Clinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland
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AIM: To audit key demographic and clinical factors relating to treatment of trauma to the permanent dentition at the Paediatric Dental Department, Cork University Dental School and Hospital, Ireland and to compare clinical management with guideline recommendations. STUDY DESIGN: Clinical audit. METHODS: Consecutive clinical records for children attending for treatment of dental trauma were audited with regard to age, gender and distance travelled. The number of teeth per patient, the cause, type and prevalence of injury were examined. Splinting of mobilisation injuries and the prevalence of pulp extirpation were compared with published guidelines. RESULTS: Records were available for 94 children (65 male, 29 female) with a mean age at time of injury of 10.1 (SD±2.64) years. There were 82% of children living within 50 km of the Hospital. A total of 168 teeth were involved. Dental injuries comprised 39 uncomplicated crown fractures, 18 complicated crown fractures, 37 subluxations, 9 root fractures, 10 extrusions, 14 lateral luxations, 7 intrusions, 30 avulsions and 4 were unclassified. Sport injuries accounted for 23.2% of injuries to teeth, falls for 22.6%, bicycles were involved in 15.5%, other domestic accidents 6.5%, assault 4.2%, vehicles 3.0%, swimming 0.6%. and the remaining 24.4% were unclassified. In some instances of avulsion, lateral luxation, subluxation and extrusion injuries, a tendency to splint for durations longer than that recommended in guidelines was observed. Prevalence of pulpal extirpation for replanted teeth was in keeping with recommendations. CONCLUSION: General adherence to guidelines in respect of splinting and prevalence of pulp extirpation was demonstrated. Utilising a standardised recording system would facilitate the clinical audit process.
Key wordschildren dental trauma audit hospital
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- Andreasen, JO. A time-related study of periodontal healing and root resorption activity after replantation of mature permanent incisors in monkeys. Swed DentJ 1980; 4,101–10.Google Scholar
- Andreasen Jo, AF, Bakland Lk, Flores Mt 2003. Traumatic Dental Injuries. A Manual, Blackwell Munksgaard Publishing Company.Google Scholar
- Lader D, CB, Chestnutt I, Harker R, et al. Children’s Dental Health in the United Kingdom, Summary Report 2003. Available: www.statistics.gov.uk/Children/dentalhealth/downloads/cdh_Summary.pdf [Accessed 12.06.2010].
- O’ Brien, M. 1994 Children’s Dental Health in the United Kingdom 1993. London: HMSO.Google Scholar
- RCSE. 2000. Methodologies for Clinical Audit in Dentistry. Available: www.rcseng.ac.uk/publications/docs/methodologies_dentistry.html [Accessed 31.08.2010].
- von Arx, T. Splinting of Traumatised Teeth with Focus on Adhesive Techniques. J Calif Dent Assoc 2005; 33,409–414.Google Scholar