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Background. Traumatic dental injuries represent nearly 5% of children and adolescents’ injuries leading to serious medical and psychological issues. This current study aims to evaluate the prevalence of dental trauma and its potential association with different predisposing factors among 12-and 15-year-old schoolchildren in Lebanon. Materials and Methods. 7902 schoolchildren, 3806 male and 4096 female aged 12 years (n = 3985) and 15 years (n = 3917), were recruited by a stratified multistaged randomized cluster sampling method from public and private schools and were clinically examined in a national cross-sectional study. WHO criteria were used to assess anterior permanent teeth; the nature of trauma, the tooth involved, the size of the incisal overjet, and the type of the lip coverage were furthermore assessed. Data regarding age, sex, and causes of TDI were recorded through a structured questionnaire. Results. The prevalence of dental trauma to anterior teeth was 10.9%. Maxillary central incisors (83.7%) were commonly affected. The most common type of injury was enamel fracture (68.3%), falls being the main reason (52.5%). Increased overjet (OR = 2.32, p  = 0.034), deficient lip coverage (OR = 5.73, p  = 0.019), and gender (OR = 5.36, p  ≤ 0.001) were significant predisposing factors for dental trauma. Conclusion. This research highlighted many predisposing factors for dental trauma that affect commonly the anterior teeth. Based on these results, the implementation of strategic preventive measurements targeting especially the identified risk groups remains crucial.

Introduction: Implant esthetics can be compromised with a lack of hard and/or soft tissue in the anterior maxilla. Soft‐tissue augmentation is often a crucial step in optimizing esthetic outcomes. Palatal pedicle soft‐tissue grafts present a versatile option and have a high survival potential. This case series presents a pedicle connective tissue graft technique with novel palatal tunneling as an additional tool for implant site development. It has multiple indications, including complete socket closure, augmentation of soft‐tissue volume, enhancement of gingival papillae, and treatment of peri‐implant defects. Case Series: In the first case, the pedicle graft was performed to achieve soft‐tissue closure over a socket preservation site that was fully dehisced on the facial aspect. This procedure allowed for protecting the bone graft and developing the soft tissue for implant placement 4 months later. The second case was more challenging because of an ankylosed maxillary central incisor presenting with a severe gingival discrepancy. After tooth extraction and hard‐tissue reconstruction, a pedicle graft was used at the time of implant placement to augment the soft tissue over the facial dehiscence of the implant in combination with a bone graft. Conclusions: The novel palatal tunneling in this technique improved the positioning of the pedicle graft at the recipient site. It also preserved the integrity of the mucosa palatal to the defect site by minimizing the protuberance that resulted at the site of pedicle rotation. Soft‐tissue height and volume were found to be increased.

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