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Traumatic injuries in primary dentition and their immediate and long-term consequences: a 10-year retrospective study from the State University of Rio de Janeiro, Brazil

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Abstract

Background/Aim

Dental trauma is a highly prevalent problem worldwide. The aim of this study was to describe characteristics of trauma to anterior primary teeth and its sequelae for primary and successor teeth over a 10-year period of assistance at the paediatric dental traumatology clinic in the State University of Rio de Janeiro, Brazil.

Materials and methods

The data were obtained from the dental records of children assisted from 2006 to 2016. Inclusion criteria were trauma to anterior primary teeth; aged <1 to 9 years at the time of trauma; and at least one follow-up appointment. The data concerning traumatized teeth, child’s age, soft tissue injuries, types of traumatic dental injuries and sequelae in both dentitions were collected.

Results

Of the 1230 dental records, 483 (39.3%) were eligible, consisting of 815 teeth. The mean age at the time of trauma was 37.4 months (239 males and 244 females). The most important characteristics were: tooth 51 was most affected; falls, at home, on a ceramic floor, were the main cause; gingival laceration, enamel fracture and intrusive luxation were the most frequent types of trauma; premature tooth loss of primary teeth and enamel discoloration in their successor were the most frequent sequelae; and injuries in the periodontal tissue were demonstrated as the highest risk for sequelae in successors (OR, 3.798; p< 0.001).

Conclusions

Most traumatic injuries occur in young children, in their home environment. Consequences for the primary teeth were more frequent compared to the permanent successor tooth. Traumatized primary teeth involving periodontal tissue have more chances to result in sequelae to their successor teeth.

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Authors and Affiliations

  1. Department of Specific Formation - Pediatric Dentistry, Dental School, Health Institute of the Fluminense Federal University, Nova Friburgo, Brazil

    M. R. T. C. Andrade

  2. Department of Preventive and Community Dentistry, Dental School, Rio de Janeiro State University, Rio de Janeiro, Brazil

    G. C. A. Americano, M. P. da Costa, M. M. Lenzi, M. dede Waele SouchoisMarsillac & V. Campos

  3. Dental School, Center University of Minas Gerais’ East (UNILESTE), Ipatinga, Brazil

    G. C. A. Americano

  4. Department of Pediatric Dentistry and Orthodontics, Dental School, Rio de Janeiro Federal University, Rio de Janeiro, Brazil

    M. P. da Costa

  5. Departamento de Odontologia Preventiva e Comunitária, Faculdade de Odontologia, Universidade do Estado do Rio de Janeiro, Rua: Boulevard 28 de setembro 157 - Vila Isabel - Rio de Janeiro, Rio de Janeiro, Brasil

    M. M. Lenzi

Authors
  1. M. R. T. C. Andrade
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  2. G. C. A. Americano
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  3. M. P. da Costa
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  4. M. M. Lenzi
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  5. M. dede Waele SouchoisMarsillac
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  6. V. Campos
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Contributions

All authors contributed to the concept and design of the study. Márcia Rejane Thomas Canabarro Andrade carried out statistical analysis and contributed to interpretation of the results; Gabriela Caldeira Andrade Americano wrote the manuscript; Mariana Pires da Costa collected the data and reviewed the literature; Michele Machado Lenzi collected the data and reviewed the manuscript; Mirian de Waele Souchois de Marsillac reviewed the literature and the manuscript; Vera Campos designed the study, prepared and wrote the manuscript and contributed to interpretation of the results.

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Correspondence to M. M. Lenzi.

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Andrade, M.R.T.C., Americano, G.C.A., da Costa, M.P. et al. Traumatic injuries in primary dentition and their immediate and long-term consequences: a 10-year retrospective study from the State University of Rio de Janeiro, Brazil. Eur Arch Paediatr Dent 22, 1067–1076 (2021). https://doi.org/10.1007/s40368-021-00652-z

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  • DOI: https://doi.org/10.1007/s40368-021-00652-z

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