Initial treatment of traumatic dental injuries by dental practitioners

Abstract

The aim of this study was to investigate the nature of initial treatment provided by dental practitioners to children aged 1-17 years with various types of traumatic dental injuries at public dental clinics in Tanzania. Questionnaires on initial treatment were mailed to 188 practitioners and returned by 138 (73%). The reported treatments were analyzed in relation to the dental practitioners' qualifications and area of practice. Extraction of injured teeth was frequently reported for 64% of the injuries and prescription of antibiotics was reported by 67%, 48% and 46% of the practitioners for soft tissue injuries, concussion, and alveolar fracture respectively. Practitioners working at the Faculty of Dentistry were less involved in treating dental trauma than those at urban and rural clinics (P = 0.001), while no significant association was found with the level of education of the practitioners. Equal proportions of practitioners, about one-third each, reported correct, unnecessary and wrong treatment options. The quality of the treatments provided could not be explained by background variables. It can be concluded that dental practitioners in Tanzania provide a lot of over-treatment for traumatic dental injuries. Therefore, it is suggested that efforts should be made to improve and standardize treatment methods in Tanzania.

Multidisciplinary Treatment of Multiple Traumatized Anterior Teeth: 2 Year Follow-Up: Case Report

“…1 The best splint made from orthodontic wire and resin composite that has the advantage of the lower risks of complications such as root resorption, and pulp obliteration and is generally available in dental offices, was passively performed in this present case to stabilize injured teeth. 23,24 FIGURE 2: 6-month follow-up clinical and radiological views. Periapical radiograph revealed the normal periodontal ligament spaces and there was no radiolucent lesion in apical area of the injured maxillary right and left first incisors without any canal treatment.…”

Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi’ne Başvuran Adli Nitelikteki Olguların Dağılımı 1994-2006

“…Ayr›ca yüz ve difl yaralanmalar›, bafl-çene disfonksiyonu ya da skar dokusu nedeniyle estetik problemler yaratabilir (5). Bu nedenle dental yaralanmalarda, uygulanan baflar›l› ve yerinde acil önlemler, gelecekte oluflabilecek komplikasyonlar› engelleyici niteliktedir (7).…”

“…Erkek olgulardaki darp oran› (%67,4), kad›n olgulardaki darp oran›ndan (%42,9) anlaml› olarak yüksek bulunmufltur. Literatür bilgilerinde de, genellikle darp olgular› ilk s›rada olup ikinci s›rada sportif kazalar, üçüncü s›rada da trafik kazalar›n›n yer ald›¤› bildirilmektedir (7,24,37,45,47).…”

Orthodontic Eruption as an Alternative Treatment for Primary Teeth Intrusions: A Case Report

“…Depending on the severity of the intrusion, the American Academy of Pediatric Dentistry recommends either extraction or spontaneous re-eruption for the primary tooth 20 . In most cases, treatment of complicated injuries in primary dentition has been limited to extraction of the affected tooth 13,21 . There is no agreement on the ideal treatment of primary intruded teeth after trauma 13 .…”