A retrospective study of traumatic dental injuries in children treated at a pediatric dental emergency

Authors

  • Bianca Scopel Costa Programa de Pós-Graduação em Odontologia - Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas
  • Marly Almeida Saleme do Valle
  • Manoelito Ferreira Silva Junior Mestrando em Odontologia (Saúde Coletiva) - Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas
  • Ana Paula Martins Gomes
  • Lilian Citty Sarmento
  • Ana Maria Martins Gomes

DOI:

https://doi.org/10.15448/1980-6523.2015.4.19831

Keywords:

Epidemiology, Dental trauma, Primary dentition

Abstract

Objective: To determine the prevalence of traumatic dental injury (TDI) and relate it to the age and gender of patients attended at the pediatric dental emergency unit of the Universidade Federal de Espírito Santo, Vitória, Espírito Santo.
Methodology: A cross-sectional observational analytic study was undertaken by collecting data from the medical records of 0-12 year-old patients, treated between 03/2003 and 11/2010. The variables analysed consisted of age, gender, number and teeth most affected, and sequelae. Data were tabulated using Excel 2007 and statistical analysis was performed using the Chi-square test.
Results: A total of 596 medical records was analyzed, of which 124 contained reports of TDI. The greatest prevalence of TDI occurred in male children (63.7%) and in the 5 year-old age group (21%). The teeth most affected were the upper central incisors (65.8%) with 1-2 teeth involved (75.8%). In terms of sequelae, subluxation (30%) was the most prevalent. The results of the bivariate analysis were significant when age and type of sequela were compared.
Conclusion: A relationship was found between the type of sequela caused by TDI and the child’s age at the time of the accident but not with their gender. 

Author Biographies

Bianca Scopel Costa, Programa de Pós-Graduação em Odontologia - Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas

Social Dentisty

Manoelito Ferreira Silva Junior, Mestrando em Odontologia (Saúde Coletiva) - Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas

Odontologia Social

References

Glendor U. Epidemiology of traumatic dental injuries--a 12 year review of the literature. Dent Traumatol, 2008 Dec; 24 (6): 603-11.

Andreasen JO, Andreasen FM. Dental Trauma: Quo vadis. Endod Dent Traumatol, 1990; 6 (2): 78-80.

Traebert J, Marcon KB, Lacerda JT. Prevalência de traumatismo dentário e fatores associados em escolares do município de Palhoça (SC). Ciênc saúde coletiva. 2010: 15 (suppl.1): 1849-55.

Bonini GAVC, Marcenes W, Oliveira LB, Sheiham A, Bönecker M. Trends in the prevalence of traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2009 Dec; 25 (6): 594-8.

Losso EM, Tavares MCR, Bertoli FMP, Baratto-Filho F. Traumatismo dentoalveolar na dentição decídua. RSBO, 2011 Jan-Mar; 8 (1): 1-20.

Bendgude V, Akkareddy B, Panse A, Singh R, Metha D, Jawale B, Garcha V, Jathar P. Correlation between dental traumatic injuries and overjet among 11 to 17 years Indian girls with Angle's class I molar relation. J Contemp Dent Pract, 2012 Mar-Apr; 13 (2):142-6.

Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary to primary and permanent teeth in a Danish population sample. Int J Oral Surg, 1972; 1 (5): 235-9.

Carvalho JC, Vinker F, Declerck D. Malocclusion, dental injuries and dental anomalies in the primary dentition of belgian children. Int J Paediatr Dent, 1998 Jun; 8 (2): 137-41.

Skaare AB, Jacobsen I. Primary tooth injuries in Norwegian children (1-8 years). Dent Traumatol. 2005 Dec; 21 (6): 315-9.

Shayegan A, Maertelaer V, Abbeele AV. The prevalence of traumatic dental injuries: a 24-month survey. J Dent Child. 2007 Sep-Dec; 74 (3): 194-9.

Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dental Traumatol. 2012; 28: 88-96.

Andreasen JO, Andreasen FM, Anderson L. Textbook and color atlas of traumatic dental injuries to the teeth. 4th ed. Oxford: Blackwell Munksgaard; 2007.

Flores MT, Malmgren B, Andersson L, Andreasen JO, Bakland LK, Barnett F, Bourguignon C, DiAngelis A, Hicks L, Sigurdsson A, Trope M, Tsukiboshi M, von Arx T. Guidelines for the management of traumatic dental injuries. III. Primary teeth. Dent Traumatol. 2007 Aug; 23 (4): 196-202.

Della Valle D, Chevitarese ABA, Modesto A, Castro LA. Frequência de traumatismo dentário em bebês. Rev Ibero-am Odontopediatr Odontol Bebê. 2003; 6 (34): 464-9.

Granville-Garcia AF, Menezes VA, Lira PI. Dental trauma and associated factors in Brazilian preschoolers. Dent Traumatol. 2006 Dec; 22 (6): 318-22.

Oliveira LB, Marcenes W, Ardenghi TM, Sheiham A, Bönecker M. Traumatic dental injuries and associated factors among Brazilian preschool children. Dent Traumatol. 2007 Apr; 23 (2): 76-81.

Pádua MC, Mendes FM, Benedetto MS, Mello-Moura ACV, Imparato JC, Bonini GAVC. Prevalência de lesões dentárias traumáticas em pré-escolares de escolas públicas e particulares. J Health Sci Inst. 2010; 28 (3): 237-40

Feldens CA, Kramer PF, Vidal SG, Faraco-Junior IM, Vítolo MR. Traumatic dental injuries in the first year of life and associated factors in Brazilian infants. J Dent Child. 2008 Jan-Apr; 75 (1): 7-13.

Kramer PF, Zembruski C, Ferreira SH, Feldens CA. Traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2003 Dec; 19 (6): 299-303.

Bijella MF, Yared FN, Bijella VT, Lopes ES. Occurrence of primary incisior traumatism in Brazilian children: a house-by-house survey. ASDC J Dent Child. 1990 Nov-Dec; 57 (6): 424-7.

Cunha RF, Pugliesi DM, Vieira AE. Oral trauma in Brazilian patients aged 0-3 years. Dent Traumatol. 2001 Oct; 17 (5): 210-2, 2001.

Kramer PF, Gomes CS, Ferreira SH, Feldens CA, Viana ES. Traumatismo na dentição decídua e fatores associados em pré-escolares do município de Canela/RS. Pesq Bras Odontop Clín Integ. 2009 Jan-Abr; 9 (1): 95-100.

Gondim JO, Giro EMA, Moreira-Neto, JJS, Coldebella CR, Bolini PDA, Gaspar AMM. Sequelas em dentes permanentes após trauma nos predecessores decíduos e sua implicação clínica. Rev Gaúcha Odontol. 2011 Jan-Jun; 59 (suplement 0): 113-120.

Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dental Traumatol. 2014 Apr; 30 (2): 154-61.

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Published

2015-09-01

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Original Article