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Epidemiology of traumatised primary teeth in the west-Mediterranean region of Turkey.

AIM: To investigate the incidence, aetiological factors and results of dental trauma on primary dentition of the children referred to the Süleyman Demirel University, Department of Paedodontics in a two year period. DESIGN: A retrospective study. PARTICIPANTS: Eighty four children (50 boys and 34 girls) with 159 affected deciduous teeth. RESULTS: The incidence of trauma was slightly higher in boys (59.5%). The age of the children ranged from 9 months to 6 years and the peak ages for trauma were 3 years and 5 years of age in respective genders. Falls were the most frequent cause of traumatic dental injuries (29.7%) and luxations were the most common type of trauma with 135 cases (84.9%). The most frequently performed treatment options were examination and follow up only (37.7%). Half of the cases (51.1%) were referred to our clinic in the first week after the trauma occurred. CONCLUSION: The results of this study suggest that a preventive educational programme should be instituted, directed at parents and teachers at nursery schools, in order to inform them about what to do in dental trauma cases and the importance of immediate attendance for dental care.

Age Factors↗

Traumatized anterior teeth in Iraqi and Sudanese children--a comparative study.

This epidemiological study describes the prevalence of trauma to the anterior teeth of 6090 Iraqi and 3507 Sudanese primary school children. 7.7% of Iraqi and 5.1% of Sudanese presented incisal trauma. The male to female ratio was 1.3:1 in Iraqis and 2.6:1 in Sudanese. The frequency of trauma to Iraqi females below age nine yr was higher than the males, but the condition was reversed with age. In Sudanese children the frequency was higher in males in all age groups. In general, males suffered a higher rate of trauma in both countries, but the Iraqi children had a significantly higher rate of trauma than the Sudanese in both sexes.

Child↗

Dental damage during anaesthesia and surgery.

A review of the Accident Compensation Corporation (ACC) files on dental damage following anaesthesia or surgery was undertaken along with a survey of New Zealand anaesthetists asking about their practice with respect to protection of teeth during anaesthesia. These results confirm that damage is relatively common and that the majority of damaged teeth (62%) were known to have been previously restored, or weakened through periodontal disease prior to the damage occurring. The anaesthetists surveyed thought that dental damage was even more common than shown from the ACC records, and yet the vast majority of them did not routinely use specific protective guards and 45% of them did not ever use protective guards of any type.

Adolescent↗

Auto-transplantation in the restorative management of traumatized anterior teeth: a case report.

UNLABELLED: Auto-transplantation can be used to replace missing anterior teeth following traumatic injuries. This technique has the advantage (over other forms of treatment) of maintaining alveolar bone height which allows orthodontic and further restorative intervention by way of implants later in life. Careful restorative management of transplanted teeth is vital to their long-term survival as inadequate maintenance post transplant may result in root resorption and eventual tooth loss. This paper describes the restorative management of two cases following transplantation. CLINICAL RELEVANCE: Dental practitioners should be aware of the option to auto-transplant teeth as part of an overall treatment plan and the subsequent interventions often required.

Adolescent↗

Unusual cervical resorption after reinjury.

The root canal of a maxillary central incisor apparently completely calcified after an injury. Eight years later, this tooth was injured again and massive resorption developed. The resorption began as an unusual pattern of cervical destruction, and ultimately the entire root apparently was destroyed. However, the tooth was still serving satisfactorily without other symptoms seven years after the reinjury--15 years after the original injury. Calcification of the pulp space can develop in a tooth and the root structure can be resorbed in a tooth after an injury. Therefore a similar stimulus can produce opposite responses, in this instance in the same tooth at different times. Luxation of teeth is a treatable injury, and replantation of luxated teeth is an acceptable technique that can result in long-term retention of the replanted tooth. Replantation of the patient's own tooth is usually preferred to artificial replacement of the luxated tooth at the time of injury. Interceptive endodontic care for a tooth that has been traumatized and in which the pulp space appears on the radiograph to be calcifying is probably best for the patient.

Adolescent↗

An investigation of dental injuries treated in an acute care general hospital.

Longitudinal studies are required to determine the long-term effects of treatment and nontreatment of injured teeth. Eleven percent of subjects came for emergency care 21 days or more after the accident with complications of the original injury. It would be reasonable to advise early attendance for evaluation of any person suffering from accidental trauma to mouth and jaws. Fewer than 10% of published research reports discuss trauma to the dentofacial structures. Traumatology should be part of the education of health personnel.

Adolescent↗

Mouth protectors and oral trauma: a study of adolescent football players.

A total of 754 junior high school and high school football players from the Birmingham, AL, area were studied to determine the extent of sports-related oral trauma among players. More than half the oral injuries and more than a third of the concussions were reported in sports other than football. Basketball and baseball players had a high prevalence of hard tissue oral trauma with virtually none of the players wearing mouth protectors. The results of this study indicate that current mouth protector designs are helpful in preventing hard tissue trauma, yet additional soft tissue protection is indicated in football mouth protector design.

Adolescent↗