DOI QR코드

DOI QR Code

Dental trauma patients visiting the emergency room in H hospital

H 병원 치과응급실에 내원한 치아 외상 환자에 대한 임상적 고찰

  • An, So-Youn (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University, Sanbon Hospital) ;
  • Kim, Ah-Hyeon (Department of Preventive Dentistry & Public Oral Health, College of Dentistry, Yonsei University) ;
  • Shim, Youn-Soo (Department of Dental Hygiene, Cheongju University)
  • 안소연 (원광대학교 치과대학 산본치과병원 소아치과) ;
  • 김아현 (연세대학교 치과대학 예방치과학교실) ;
  • 심연수 (청주대학교 치위생학과)
  • Received : 2013.07.10
  • Accepted : 2013.10.10
  • Published : 2013.10.31

Abstract

Objectives : The purpose of this study was to analyze the types of dental emergencies. This study was carried out for dental trauma patients visiting the emergency room in H hospital from 2005 to 2006. Methods : Subjects were 252 patients. Demographic characteristics consisted of age, gender, dentition, and dental related injury. Results : Male patients had 1.65 times higher tooth injury than female. Teenagers had higher prevalence of tooth injury. Main cause of dental injury was falling down. Young children accounted for 41.7% of the injuries. Late evening was the highest outbreak time of injury. The most commonly affected teeth were central incisor and lateral incisor. The damage of oral soft tissue was more common than the that of alveolar bone. Main area of primary tooth loss was gingiva(10.7%), tongue or soft palate(7.5%), and frenulum(6.0%). Subluxation(28.6%) and luxation(28.6%) were main cause for the primary teeth. Tooth fracture(50.0%) were the most common injury. Conclusions : Thus, to understand the incidence, causes and patterns of dental trauma is to help preserving natural teeth. The results of this study could provide the clinical guidelines on the treatment of dental emergency patients.

Keywords

References

  1. Andreasen FM, Andreasen JO. Treatment of traumatic dental injuries. Shift in strategy. Int J Technol Assess Health Care 1990; 6(4): 588-602. http://dx.doi.org/10.1017/S0266462300004232.
  2. Todd JE, Dodd T. Children's dental health in the United Kingdom 1983. London: HMSO; 1985: 69-70.
  3. Andreasen JO, Andreasen FM. Dental traumatology: quo vadis. Dental Traumatology 1990; 6(2): 78-80. http://dx.doi.org/10.1111/j.1600-9657.1990.tb00395.x
  4. Ministry of health and welfare. 2010 Korean national oral health survey. Seoul: Ministry of health and welfare; 2011: 328-9.
  5. Ministry of health and welfare. 2003 Korean national oral health survey. Seoul: Ministry of health and welfare; 2004: 29-30.
  6. Ministry of health and welfare. 2006 Korean national oral health survey. Seoul: Ministry of health and welfare; 2007: 102.
  7. Lim SS. Clinical endodontics. 3rd ed. Seoul: Dental and Medical Publishing Co; 2007: 295-320.
  8. Baik JS, Yoon KH, Park KS, Cheong JW, Shin JM, Choi MH, et al. A clinical study on the emergency patients of oral and maxillofacial surgery visiting Sang-Gye Paik Hospital emergency room. J Korean Assoc Maxillofac Plast Reconstr Surg 2008; 30(6): 561-6.
  9. Petersson EE, Andersson L, Sorensen S. Traumatic oral vs non-oral injuries. Swed Dent J 1997; 21(1-2): 55-68.
  10. Oikarinen K, Gundlach KK, Pfeifer G. Late complications of luxation injuries to teeth. Endod Dent Traumatol 1987; 3(6): 296-303. http://dx.doi.org/10.1111/j.1600-9657.1987.tb00638.x
  11. Kim DW, Lee KS. A study on the traumatic injury of patients in department of pediatric dentistry, Kangnung national university dental hospital. J Korean Acad Pediatr Dent 2001; 28(2): 247-54.
  12. Heo SK, Choi NK, Kim SM, Yang KH, Park JI. A retrospective study of the traumatic injuries in the primary and permanent teeth. J Korean Acad Pediatr Dent 2008; 35(4): 642-51.
  13. Oluwole TO, Leverett DH. Clinical and epidemiological survey of adolescents with crown fractures of permanent anterior teeth. Pediatr Dent 1986; 8(3): 221-5.
  14. Uji T, Teramoto T. Occurrence of traumatic injuries in the oromaxillary region of children in a Japanese prefecture. Endod Dent Traumatol 1988; 4(2): 63-9. http://dx.doi.org/10.1111/j.1600-9657.1988.tb00296.x
  15. Caldas AF Jr, Burgos ME. A retrospective study of traumatic dental injuries in a Brazilian dental trauma clinic. Dent Traumatol 2001; 17(6): 250-3. http://dx.doi.org/10.1034/j.1600-9657.2001.170602.x
  16. Oikarinen K, Kassila O. Causes and types of traumatic tooth injuries treated in a public dental health clinic. Endod Dent Traumatol 1987; 3(4): 172-7. http://dx.doi.org/10.1111/j.1600-9657.1987.tb00620.x
  17. Hwang SJ, Bae SS. Evaluation of etiological factors for injuries at oral and maxillofacial area. J Dent Hyg Sci 2012; 12(4): 310-9.
  18. Sohn HK, Kim OK. A study of dental trauma in children. J Korean Acad Pediatr Dent 1990; 17(1): 173-88.
  19. Gabris K, Tarjan I, Rozsa N. Dental trauma in children presenting for treatment at the department of dentistry for children and orthodontics, Budapest, 1985-1999. Dent Traumatol 2001; 17(3): 103-8. http://dx.doi.org/10.1034/j.1600-9657.2001.017003103.x
  20. Ekanayake L, Perera M. Pattern of traumatic dental injuries in children attending the University Dental Hospital. Sri Lanka. Dent Traumatol 2008; 24(4): 471-4. http://dx.doi.org/10.1111/j.1600-9657.2008.00611.x.
  21. Baik BJ, Yang YM, Yang CH, Kim JG. An investigation of traumatic dental injuries in children. Korean Acad Pediatr Dent 2001; 28(4): 600-12.
  22. Schatz JP, Joho JP. A retrospective study of dento-alveolar injuries. Endod Dent Traumatol 1994; 10(1): 11-4. http://dx.doi.org/10.1111/j.1600-9657.1994.tb00591.x
  23. Caliskan MK, Turkun M. Clinical investigation of traumatic injuries of permanent incisors in Izmir, Turkey. Endod Dent Traumatol 1995; 11(5): 210-3. https://doi.org/10.1111/j.1600-9657.1995.tb00490.x
  24. Lee DK, Min SK. Yang CY, Mun C, Kim JG. A clinical study of the dental emergency patients visiting Wonkwang Univ - Hospital emergency room. Korean Assoc Maxillofac Plast Reconstr Surg 2004; 24(1): 31-9.
  25. Kim SH, Kim DY, Baek JS, Jung TY, Park SJ. Characteristics of dental emergency patients at busan Paik Hospital. Korean Assoc Maxillofac Plast Reconstr Surg 2012; 34(1): 58-64.
  26. Keum KC, Paeng JY, Choi BY, Choi JU, Oh SR, Lee J, et al. An clinical analysis on the dental emergency patients visiting the emergency room of dental hospital of Won-Kwang University. J Korean Assoc Maxillofac Plast Reconstr Surg 2009; 31(1): 35-40.
  27. 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. http://dx.doi.org/10.1034/j.1600-9657.2002.00030.x
  28. Chung YJ, Kim KC, Park JH, Choi SC. A study on the traumatic injuries to primary teeth. Korean Acad Pediatr Dent 2010; 37(3): 328-37.
  29. Andreasen JO, Ravin JJ. Enamel changes in permanent teeth after trauma to their primary predecessors. Scand J Dent Res 1973; 81(3): 203-9. http://dx.doi.org/10.1111/j.1600-0722.1973.tb00330.x
  30. Riekman GA, el Badrawy HE. Effect of premature loss of primary maxillary incisors on speech. Pediatr Dent 1985; 7(2): 119-22.
  31. Kim SJ, Kim WJ, Lee BJ. Cognition of 119 emergency medical technicians on dental emergency treatment in the Jeju province. J Korean Acad Dent Health 2012; 36(2): 131-6.

Cited by

  1. Difference of visiting time and major cause of disease by operating time changes of a university dental emergency room vol.15, pp.4, 2015, https://doi.org/10.13065/jksdh.2015.15.04.661
  2. Injury Prevention, Safety Education and Violence in Relation to the Risk of Tooth Fracture among Korean Adolescents vol.17, pp.22, 2020, https://doi.org/10.3390/ijerph17228556