Trauma in Primary Teeth at a Specialized Service Center: Retrospective Cohort
Keywords:
Child, Dental Care, Primary Teeth, Dental Trauma, IntrusionAbstract
Objective: To evaluate the factors associated with the occurrence of dental trauma in children up to six years of age and describe the results of clinical follow-up and possible sequelae. Material and Methods: A retrospective study was carried out with data collected from the dental records of 96 pediatric patients up to 6 years old with traumatized primary teeth who sought care from the. Pediatric Dental Trauma project of a private university in the city of Rio de Janeiro from July 2014 to July 2017, and who had clinical and radiographic follow-up for up to three months as of their initial visit. Results: 96 children (58.3% boys and 41.7% girls) included who presented 166 traumatized primary teeth. Intrusion was the most observed type of trauma and in 45.8% of cases, the care occurred one-week post trauma. The maxillary central incisors were the most affected teeth (97.6%). The prognosis of the dental elements with more than 3 months of follow-up was considered favorable, and 59.6% of the teeth did not present any clinical or radiological sequelae. Oral hygiene instruction and monitoring were the most common approaches. Conclusion: The prevalence of dental trauma in the present study was high and occurred mainly in domestic settings. The upper central incisors were the teeth that suffered the most injuries. The presence of patients at follow-up visits was an important factor for the positive result in most cases.
References
Andersson L, Andreasen JO, Day F, Heithersay G, Trope M, Diangelis AJ, et al. International Association of Dental Traumatology. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012; 28(2):88-96. https://doi.org/10.1111/j.1600-9657.2012.01125.x
Glendor U. Epidemiology of traumatic dental injuries - a 12 years review of the literature. Dent Traumatol 2008; 24(6):603-11. https://doi.org/10.1111/j.1600-9657.2008.00696.x
Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol 2013; 55(6):509-19. https://doi.org/10.1111/dmcn.12080
Francisco SS, José Filho F, Pinheiro ET, Murrer RD, Soares AJ. Prevalence of traumatic dental injuries and associated factors among Brazilian schoolchildren. Oral Health Prev Dent 2013; 11(1):31-8. https://doi.org/10.3290/j.ohpd.a29373
Al-Musawi A, Al-Sane M, Lars A. Smartphone app as an aid in the emergency management of avulsed teeth. Dent Traumatol 2017; 33(1):13-8. https://doi.org/10.1111/edt.12298
Holan G, Cohenca N, Brin I, Sgan-Cohen H. An oral health promotion program for the prevention of complications following avulsion: the effect on knowledge of physical education teachers. Dental Traumatol 2006; 22(6):323-7. https://doi.org/10.1111/j.1600-9657.2005.00387.x
Mendoza-Mendoza A, Iglesias-Linares A, Yañez-vico RM, Abalos-Labruzzi C. Prevalence and complications of trauma to the primary dentition in a subpopulation of Spanish children in southern Europe. Dent Traumatol 2015; 31(2):144-9. https://doi.org/10.1111/edt.12147
Assunção LRS, Cunha RF, Ferelle A. Análise dos traumatismos e suas sequelas na dentição decídua: uma revisão da literatura. Pesqui Bras Odontopediatria Clín Integr 2007; 7(2):173-9. https://doi.org/10.4034/1519.0501.2007.0072.0012
Fontenele M, Macedo M, Rebouças P, Silva PGB, Sousa DL, Sousa RBRA, et al. Sequelae in primary teeth after traumatic injury. Braz Dent Sci 2017; 20(2):70-5. https://doi.org/10.14295/bds.2017.v20i2.1350
Mahmoodi B, Rahimi-Nedjat R, Weusmann J, Azaripour A, Walter C, Wilershausen B. Traumatic dental injuries in a university hospital: a four-year retrospective study. BMC Oral Health 2015; 15(1):139. https://doi.org/10.1186/s12903-015-0124-5
Shqair A, Gomes GB, Oliveira A, Goettems ML, Romano AR, Schardozim LR, et al. Dental emergencies in a university pediatric dentistry clinic: a retrospective study. Braz Oral Res 2012; 26(1):50-6. http://dx.doi.org/10.1590/S1806-83242012000100009
Muriithi HM, Masiga MA, Chindia ML. Dental injuries in 0-15 years old at the Kenyatta National Hospital, Nairobi. East Afr Med J 2005; 82(11): 592-7. https://doi.org/10.4314/eamj.v82i11.9415
Naidu RS, Boodoo D, Percival T, Newton JT. Dental emergencies presenting to a university-based paediatric dentistry clinic in the West Indies. Int J Paediatr Dent 2005; 15(3):177-84. https://doi.org/10.1111/j.1365-263X.2005.00625.x
Elkarmi RF, Hamdan MA, Rajab LD, Abu-Ghazaleh SB, Sonbol HN. Prevalence of traumatic dental injuries and associated factors among preschool children in Amman, Jordan. Dent Traumatol 2015; 31(6):487-92. https://doi.org/10.1111/edt.12183
Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia region, Turkey. Dent Traumatol 2009; 25(1):110-4. https://doi.org/10.1111/j.1600-9657.2008.00668.x
Andreasen JO, Lauridsen E, Gerds TA, Ahrensburg SS. Dental trauma guide: a source of evidence-based treatment guidelines for dental trauma. Dent Traumatol 2012; 28(5):345-50. https://doi.org/10.1111/j.1600-9657.2011.01059_1.x
Norton E, O'Connell AC. Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children. Dent Traumatol 2012; 28(1):81-6. https://doi.org/10.1111/j.1600-9657.2011.01032.x
Colak I, Markovic D, Petrovic B, Peric T, Milenkovic A. A retrospective study of intrusive injuries in primary dentition. Dent Traumatol 2009; 25(6):605-10. https://doi.org/10.1111/j.1600-9657.2009.00838.x
Carvalho V, Jacomo DR, Campos V. Frequency of intrusive luxation in deciduous teeth and its effects. Dent Traumatol 2010; 26(4):304-7. https://doi.org/10.1111/j.1600-9657.2010.00893.x
Antunes LA, Leão AT, Maia LC. The impact of dental trauma on quality of life of children and adolescents: a critical review and measurement instruments. Cien Saúde Colet 2012; 17(12):3417-24. https://doi.org/10.1590/s1413-81232012001200026
de Amorim LF, Estrela C, Costa LRS. Effects of traumatic dental injuries to primary teeth on permanent teeth - a clinical follow-up study. Dent Traumatol 2011; 27(2):117-21. https://doi.org/10.1111/j.1600-9657.2010.00959.x
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries of the Teeth. Oxford: Blackwell Munksgaard; 2007.
Lenzi R, Trope M. Revitalization procedures in two traumatized incisors with different biological outcomes. J Endod 2012; 38(3):411-4. https://doi.org/10.1016/j.joen.2011.12.003
Macena MCB, Leite AC, Colares V, Vieira S, Neto LGC. Clinical protocol for assessment and management in dental trauma. RBPS 2009; 22(2):120-7.
Brüllmann, D, Ralf KS, Bernd H. The treatment of anterior dental trauma. Dtsch Arztebl Int 2011; 108(34-35):565- 70. https://doi.org/10.3238/arztebl.2011.0565
Aldrigui JM, Jabbar NS, Bonecker M, Braga MM, Wanderley MT. Trends and associated factors in prevalence of dental trauma in Latin America and Caribbean: a systematic review and meta-analysis. Community Dent Oral Epidemiol 2013; 42(1):30-42. https://doi.org/10.1111/cdoe.12053
Trope M. Clinical management of the avulsed tooth: pre-sent strategies and future directions. Dent Traumatol 2002; 18(1):1-11. https://doi.org/10.1046/j.1600-4469.2001.00001.x
Costa VP, Goettems ML, Baldissera EZ, Bertoldi AD, Torriani DD. Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study. Braz Oral Res 2016; 30(1):1-9. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0089
Lopes TS, Santin GC, Marengoni LA, Crispim JB, Ceron LC, Fracasso MLC. Clinical and radiographic sequelae in primary teeth due to dental trauma. Pesqui Bras Odontopediatria Clín Integr 2019; 19:e4526. https://doi.org/10.4034/pboci.2019.191.95
Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Traumatol 1998; 14(1):31-44. https://doi.org/10.1111/j.1600-9657.1998.tb00806.x
Cardoso M, de Carvalho Rocha MJ. Traumatized primary teeth in children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol 2002; 18(3):129-33. https://doi.org/10.1034/j.1600-9657.2002.00030.x
Rodrigues I, Da Silva BS, Ceron LC, Lopes TS, Venante HS, Santin GC, et al. Treatment of side luxation in decided teeth - importance of preservation. Braz J Surg Clin Res 2017; 19(1):90-5.
Qassem A, Goettems M, Torriani DD, Pappen FG. Radicular maturity level of primary teeth and its association with trauma sequelae. Dent Traumatol 2014; 30(3):227-31. https://doi.org/10.1111/edt.12072
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