Occurrence of tooth injuries in patients treated in hospital environment in the region of Araçatuba, Brazil during a 6‐year period

Abstract

Dental trauma has been considered as a public health problem that affects mainly children and youngsters and due to its impact on the patient's quality of life. This study presents the results of a 6-year survey of the occurrence and characteristics of dental trauma in patients admitted to the Service of Surgery and Oral and Maxillofacial Traumatology of the School of Dentistry of Araçatuba (UNESP, Brazil) after emergency care in hospital facilities in the region of Araçatuba, SP, Brazil. For such purpose, the clinical files of patients treated at the Service between 1999 and 2005 were reviewed. Information regarding gender, age, number of traumatized teeth, etiology and diagnosis of the trauma was collected from the files of patients with tooth injuries and recorded in case report forms specifically designed for this purpose. The results showed that from a total of 4112 patients admitted to the Service within the surveyed period, 266 (6.5%) had tooth injuries (172 males - 64.7%; 94 females - 35.3%). The total number of traumatized teeth was 496. Most patients belonged to the 16-20 year-old age group (20.3%) and the most frequent causes of tooth injuries were bicycle accidents (28.6%), motorcycle accidents (19.2%) and falls (18.8%). Injuries to the periodontal tissues were the most frequent type of tooth injuries (408 teeth; 82.26%), occurring in 118 primary and 290 permanent teeth. Among the injuries to the periodontal tissues, avulsion was the most common (32.86%) (29.41% for primary and 34.0% for permanent teeth), followed by extrusive luxation (19.15%) (25.21% for primary and 17.24% for permanent teeth). In conclusion, in the surveyed population, cases of tooth injuries were more frequent in males aged 16-20 years old due to cyclist accidents with predominance of injuries to the periodontal tissues, in particular, avulsions.

Prevalence, Etiology and Treatment Needs of Traumatic Dental Injuries in Schoolchildren aged 12 years at Brasília, Brazil

“…In the present study, the cause most reported by students suffering dental trauma was fall (42.86%), followed by collision with objects or people (27.38%), corroborating the aforementioned studies [2,18].…”

“…According to several authors [2,18] the most common causes of TDIs are falls or collisions with objects or people. In the present study, the cause most reported by students suffering dental trauma was fall (42.86%), followed by collision with objects or people (27.38%), corroborating the aforementioned studies [2,18].…”

Epidemiologia do Traumatismo Dentário em Crianças: A Produção Científica Brasileira

“…Em relação ao sexo, a maioria dos estudos mostrou que as crianças do sexo masculino sofrem, significativamente, mais injúrias traumáticas nos dentes do que as crianças do sexo feminino 3,7,10,24,25,27,29,31,32,34,39,45,46,50,51,[53][54][55][56][57][58][59][60][61] .…”

“…Neste estudo, também se observou que, com relação ao conhecimento sobre o atendimento do TD, melhor capacitação deve ser oferecida tanto para os cirurgiões dentistas quanto para outros profissionais, como cuidadores e educadores, frequentemente presentes no momento do traumatismo dentário [15][16][17][18][19] . Segundo diversos autores 14,[52][53][54][58][59][60][65][66][67][68] , as causas mais comuns do TD são as quedas ou colisões com outras pessoas. Todavia a crença de que resulta de "acidentes" ou "eventos aleatórios" tem contribuído para que o evento e sua prevenção sejam negligenciados.…”

Non-white people have a greater risk for maxillofacial trauma: findings from a 24-month retrospective study in Brazil

“…Authors also observed the high prevalence of falls and sports traumas in both developed and developing countries 10 . In Brazil, the conducted studies presented some limitations: (a) evaluation of a specific population, like children 11 or rural population; 8 (b) evaluation of fractures and the required treatment only; 12 (c) analysis of the dental traumas only 13 . Although there are some minor studies on maxillofacial trauma in some parts of Brazil, this is the first report analyzing data of oral and maxillofacial traumas in the last decade.…”