Traumatic tooth injuries to primary teeth of children aged 0–3 years

Abstract

The purpose of this study was to analyze data according to gender, age, cause, number of traumatized teeth, type of tooth and trauma, from the records of traumatized children (0-3 years) referred to the Ondokuz Mayis University, Dental Faculty, Department of Pedodontics in middle Black Sea region of Turkey. A total of 563 boys and girls participated in the study. Traumatic dental injuries were recorded using the classification of the World Health Organization modified slightly by Andreasen & Andreasen. Traumatic dental injuries were identified in 17.4% of the children. The largest percentage of injuries were in the 13-18 months old children with no significant gender differences (P > 0.05). Periodontal tissue injuries were the most common (84.7%) with no statistical difference between different ages or gender (P > 0.05). The main etiological factor of traumatic dental injury was falls (73.5%) and it was not different between age and gender (P > 0.05). The maxillary central incisors were involved in a higher percentage of traumatic injuries (98%), with no differences between the right and the left sides (P > 0.05). Treatment was sought for 37.4% of children within 1-7 days. It is suggested that parents should be informed about prevention of traumatic injuries and to contact a dentist immediately.

Predisposing Factors for Traumatic Dental Injury in Primary Teeth and Seeking of Post-trauma Care

“…In the present investigation, the prevalence rate was 34.6%, which is in agreement with findings described in a number of Brazilian and international studies (2,4,8,16), whereas other studies report lower rates (1,17). The conflicting results may reflect different methodologies, patient selection methods, trauma classification indices, geographic characteristics, socioeconomic status and cultural/behavioral factors, which differ between countries (2).…”

“…In the literature, parents report the occurrence of TDI with higher frequency at ages of 1 and 2 years (5,7) as well as two and four years (3,23). This is a critical phase in which the permanent incisors are not yet completely mineralized and, consequently, sequelae of greater severity may occur as a result of trauma (17). Moreover, the age at which TDIs occur is important for the establishment of strategies for predicting and preventing more serious consequences to the germ of the permanent successor (3).…”

Prevalence, Type and Etiology of Dental and Soft Tissue Injuries in Children in Croatia

“…Th e most common type of trauma in primary teeth was subluxation. Periodontal tissue injuries in primary dentition occurred 2.8 times more often than hard dental tissue injuries, a result similar to other studies 3,16,20,28,32 . Th is fi nding can be explained by the periodontal ligament elasticity and alveolar bone resilience 26,30 .…”

Fatores associados à necessidade de exodontia de incisivos centrais superiores decíduos traumatizados

“…Data were tabulated and analyzed using Poisson regression to assess the relationship between the variables. Having suffered a trauma with displacement (RR=4,73; 2,06 -10,98), intrusive (RR=4,18; 1,74 -10,07) or extrusive (RR=9,57;4,67), with pulp involvement (RR=17,89;8,88) or root fracture (RR=2,74;1,(6)(7)07), in addition to trauma with more than two teeth affected (RR=1,33; 1,12 -1,57), were positively associated to the risk of tooth extraction as a result of trauma. For the loss by infection, the element having suffered trauma (RR= 1,75;1,93) and developing high-severity pulp necrosis (RR=25,86;13,6) were positively associated with risk of tooth extraction.…”

“…Os dados foram tabulados e a análise de Regressão de Poisson foi realizada para avaliar a associação entre as variáveis. O dente apresentar luxação lateral (RR=4,73; 2,06 -10,98), intrusiva (RR=4,18; 1,74 -10,07) ou extrusiva (RR=9,57;4,67), trauma com envolvimento pulpar (RR=17,89;8,88) ou fratura radicular (RR=2,74;1,(6)(7)07), além de trauma com envolvimento de mais de 2 dentes (RR=1,33; 1,12 -1,57) foram positivamente associadas à necessidade do dente traumatizado ter exodontia em decorrência do traumatismo dental. O dente com trauma de alta severidade (RR= 1,75;1,93) e apresentar sinais de necrose pulpar (RR=25,86;13,6) foram fatores positivamente associados à necessidade de exodontia por sinais de infecção.…”