European Journal of Pediatrics

, Volume 169, Issue 9, pp 1045–1050 | Cite as

Clinical practice

Dental trauma
Review

Abstract

Approximately 50% of children under the age of 15 are victims of various kinds of injuries in the orofacial region. Post-traumatic complications may occur, including crown discolouration, cervical root fracture, ankylosis, root resorption and tooth loss. The most severe complication after dental injury in primary dentition can affect the developing permanent tooth germ, and various consequences may be seen several years later when the permanent tooth erupts. In the permanent dentition, the most severe dental injury affects the surrounding alveolar bone structure and will lead to loss of the tooth. Current literature emphasises that awareness of appropriate triage procedures following dental trauma is unsatisfactory and that delay in treatment is the single most influential factor affecting prognosis. What should a paediatrician know, and more importantly, how should he/she advise parents and caretakers? In an emergency situation such as tooth avulsion, reimplantation within 30 min is the best treatment option at the site of the accident. If reimplantation of the tooth is impossible, milk, saline or even saliva are the preferred transport media. The prognosis for an avulsed tooth depends upon prompt care, which is a determinant factor for successful treatment of the traumatised tooth. In all other dental trauma cases, it is important to refer the child to a paediatric dentist, to follow up the healing process and reduce late post-traumatic complications. With timely interventions and appropriate treatment, the prognosis for healing following most dental injuries is good. In conclusion, it is important that paediatricians are able to inform parents and caretakers about all possible and long-lasting consequences of different dental injuries.

Keywords

Dental injury First-aid 

Notes

Conflict of interest

The authors received no extra funding for preparation of this manuscript and believe that there is no relationship that can lead to any conflict of interests relevant to the content of this article.

References

  1. 1.
    Adair SM, Durr DP (1991) Practical clinical applications of sports dentistry in private practice. Dent Clin North Am 35:757–770PubMedGoogle Scholar
  2. 2.
    Andersson L, Bodin I (1990) Avulsed human teeth replanted within 15 min: a long-term clinical follow-up study. Endod Dent Traumatol 6:37–42CrossRefPubMedGoogle Scholar
  3. 3.
    Andreasen FM, Andreasen JO (1993) Luxation injuries. In: Andreasen JO, Andreasen FM (eds) Textbook and color atlas of traumatic injuries to the teeth. Munksgaard, Copenhagen, pp 315–378Google Scholar
  4. 4.
    Andreasen JO, Andreasen FM, Andersson L (2007) Textbook and color atlas of traumatic injuries to the teeth. Chapter: Avulsion, 4th edn. Blackwell Munksgaard, Oderr, pp 444–479Google Scholar
  5. 5.
    Andreasen JO, Andreasen FM, Bakland LK, Flores MT (2003) Traumatic dental injuries—a manual, 2nd edn. Blackwell Munksgaard, Odder, pp 50–53, 68–69Google Scholar
  6. 6.
    Andreasen JO, Andreasen FM, Skeie A et al (2002) Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries—a review article. Dent Traumatol 18:116–128CrossRefPubMedGoogle Scholar
  7. 7.
    Andreasen JO (1970) Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1, 298 cases. Scand J Dent Res 78:329–342PubMedGoogle Scholar
  8. 8.
    Bakland LK, Andreasen JO (2004) Dental traumatology: essential diagnosis and treatment planning. Endodontic Topics 7:14–34CrossRefGoogle Scholar
  9. 9.
    Feliciano KMPC, de Franca Caldas A Jr (2006) A systematic review of the diagnostic classifications of traumatic dental injuries. Dent Traumatol 22:71–76CrossRefPubMedGoogle Scholar
  10. 10.
    Fuss Z (1985) Successful self-replantation of avulsed tooth with 42-year follow-up. Dent Traumatol 1:120–122CrossRefGoogle Scholar
  11. 11.
    Gabris K, Tarjan I, Rozsa N (2001) Dental trauma in children presenting for treatment at the Department of Dentistry for Children and Orthodontics, Budapest, 1985–1999. Dent Traumatol 17:103–108CrossRefPubMedGoogle Scholar
  12. 12.
    Gassner R, Bosch R, Tuli T, Emshoff R (1999) Prevalence of dental trauma in 6000 patients with facial injuries: implications for prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87:27–33CrossRefPubMedGoogle Scholar
  13. 13.
    Gift HC, Redford M (1992) Oral health and quality of life. Clin Geriatr Med 8:673–683PubMedGoogle Scholar
  14. 14.
    Glendor U (2009) Aetiology and risk factors related to traumatic dental injuries—a review of the literature. Dent Traumatol 25:19–31CrossRefPubMedGoogle Scholar
  15. 15.
    Glendor U (2008) Epidemiology of traumatic dental injuries—a 12 year review of the literature. Dent Traumatol 24:603–611CrossRefPubMedGoogle Scholar
  16. 16.
    Hinckfuss SE, Messer LB (2009) Splinting duration and periodontal outcomes for replanted avulsed teeth: a systematic review. Dent Traumatol 25(2):150–157CrossRefPubMedGoogle Scholar
  17. 17.
    International Association of Dental Traumatology. http://www.iadt-dentaltrauma.org/web/index.php?option=com_content&task=view&id=28&Itemid=43 Accessed Oct 10, 2009
  18. 18.
    Kumomoto DP, Winters JE (2000) Private practice and community activities in sports dentistry. Dent Clin North Am 44:209–220Google Scholar
  19. 19.
    Marcenes W, Alessi ON, Traebert J (2000) Causes and prevalence of traumatic injuries to the permanent incisors of school children aged 12 years in Jaragua do Sul, Brazil. Int Dent J 50:87–92PubMedGoogle Scholar
  20. 20.
    Rajab LD (2003) Traumatic dental injuries In children presenting for treatment at the Department of Pediatric Dentistry, University of Jordan, 1997–2000. Dent Traumatol 19:6–11CrossRefPubMedGoogle Scholar
  21. 21.
    World Health Organization (1978) Application of the International Classification of Diseases to Dentistry and Stomatology (ICD-DA). WHO, Geneva, pp 88–89Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Department of Paediatric DentistryMedical University of GdanskGdanskPoland
  2. 2.Private Dental ClinicGdyniaPoland

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