Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation.
Affiliation
Department of Paediatric Dentistry, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, S10 2SZ. halla.zaitoun@sth.nhs.ukIssue Date
2010-03-27MeSH
AdolescentChild
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
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Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation. 2010, 208 (6):E11; discussion 254-5 Br Dent JJournal
British dental journalDOI
10.1038/sj.bdj.2010.254PubMed ID
20339401Abstract
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
ArticleLanguage
enISSN
1476-5373ae974a485f413a2113503eed53cd6c53
10.1038/sj.bdj.2010.254
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