Clinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/139949
Title:
Clinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland.
Authors:
Stewart, C; Kinirons, M; Delaney, P
Affiliation:
Dr C Stewart, Dept. of Paediatric Dentistry, Cork University Dental School and Hospital, University College Cork, Ireland. c.stewart@ucc.ie
Citation:
Clinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland. 2011, 12 (1):41-5 Eur Arch Paediatr Dent
Journal:
European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/139949
PubMed ID:
21299945
Abstract:
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.; Clinical audit.; 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.; 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.; 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.
Item Type:
Article
Language:
en
MeSH:
Accidental Falls; Adolescent; Athletic Injuries; Bicycling; Child; Child, Preschool; Dental Audit; Dental Service, Hospital; Dentition, Permanent; Female; Humans; Ireland; Male; Periodontal Splints; Prevalence; Pulpectomy; Retrospective Studies; Tooth Injuries; Tooth Replantation
ISSN:
1818-6300

Full metadata record

DC FieldValue Language
dc.contributor.authorStewart, Cen
dc.contributor.authorKinirons, Men
dc.contributor.authorDelaney, Pen
dc.date.accessioned2011-08-17T08:38:20Z-
dc.date.available2011-08-17T08:38:20Z-
dc.date.issued2011-02-
dc.identifier.citationClinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland. 2011, 12 (1):41-5 Eur Arch Paediatr Denten
dc.identifier.issn1818-6300-
dc.identifier.pmid21299945-
dc.identifier.urihttp://hdl.handle.net/10147/139949-
dc.description.abstractTo 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.-
dc.description.abstractClinical audit.-
dc.description.abstractConsecutive 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.-
dc.description.abstractRecords 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.-
dc.description.abstractGeneral 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.-
dc.language.isoenen
dc.subject.meshAccidental Falls-
dc.subject.meshAdolescent-
dc.subject.meshAthletic Injuries-
dc.subject.meshBicycling-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshDental Audit-
dc.subject.meshDental Service, Hospital-
dc.subject.meshDentition, Permanent-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshPeriodontal Splints-
dc.subject.meshPrevalence-
dc.subject.meshPulpectomy-
dc.subject.meshRetrospective Studies-
dc.subject.meshTooth Injuries-
dc.subject.meshTooth Replantation-
dc.titleClinical audit of children with permanent tooth injuries treated at a dental hospital in Ireland.en
dc.typeArticleen
dc.contributor.departmentDr C Stewart, Dept. of Paediatric Dentistry, Cork University Dental School and Hospital, University College Cork, Ireland. c.stewart@ucc.ieen
dc.identifier.journalEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistryen
dc.description.provinceMunster-

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