Frequency Of Dental Injuries Research Articles

Frequency of Dental Injuries in Patients Reporting to the Armed Forces Institute of Dentistry

Objective: To determine the frequency, cause and type of dental injury in patients reporting to Armed Forces Institute of Dentistry.
 Study design: Cross-Sectional Survey.
 Place and Duration of Study: Department of Operative Dentistry Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from Sep 2021 to Sep 2022.
 Methodology: A questionnaire was filled out for 357 patients reporting dental injury, including the extent of hard and soft tissue injuries. The cause and place of injury occurred; investigations, the treatment provided by the treating dentists ranging from restoration to root canal, type and duration of splint were also recorded.
 Results: In the current study, 189(52.9%) out of 357 children got injury due to falls to the playground and other places. Maxillary incisors were mostly affected, and 163(45.7%) children had complicated crown fractures. Rigid splinting was done in 39(70.9%) of root fracture cases, while flexible splinting was done in 162(53.6%) patients with complicated crown fracture cases and 81(26.8%) complicated crown fracture cases. In 72(88.8%) cases of uncomplicated crown fracture, indirect pulp capping was done, and in 67(41.1%) cases of complicated crown fracture, root canal treatment were done. Apexification was done in 28(68.3%) of avulsion cases.
 Conclusion: Our survey showed that most injuries occurred at school and the roadside. Maxillary incisors are primarily involved with complicated crown fractures, which are effectively managed.Keywords: Avulsion, Complicated crown fracture, Dental injury, Splinting.

Dental Trauma on whole Body Trauma CT\u2014An underreported finding

BackgroundThe prevalence of dental injuries (DI) in polytrauma patients is unknown. The purpose of our study was to identify the frequency of dental injuries on whole body CTs acquired in a trauma setting and to estimate how often they are correctly reported by the radiologist.MethodsIn the time period between 2006 and 2018 the radiological database of one university hospital was screened for whole-body trauma CTs. A total of 994 CTs were identified and re-evaluated.ResultsDental injuries were identified in 127 patients (12.8% of patients). There were 27 women (21.3%) and 100 men (78.7%) with a mean age of 51.0 ± 18.9 years (range 10–96 years). Regarding localization, most findings involved the molars (n = 107, 37.4%), followed by the incisors (n = 81, 28.3%), premolars (n = 59, 20.6%) and canines (n = 39, 13.7%). Most common findings were as follows: luxations (n = 49, 45.8%), followed by crown fractures (n = 46, 43%), root fractures (n = 10, 9.3%), extrusions (n = 1, 0.9%), and intrusions (n = 1, 0.9%). Only 15 findings (11.8% of all patients with dental injuries) were described in the original radiological reports.ConclusionDI had a high occurrence in polytrauma patients. A high frequency of underreported dental trauma findings was identified. Radiologists reporting whole-body trauma CT should be aware of possible dental trauma to report the findings adequately.