Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation.

Hdl Handle:
http://hdl.handle.net/10147/124526
Title:
Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation.
Authors:
Zaitoun, H; North, S; Lee, S; Albadri, S; McDonnell, S T; Rodd, H D
Affiliation:
Department of Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, S10 2SZ. halla.zaitoun@sth.nhs.uk
Citation:
Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation. 2010, 208 (6):E11; discussion 254-5 Br Dent J
Journal:
British dental journal
Issue Date:
27-Mar-2010
URI:
http://hdl.handle.net/10147/124526
DOI:
10.1038/sj.bdj.2010.254
PubMed ID:
20339401
Abstract:
To investigate the time lapse prior to provision of emergency dental care and appropriateness of earliest treatment provided for children with dental trauma.; A multi-regional prospective and cross-sectional survey.; Paediatric dental departments of Liverpool, Manchester and Sheffield.; One hundred and fifty referred or emergency paediatric patients with trauma to the permanent incisors.; One hundred and fifty subjects were recruited. Mean age of the subjects was 11.1 years (SD = 2.6; range = 6.2-16.6); 100 were male and 50 were female. The mean time interval from injury until initial presentation to a health care professional was 22.6 hours (SD = 76.1; range = 0-672). Thirty-six percent of children (n = 54) first presented to a general dental practitioner whilst 30% (n = 45) presented to accident and emergency medical staff. Following initial assessment, a further mean time lapse of 8.1 hours (SD = 43.7; range = 0-504) was incurred in 25% of cases prior to dental referral. In 39% of subjects (n = 58/150), treatment was considered inappropriate. The most frequent example of inadequate management was failure to protect exposed dentine, which was found for 71% (n = 24/34) of complicated crown fractures and 40% (n = 25/62) of uncomplicated crown fractures.; This study identified marked delays in the management of some paediatric dental trauma to permanent incisor teeth which, in itself, could be suboptimal. Greater educational and clinical support would seem to be warranted in this area of service provision.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Child; Cross-Sectional Studies; Dental Care; Dental Enamel; Dental Pulp; Dental Service, Hospital; Dentin; Emergency Medical Services; Female; General Practice, Dental; Humans; Incisor; Male; Periodontal Ligament; Primary Health Care; Prospective Studies; Referral and Consultation; Root Canal Therapy; Splints; Telephone; Time Factors; Tooth Avulsion; Tooth Crown; Tooth Fractures; Tooth Replantation
ISSN:
1476-5373

Full metadata record

DC FieldValue Language
dc.contributor.authorZaitoun, Hen
dc.contributor.authorNorth, Sen
dc.contributor.authorLee, Sen
dc.contributor.authorAlbadri, Sen
dc.contributor.authorMcDonnell, S Ten
dc.contributor.authorRodd, H Den
dc.date.accessioned2011-03-14T16:09:07Z-
dc.date.available2011-03-14T16:09:07Z-
dc.date.issued2010-03-27-
dc.identifier.citationInitial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation. 2010, 208 (6):E11; discussion 254-5 Br Dent Jen
dc.identifier.issn1476-5373-
dc.identifier.pmid20339401-
dc.identifier.doi10.1038/sj.bdj.2010.254-
dc.identifier.urihttp://hdl.handle.net/10147/124526-
dc.description.abstractTo investigate the time lapse prior to provision of emergency dental care and appropriateness of earliest treatment provided for children with dental trauma.-
dc.description.abstractA multi-regional prospective and cross-sectional survey.-
dc.description.abstractPaediatric dental departments of Liverpool, Manchester and Sheffield.-
dc.description.abstractOne hundred and fifty referred or emergency paediatric patients with trauma to the permanent incisors.-
dc.description.abstractOne hundred and fifty subjects were recruited. Mean age of the subjects was 11.1 years (SD = 2.6; range = 6.2-16.6); 100 were male and 50 were female. The mean time interval from injury until initial presentation to a health care professional was 22.6 hours (SD = 76.1; range = 0-672). Thirty-six percent of children (n = 54) first presented to a general dental practitioner whilst 30% (n = 45) presented to accident and emergency medical staff. Following initial assessment, a further mean time lapse of 8.1 hours (SD = 43.7; range = 0-504) was incurred in 25% of cases prior to dental referral. In 39% of subjects (n = 58/150), treatment was considered inappropriate. The most frequent example of inadequate management was failure to protect exposed dentine, which was found for 71% (n = 24/34) of complicated crown fractures and 40% (n = 25/62) of uncomplicated crown fractures.-
dc.description.abstractThis study identified marked delays in the management of some paediatric dental trauma to permanent incisor teeth which, in itself, could be suboptimal. Greater educational and clinical support would seem to be warranted in this area of service provision.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshChild-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshDental Care-
dc.subject.meshDental Enamel-
dc.subject.meshDental Pulp-
dc.subject.meshDental Service, Hospital-
dc.subject.meshDentin-
dc.subject.meshEmergency Medical Services-
dc.subject.meshFemale-
dc.subject.meshGeneral Practice, Dental-
dc.subject.meshHumans-
dc.subject.meshIncisor-
dc.subject.meshMale-
dc.subject.meshPeriodontal Ligament-
dc.subject.meshPrimary Health Care-
dc.subject.meshProspective Studies-
dc.subject.meshReferral and Consultation-
dc.subject.meshRoot Canal Therapy-
dc.subject.meshSplints-
dc.subject.meshTelephone-
dc.subject.meshTime Factors-
dc.subject.meshTooth Avulsion-
dc.subject.meshTooth Crown-
dc.subject.meshTooth Fractures-
dc.subject.meshTooth Replantation-
dc.titleInitial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation.en
dc.typeArticleen
dc.contributor.departmentDepartment of Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, S10 2SZ. halla.zaitoun@sth.nhs.uken
dc.identifier.journalBritish dental journalen
dc.description.provinceMunster-
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