An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 1: The prevalence and incidence of injuries and the extent and adequacy of treatment received

Abstract

Aim: To measure the prevalence and incidence of dental trauma and to assess the extent and success of treatment provided.

Design: Cross-sectional and one-year incremental study.

Subjects and methods: 2022 11-14-year-old pupils were examined in schools for clinical evidence of trauma of anterior teeth. 1891 were examined 15 months later. A history of the trauma and treatment provided were obtained together with some social data. Radiographs were taken of affected teeth.

Main outcome measures: Degree of trauma, whether treatment was provided and its quality, ACORN classification.

Results: 34% had suffered trauma but only 12% needed treatment for 332 teeth. 47% of these teeth had received treatment, of which 59% was inadequate. After 15 months 4% had experienced new injuries. 42% of boys and 28% of girls (P < 0.01) had sustained injuries, as had 38% from ACORN group III and 30% from groups I and II. 67% of those with pain and 40% of those without attended for treatment (P < 0.01), while 69% who were unhappy with the appearance and 35% who were not (P < 0.01) attended.

Conclusions: The primary care services currently available for the treatment of dental trauma are inadequate.