Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil

Abstract

This epidemiologic survey aimed at assessing the prevalence of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil. The records of a total of 111 children (aged 0 to 6 years) seen from 2004 to 2006 in the dental trauma clinic were surveyed, comprising a total of 201 traumatized primary teeth. Data pertaining to the child and to the trauma such as age, gender, etiology, teeth involved, type of traumatic injury, time elapsed between the trauma and seeking care, and the presence and kind of clinical and radiographic sequelae in the first visit were collected from the dental records. All variables studied were assessed by means of frequency analysis and the Chi-square test (p < 0.05). A higher prevalence of trauma was observed in boys (56.7%) and in the age group from 0-3 years (73.8%). The most affected teeth were the central incisors (84.7%) and the most common trauma etiology was a fall from the child's own height (63.0%). The supporting tissues were the most affected. Lateral luxation was the most frequent alteration observed (33.4%), followed by concussion (21.0%). Coronal discoloration (17.7%) and external resorption (18.3%) were, respectively, the most prevalent clinical and radiographic sequelae. Gender had no influence on the clinical (p = 0.54) and radiographic (p = 0.55) sequelae. Even though age had no influence on radiographic sequelae (p = 0.41), clinical sequelae were more prevalent in children aged 0 to 3 years (p = 0.03). In conclusion, traumatisms in primary teeth were more prevalent in boys, and in 0-3-year-old children. Luxation was the most frequent traumatic lesion, and coronal discoloration and external resorption were the most prevalent sequelae.

Injúrias dentárias em dentes decíduos: estudo longitudinal

“…Em geral os incisivos centrais superiores são mais acometidos por trauma ( JESUS et al, 2010;GOVINDARAJAN et al, 2012;VIEGAS et al, 2014), e embora menos prevalente, neste estudo, quatro incisivos inferiores foram envolvidos em traumatismos, sendo que em três deles houve a avulsão dos elementos dentários. Em conformidade com outros estudos a maxila foi o arco mais atingido por trauma na dentição decídua (KRAMER et al, 2003;ASSUNÇÃO et al, 2009;JESUS et al, 2010;COUTINHO;CAJAZEIRA, 2011;BÜCHER et al, 2013;VIEGAS et al, 2015;BERTI et al,2015;ELKARMI et al, 2015).…”

“…Na literatura embora muitas pesquisas relatem experiências cientificas em vários países e estados brasileiros (KRAMER et al, 2003;ASSUNÇÃO et al, 2009;JESUS et al, 2010;COUTINHO;CAJAZEIRA, 2011;BÜCHER et al, 2013;VIEGAS et al, 2015;BERTI et al,2015;ELKARMI et al, 2015), não existem estudos conduzidos para determinar dados sobre traumatismos dentários na dentição decídua na região norte do Estado do Paraná (PR), Brasil. Diante do exposto, o objetivo do presente trabalho foi determinar a prevalência, conduta clínica, bem como avaliação de sequelas nos dentes decíduos envolvidos e sucessores permanentes, em crianças atendidas na Clínica Odontológica da…”

Crown-Root Fractures in Primary Teeth: A Case Series Study of 28 Cases

“…This finding is explained by the presence of immature supporting structures and the resilience of the bone surrounding the teeth (1), which usually results in a dental displacement instead of hard tissue trauma. However, crown-root fractures can cause complications, such as pain, difficulty in eating and speech, compromised aesthetics, and even psychological impact due to tooth loss (3), and therefore such injuries are recognized as important oral health problems (10). Most crown-root fractures occur in the anterior teeth, after direct trauma to the tooth itself (1).…”

The Rehabilitation of Permanent Teeth with Complicated Crown Fracture by MTA Pulpotomy and Re-Attachment: Case Series Report Study and Literature Review

“…Epidemiological studies have reported that pre-school children are exposed to dental trauma rate of 6.1%-62.1% and approximately 25% of all children below the age of 18 years are exposed to trauma in anterior teeth [2][3][4]. The most common causes of dental trauma have been reported to be sports injuries, accidents in the home, fall and impact [5,6].…”