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. 2021 Jul;15(3):557-562.
doi: 10.1055/s-0041-1723066. Epub 2021 Feb 3.

Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study

Austė Antipovienė  1 , Julija Narbutaitė  2 , Jorma I Virtanen  3   4
Affiliations

Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study

Austė Antipovienė et al. Eur J Dent. 2021 Jul.

Abstract

Objective: Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications.

Materials and methods: We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients' (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist.

Statistical analysis: The χ 2-test, analysis of variance (ANOVA), and Kruskal-Wallis and Mann-Whitney tests served in the statistical analyses.

Results: A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury.

Conclusion: The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

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Conflict of interest statement

None declared.

Figures

Fig. 1
Fig. 1
Patient’s age and cause of TDIs. CI, confidence interval; TDI, traumatic dental injury.
See this image and copyright information in PMC

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