Analysis of treatments performed at a university dental trauma service in southern Brazil
DOI:
https://doi.org/10.5335/rfo.v26i1.13084Keywords:
Tooth, Tooth injuries, Public Health, AftercareAbstract
This retrospective observational study aimed to analyze cases assisted at the Dentoalveolar Trauma Clinic of
the School of Dentistry of the Federal University of Rio Grande do Sul (FO-UFRGS) from March 2015 to March
2018, according to the treatments performed on traumatized permanent teeth and the results after one year of
follow-up. The sample was based on information collected from clinical records of 92 patients, referring to a)
data before treatment, b) data on the diagnosis and proposed treatment, and c) data on the follow-up period.
Descriptive and inferential statistical analyses were performed. Most patients were male (56.5%) and aged
six to 11 (30.4%) and older than 18 (29.1%) years. The prevalent cause of trauma was falling, and 59% of
patients were first assisted within 24 hours. The most frequent traumas were enamel and dentin fractures with
and without pulp exposure (6.3%), lateral luxation (1.4%), and avulsion (1.9%). Endodontic treatment was
usually performed on traumatized teeth (7.2%). Of the 92 patients, 58 returned for maintenance visits with a
mean follow-up of one year. Most patients had successful treatments. Prompt care and patient follow-up were
essential for the good prognosis of traumatized teeth.
Keywords: tooth; dental trauma; public health; aftercare.
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References
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sequelae in the permanent anterior teeth after trauma in
their predecessors: a longitudinal study of 8 years. Dent
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17(2):71-6.
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Dental Trauma at a Children’s Hospital and Private Pediatric
Dental Practice. Pediatr dent 2014; 36(3):216-21.
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de, Zaia AA, Soares A de J. Relationship between Initial
Attendance after Dental Trauma and Development of
External Inflammatory Root Resorption. Braz dent j 2017;
28:201-5.
25. Flores MT, Andersson L, Andreasen JO, Bakland LK,
Malmgren B, Barnett F, et al. Guidelines for the management
of traumatic dental injuries. I. Fractures and luxations of
permanent teeth. Dent traumatol 2007; 23(2):66-71.
26. Jokic NI, Bakarcic D, Fugosic V, Majstorovic M, Skrinjaric
I. Dental trauma in children and young adults visiting a
University Dental Clinic. Dent traumatol 2009; 25(1):84-7.
27. Neto JJSM, Gondim JO, De Carvalho FM, Giro EMA.
Longitudinal clinical and radiographic evaluation of severely
intruded permanent incisors in a pediatric population. Dent
traumatol 2009; 25(5):510-4.
28. Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen
E, Bourguignon C, et al. International Association of Dental
Traumatology guidelines for the management of traumatic
dental injuries: 2. Avulsion of permanent teeth. Dent
traumatol 2020; 36(4):331-42.
29. Lang PM, Jacinto RC, Dal Pizzol TS, Ferreira MBC,
Montagner F. Resistance profiles to antimicrobial agents
in bacteria isolated from acute endodontic infections:
systematic review and meta-analysis. Int j antimicrob agents
2016; 48(5):467-74.
30. Bücher K, Neumann C, Thiering E, Hickel R, Kühnisch J.
Complications and survival rates of teeth after dental trauma
over a 5-year period. Clin oral invest 2013; 17(5):1311-8.
Rosenblatt A. Prevalence of dental trauma in deciduous
teeth of Brazilian children. Dent traumatol 2009; 25(2):219-
23.
2. Beltrão EM, Cavalcanti AL, Albuquerque SSL, Duarte RC.
Prevalence of Dental Trauma in Children Aged 1–3 Years in
Joao Pessoa (Brazil). Eur Arch Paediatr Dent 2007; 8(3):141-3.
3. Levin L, Day PF, Hicks L, O’Connell A, Fouad AF, Bourguignon
C, et al. International Association of Dental Traumatology
guidelines for the management of traumatic dental injuries:
General introduction. Dent traumatol 2020; 36(4):309-13.
4. Al-Jundi SH. Type of treatment, prognosis, and estimation
of time spent to manage dental trauma in late presentation
cases at a dental teaching hospital: a longitudinal and
retrospective study. Dent traumatol 2004; 20(1):1-5.
5. Chan AWK, Wong TKS, Cheung GSP. Lay knowledge
of physical education teachers about the emergency
management of dental trauma in Hong Kong. Dent traumatol
2001; 17(2):77-85.
6. Carvalho V, Jacomo DR, Campos V Frequency of intrusive
luxation in deciduous teeth and its effects. Dent traumatol
2010; 26(4):304-7.
7. Lin S, Pilosof N, Karawani M, Wigler R, Kaufman AY,
Teich ST. Occurrence and timing of complications following
traumatic dental injuries: a retrospective study in a dental
trauma department. J Clin Exp Dent 2016; 8(4):e429-36.
8. Do Espírito Santo Jácomo DR, Campos V. Prevalence of
sequelae in the permanent anterior teeth after trauma in
their predecessors: a longitudinal study of 8 years. Dent
traumatol 2009; 25(3):300-4.
9. Belmonte FM, Macedo CR, Day PF, Saconato H, Trevisani
VFM. Interventions for treating traumatised permanent front
teeth: luxated (dislodged) teeth. Cochrane Database of syst.
rev. [Internet]. 2013 [cited October 4, 2021];(4). Available at:
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.
CD006203.pub2/full.
10. Gomes GB, da Costa CT, Bonow MLM. Traumatic intrusion
of permanent teeth: 10 years follow-up of 2 cases. Dent
traumatol 2013; 29(2):165-9.
11. Costa LA, Ribeiro CCC, Cantanhede LM, Santiago Júnior
JF, de Mendonça MR, Pereira ALP. Treatments for intrusive
luxation in permanent teeth: a systematic review and metaanalysis. Int j oral maxillofac surg 2017; 46(2):214-29.
12. Bourguignon C, Cohenca N, Lauridsen E, Flores MT,
O’Connell AC, Day PF, et al. International Association of
Dental Traumatology guidelines for the management of
traumatic dental injuries: 1. Fractures and luxations. Dent
traumatol 2020; 36(4):314-3.
13. Jokic NI, Bakarcic D, Fugosic V, Majstorovic M, Skrinjaric
I. Dental trauma in children and young adults visiting a
University Dental Clinic. Dent traumatol 2009; 25(1):84-7.
14. Andersson L. Epidemiology of Traumatic Dental Injuries. J
endod 2013; 39(3, Supplement):S2-5.
15. Joachim M, Tuizer M, Araidy S, Abu El-Naaj I. Pediatric
maxillofacial trauma: Epidemiologic study between the years
2012 and 2015 in an Israeli medical center. Dent traumatol
2018; 34(4):221-8.
16. Bastone EB, Freer TJ, McNamara JR. Epidemiology of
dental trauma: a review of the literature. Aust dent j 2000;
45(1):2-9.
17. Jolly KA, Messer LB, Manton D. Promotion of mouthguards
among amateur football players in Victoria. Aust N Z j public
health 1996; 20(6):630-9.
18. Kargul B, ÇaÄŸlar E, Tanboga I. Dental trauma in Turkish
children, Ä°stanbul. Dent traumatol 2003; 19(2):72-5.
19. Stavrinos D, Byington KW, Schwebel DC. Effect of Cell
Phone Distraction on Pediatric Pedestrian Injury Risk.
Pediatrics 2009; 123(2):e179-85.
20. Nasar JL, Troyer D. Pedestrian injuries due to mobile phone
use in public places. Accid anal prev 2013; 57:91-5.
21. Basch CH, Ethan D, Rajan S, Basch CE. Technologyrelated distracted walking behaviours in Manhattan’s most
dangerous intersections. Inj prev 2014; 20(5):343-6.
22. Sae-Lim V, Lim LP. Dental trauma management awareness
of Singapore pre-school teachers. Dent traumatol 2001;
17(2):71-6.
23. Wagle E, Allred EN, Needleman HL. Time Delays in Treating
Dental Trauma at a Children’s Hospital and Private Pediatric
Dental Practice. Pediatr dent 2014; 36(3):216-21.
24. Lima TFR, Silva EJNL da, Gomes BPF de A, Almeida JFA
de, Zaia AA, Soares A de J. Relationship between Initial
Attendance after Dental Trauma and Development of
External Inflammatory Root Resorption. Braz dent j 2017;
28:201-5.
25. Flores MT, Andersson L, Andreasen JO, Bakland LK,
Malmgren B, Barnett F, et al. Guidelines for the management
of traumatic dental injuries. I. Fractures and luxations of
permanent teeth. Dent traumatol 2007; 23(2):66-71.
26. Jokic NI, Bakarcic D, Fugosic V, Majstorovic M, Skrinjaric
I. Dental trauma in children and young adults visiting a
University Dental Clinic. Dent traumatol 2009; 25(1):84-7.
27. Neto JJSM, Gondim JO, De Carvalho FM, Giro EMA.
Longitudinal clinical and radiographic evaluation of severely
intruded permanent incisors in a pediatric population. Dent
traumatol 2009; 25(5):510-4.
28. Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen
E, Bourguignon C, et al. International Association of Dental
Traumatology guidelines for the management of traumatic
dental injuries: 2. Avulsion of permanent teeth. Dent
traumatol 2020; 36(4):331-42.
29. Lang PM, Jacinto RC, Dal Pizzol TS, Ferreira MBC,
Montagner F. Resistance profiles to antimicrobial agents
in bacteria isolated from acute endodontic infections:
systematic review and meta-analysis. Int j antimicrob agents
2016; 48(5):467-74.
30. Bücher K, Neumann C, Thiering E, Hickel R, Kühnisch J.
Complications and survival rates of teeth after dental trauma
over a 5-year period. Clin oral invest 2013; 17(5):1311-8.
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Published
2023-11-06
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How to Cite
Analysis of treatments performed at a university dental trauma service in southern Brazil. (2023). Revista Da Faculdade De Odontologia - UPF, 26(1), 52-59. https://doi.org/10.5335/rfo.v26i1.13084
