014; 14: 91
    CrossrefPubMedGoogle Scholar
  • 12 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 (03) 247-252
    CrossrefPubMedGoogle Scholar
  • 13 Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and meta-analysis. PLoS One 2017; 12 (02) e0172235
    CrossrefPubMedGoogle Scholar
  • 14 Fakhruddin KS, Lawrence HP, Kenny DJ, Locker D. Impact of treated and untreated dental injuries on the quality of life of Ontario school children. Dent Traumatol 2008; 24 (03) 309-313
    CrossrefPubMedGoogle Scholar
  • 15 Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 5th ed. Copenhagen, Denmark: Munksgaard 2011: 218-229
  • 16 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 (03) 211-215
    CrossrefPubMedGoogle Scholar
  • 17 Bücher K, Neumann C, Hickel R, Kühnisch J. Traumatic dental injuries at a German university clinic 2004-2008. Dent Traumatol 2013; 29 (02) 127-133
    CrossrefPubMedGoogle Scholar
  • 18 Bratteberg M, Thelen DS, Klock KS, Bårdsen A. Traumatic dental injuries-Prevalence and severity among 16-year-old pupils in western Norway. Dent Traumatol 2018; 34 (03) 144-150
    CrossrefPubMedGoogle Scholar
  • 19 Amadori F, Bardellini E, Copeta A, Conti G, Villa V, Majorana A. Dental trauma and bicycle safety: a report in Italian children and adolescents. Acta Odontol Scand 2017; 75 (03) 227-231
    CrossrefPubMedGoogle Scholar
  • 20 Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dent Traumatol 2014; 30 (02) 154-161
    CrossrefPubMedGoogle Scholar
  • 21 Kurt A, Guduk OF, Erbek SM, Baygin O, Tuzuner T. Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma. Eur Oral Res 2019; 53 (02) 74-79
    CrossrefPubMedGoogle Scholar
  • 22 Chaplin TM, Aldao A. Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull 2013; 139 (04) 735-765
    CrossrefPubMedGoogle Scholar
  • 23 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 (04) 360-370
    CrossrefPubMedGoogle Scholar
  • 24 Yamashita FC, Previdelli ITS, Pavan NN, Endo MS. Retrospective study on sequelae in traumatized permanent teeth. Eur J Dent 2017; 11 (03) 275-280
    Article in Thieme ConnectPubMedGoogle Scholar
  • 25 Fouad AF, Abbott PV, Tsilingaridis G. et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2020; 36 (04) 331-342
    CrossrefPubMedGoogle Scholar
  • 26 Tewari N, Goel S, Rahul M. 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 (06) 568-583
    CrossrefPubMedGoogle Scholar
  • 27 Lopez D, Waidyatillake N, Zaror C, Mariño R. Impact of uncomplicated traumatic dental injuries on the quality of life of children and adolescents: a systematic review and meta-analysis. BMC Oral Health 2019; 19 (01) 224
    CrossrefPubMedGoogle Scholar
  • 28 Mahmoodi B, Rahimi-Nedjat R, Weusmann J, Azaripour A, Walter C, Willershausen B. Traumatic dental injuries in a university hospital: a four-year retrospective study. BMC Oral Health 2015; 15 (01) 139
    CrossrefPubMedGoogle Scholar
  • 29 Zaleckienė V, Pečiulienė V, Brukienė V, Jakaitienė A, Aleksejūnienė J, Zaleckas L. Knowledge about traumatic dental injuries in the permanent dentition: A survey of Lithuanian dentists. Dent Traumatol 2018; 34 (02) 100-106
    CrossrefPubMedGoogle Scholar
  • 30 Tewari N, Sultan F, Mathur VP. et al. Global status of dental professionals’ knowledge for the prevention and emergency management of traumatic dental injuries: a systematic review and meta-analysis. Dent Traumatol 2020; (e-pub ahead of print) DOI: 10.1111/edt.12621.
    CrossrefPubMedGoogle Scholar
  • 31 Hartmann RC, Rossetti BR, Siqueira Pinheiro L. et al. Dentists’ knowledge of dental trauma based on the International Association of Dental Traumatology guidelines: a survey in South Brazil. Dent Traumatol 2019; 35 (01) 27-32
    CrossrefPubMedGoogle Scholar
  • 32 Yeng T, O’Sullivan AJ, Shulruf B. Medical doctors’ knowledge of dental trauma management: A review. Dent Traumatol 2020; 36 (02) 100-107
    CrossrefPubMedGoogle Scholar
  • 33 Eltair M, Pitchika V, Standl M. et al. Prevalence of traumatic crown injuries in German adolescents. Clin Oral Investig 2020; 24 (02) 867-874
    CrossrefPubMedGoogle Scholar