Traumatic dental injuries among children attending the public after-hours emergency dental clinic in Bergen, Norway
DOI:
https://doi.org/10.2340/aos.v83.40622Keywords:
Trauma, epidemiology, dentition, permanent, emergenciesAbstract
Objectives: To investigate traumatic dental injuries (TDIs) among children who for 1 year attended a Norwegian public after-hours emergency public dental (EPD) clinic.
Materials and methods: The study included 7–18-year-olds (n = 312) who presented at the EPD clinic, underwent a clinical dental examination, and consented to the disclosure of clinical information. Recording of TDIs was restricted to anterior permanent teeth. Potential TDI predictors were also analysed.
Results: Almost half (n = 148) of the children were assessed with TDIs in permanent teeth, showing a mean age of 11.0 (standard deviation [SD]: 3.5) years. Males constituted 54.7%. The children experienced TDIs often outside school hours (43.9%), and the majority (58.1%) were caused by falls/accidents. Sixty of them experienced only one TDI. The most common location was the maxillary central incisors. Assessment of TDIs according to severity, could only be done in 131 individuals, involving 253 TDIs. Of these, 81.8% were mild. The odds of visiting the emergency clinic for a TDI were higher (odds ratio [OR] = 2.64, confidence interval [CI]: 1.61–4.31) among children with previous TDIs and lower (OR = 0.28, CI: 0.12–0.68) among those with poor dental attendance.
Conclusions: Traumatic dental injuries were a common reason for seeking emergency care. Milder injuries dominated and involved mostly one maxillary central incisor. Previous episodes of TDIs and attendance patterns seemed to be associated with seeking care for TDIs.
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References
Borum MK, Andreasen JO. Therapeutic and economic implications of traumatic dental injuries in Denmark: an estimate based on 7549 patients treated at a major trauma centre. Int J Paediatr Dent. 2001;11(4):249–258. https://doi.org/10.1046/j.1365-263X.2001.00277.x DOI: https://doi.org/10.1046/j.1365-263X.2001.00277.x
Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dent Traumatol. 2008;24(6):603–611. https://doi.org/10.1111/j.1600-9657.2008.00696.x DOI: https://doi.org/10.1111/j.1600-9657.2008.00696.x
Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J. 2016;61(Suppl 1):4–20. https://doi.org/10.1111/adj.12395 DOI: https://doi.org/10.1111/adj.12395
Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(2):126–134. https://doi.org/10.1067/moe.2000.107974 DOI: https://doi.org/10.1067/moe.2000.107974
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-one billion living people have had traumatic dental injuries. Dent Traumatol. 2018;34(2):71–86. https://doi.org/10.1111/edt.12389 DOI: https://doi.org/10.1111/edt.12389
Bratteberg M, Thelen DS, Klock KS, et al. Traumatic dental injuries-prevalence and severity among 16-year-old pupils in western Norway. Dent Traumatol. 2018;34(3):144–150. https://doi.org/10.1111/edt.12399 DOI: https://doi.org/10.1111/edt.12399
Skaare AB, Jacobsen I. Etiological factors related to dental injuries in Norwegians aged 7–18 years. Dent Traumatol. 2003;19(6):304–308. https://doi.org/10.1046/j.1600-4469.2003.00211.x DOI: https://doi.org/10.1046/j.1600-4469.2003.00211.x
Liew VP, Daly CG. Anterior dental trauma treated after-hours in Newcastle, Australia. Community Dent Oral Epidemiol. 1986;14(6):362–366. https://doi.org/10.1111/j.1600-0528.1986.tb01092.x DOI: https://doi.org/10.1111/j.1600-0528.1986.tb01092.x
Martin IG, Daly CG, Liew VP. After-hours treatment of anterior dental trauma in Newcastle and western Sydney: a four-year study. Aust Dent J. 1990;35(1):27–31. https://doi.org/10.1111/j.1834-7819.1990.tb03023.x DOI: https://doi.org/10.1111/j.1834-7819.1990.tb03023.x
Sae-Lim V, Yuen KW. An evaluation of after-office-hour dental trauma in Singapore. Endod Dent Traumatol. 1997;13(4):164–170. https://doi.org/10.1111/j.1600-9657.1997.tb00032.x DOI: https://doi.org/10.1111/j.1600-9657.1997.tb00032.x
Austin R, Jones K, Wright D, et al. Use of the out-of-hours emergency dental service at two south-east London hospitals. BMC Oral Health. 2009;9:19. https://doi.org/10.1186/1472-6831-9-19 DOI: https://doi.org/10.1186/1472-6831-9-19
Warren M, Widmer R, Arora M, et al. After hours presentation of traumatic dental injuries to a major paediatric teaching hospital. Aust Dent J. 2014;59(2):172–179. https://doi.org/10.1111/adj.12166 DOI: https://doi.org/10.1111/adj.12166
Antipovienė A, Narbutaitė J, Virtanen JI. Traumatic dental injuries, treatment, and complications in children and adolescents: a register-based study. Eur J Dent. 2021;15(3):557–562. https://doi.org/10.1055/s-0041-1723066 DOI: https://doi.org/10.1055/s-0041-1723066
Diaz JA, Bustos L, Brandt AC, et al. Dental injuries among children and adolescents aged 1–15 years attending to public hospital in Temuco, Chile. Dent Traumatol. 2010;26(3):254–261. https://doi.org/10.1111/j.1600-9657.2010.00878.x DOI: https://doi.org/10.1111/j.1600-9657.2010.00878.x
Paixão FJM, Nascimento M, Lopes NM, et al. Traumatic dental injuries in children: experience during the Covid-19 pandemic and parents’ knowledge about their management. Braz Oral Res. 2023;37:e123. https://doi.org/10.1590/1807-3107bor-2023.vol37.0123 DOI: https://doi.org/10.1590/1807-3107bor-2023.vol37.0123
Sælen FD. Visits among children and adolescents at Emergency Public Dental Service. Hordaland: University of Bergen; 2019.
Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. Oxford, Willey/Blackwell. 4th ed. 2013.
Rowley ST, Sheller B, Williams BJ, Mancl l. et al. Utilization of a hospital for treatment of pediatric dental emergencies. Pediatr Dent. 2006;28(1):10–17.
Battenhouse MA, Nazif MM, Zullo T. Emergency care in pediatric dentistry. ASDC J Dent Child. 1988;55(1):68–71.
Shqair AQ, 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):50–56. https://doi.org/10.1590/S1806-83242012000100009 DOI: https://doi.org/10.1590/S1806-83242012000100009
Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J. 2000;45(1):2–9. https://doi.org/10.1111/j.1834-7819.2000.tb00234.x DOI: https://doi.org/10.1111/j.1834-7819.2000.tb00234.x
Skaare AB, Jacobsen I. Dental injuries in Norwegians aged 7–18 years. Dent Traumatol. 2003;19(2):67–71. https://doi.org/10.1034/j.1600-9657.2003.00133.x DOI: https://doi.org/10.1034/j.1600-9657.2003.00133.x
NgL, Malandris M, Cheung W, Rossi-Fidele G et al. Traumatic dental injuries presenting to a paediatric emergency department in a Tertiary Children’s Hospital, Adelaide, Australia. Dent Traumatol. 2020;36(4):360–370. https://doi.org/10.1111/edt.12548 DOI: https://doi.org/10.1111/edt.12548
Udayamalee I, Amarasinghe H, Zhang P. Oro-dental trauma burden and mouthguard usage among contact sports players: a call for sports dentistry initiatives in Sri Lanka. Dent Traumatol. 2023: 00:1–9. https://doi.org/10.1111/edt.12916 DOI: https://doi.org/10.1111/edt.12916
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Copyright (c) 2024 Faiza D. Sælen, Jorma I. Virtanen, Marit S. Skeie, Gerhard Sulo, Dorina S. Thelen
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
