Skip to main content

Advertisement

SpringerLink
Log in

Occurrence of dental avulsion and associated injuries in patients with facial trauma over a 9-year period

  • Original Article
  • Published:
Oral and Maxillofacial Surgery Aims and scope Submit manuscript

Abstract

Introduction

This retrospective study aimed to assess the occurrence of dental avulsions in patients with facial trauma over a 9-year period.

Materials and methods

Data was collected from records of patients attended to at the Division of Oral and Maxillofacial Surgery at Piracicaba Dental School—State University of Campinas, Piracicaba (SP), Brazil.

Results

Two hundred three patients with 387 avulsed teeth were evaluated, the central incisors being the most common teeth involved (42 % of permanent and 61 % of primary teeth). Thirty-four percent of the cases occurred on weekends, mainly on Saturdays (20 %) and the distribution in relation to the time of year was similar with slight peaks in January. The most prevalent associated dentoalveolar injury was lateral luxation (26 %) and 19 % of the patients presented with an associated facial fracture. The most common sign presented was laceration (23 %), and the main symptoms found were pain (58 %). Associated general trauma was present in 139 patients (68 %), and the most prevalent was the upper limb (41 %).

Discussion

Special emphasis should be given not only to diagnosis and treatment of dental avulsion but for prevention, too. An understanding of the etiology, severity, and distribution of associated traumatic injuries can help for future studies and for an effective prevention of these injuries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Onetto JE, Flores MT, Garbarino ML (1994) Dental trauma in children and adolescents in Valparaiso. Chile Endod Dent Traumatol 10(5):223–227

    Article  CAS  Google Scholar 

  2. Rocha MJC, Cardoso M (2001) Traumatized permanent teeth in Brazilian children assisted at the Federal University of Santa Catarina. Brazil Dent Traumatol 17(6):245–249

    Article  CAS  Google Scholar 

  3. Şaroğlu I, Sönmez H (2002) The prevalence of traumatic injuries treated in the prododontic clinic of Ankara University, Turkey, during 18months. Dent Traumatol 18(6):299–303

    Article  PubMed  Google Scholar 

  4. Rajab LD (2004) Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan 1997–2000. Dent Traumatol 19(1):6–11

    Article  Google Scholar 

  5. Soriano EP, Jr C, Góes PSA (2004) Risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol 20(5):246–250

    Article  PubMed  Google Scholar 

  6. Sandalli N, Cildir S, Guler N (2005) Clinical investigation of traumatic injuries in Yeditepe University, Turkey during the last 3years. Dent Traumatol 21(4):188–194

    Article  PubMed  Google Scholar 

  7. Caldas IM, Magalhães T, Afonso A, Matos E (2008) Orofacial damage resulting from road accidents. Dent Traumatol 24(4):410–415

    Article  PubMed  Google Scholar 

  8. Ekanayake L, Perera M (2008) Pattern of traumatic dental injuries in children attending the University Dental Hospital Sri Lanka. Dent Traumatol 24(4):471–474.

    Google Scholar 

  9. Lin S, Levin L, Glodman S, Peleg K (2008) Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 1: general vs facial and dental trauma. Dent Traumatol 24(1):53–55

    Article  PubMed  Google Scholar 

  10. Müller KE, Persic R, Pohl Y, Krastl G, Filippi A (2008) Dental injuries in mountain biking—a survey in Switzerland, Austria, Germany, and Italy. Dent Traumatol 24(5):522–527

    Article  PubMed  Google Scholar 

  11. Traebert J, Bittencourt DD, Peres KG, Peres MA, de Lacerda JT, Marcenes W (2006) Aetiology and rates of treatment of traumatic dental injuries among 12-year-old school children in a town in southern Brazil. Dent Traumatol 22(4):173–178

    Article  PubMed  Google Scholar 

  12. Kumar A, Bansal V, Veeresha KL, Sogi GM (2011) Prevalence of traumatic injuries among 12- to 15-year-old schoolchildren in Abala district, Haryana. India Oral Health Prev Dent 9(3):301–305

    Google Scholar 

  13. De Amorim AF, Da Costa LR, Estrela C (2011) Retrospective study of traumatic dental injuries in primary teeth in a Brazilian specialized pediatric practice. Dent Traumatol 27(5):368–373

    Article  Google Scholar 

  14. Norton E, O’Connell AC (2012) Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children. Dent Traumatol 28(1):81–86

    Article  PubMed  Google Scholar 

  15. Andresson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Jenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M (2012) International association of dental traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 28(2):88–96

    Article  Google Scholar 

  16. Skapetis T, Curtis K (2010) Emergency management of dental trauma. Aust Emerg Nurs J 13(1-2):30–34

    Article  Google Scholar 

  17. Rosenberg H, Rosenberg H, Hickey M (2011) Emergency management of a traumatic tooth avulsion. Ann Emerg Med 57(4):375–377

    Article  PubMed  Google Scholar 

  18. Andreasen JO, Kristerson L (1981) The effect of extra-alveolar root filling with calcium hydroxide on periodontal healing after replantation of permanent incisors in monkeys. J Endod 7(8):349–354

    Article  PubMed  CAS  Google Scholar 

  19. Malmgren B, Malmgren O (2002) Rate of infra-position of reimplanted ankylosis incisors related to age and growth in children and adolescents. Dent Traumatol 18(1):28–36

    Article  PubMed  Google Scholar 

  20. Senes AM, Sakai VT, Oliveira TM, Machado MAAM, Santos CF, Marzolla C (2008) Management of a multiple dentoalveolar trauma in permanent dentition with avulsion of a canine: a 4-year follow-up. J Endod 34(3):336–339

    Article  PubMed  Google Scholar 

  21. Coutinho TC, Cajazeira MR (2012) Retrospective study on the occurrence of primary incisor trauma in preschool children of a low-income area in Brazil. Eur J Paediatr Dent 12(3):159–162

    Google Scholar 

  22. Bourguignon C, Sigurdsson A (2009) Preventive strategies for traumatic dental injuries. Dent Clin North Am 53(4): 729–749.

    Google Scholar 

  23. Acton CH, Nixon JW, Clark RC (1996) Bicycle riding and oral/maxillofacial trauma in young children. Med J Aug 165(5):249–251

    CAS  Google Scholar 

  24. Gassner R, Tuli T, Emshoff R, Waldhart, E (1999b) Mountainbiking—a dangerous sport: comparison with bicycling on oral and maxillofacial trauma. Int J Oral Maxillofac Surg 28(3): 188–91.

    Google Scholar 

  25. Daneshvar DH, Baugh CM, Nowinski CJ, McKee AC, Stern RA, Cantu RC (2011) Helmets and mouth guards: the role of personal equipment in preventing sport-related concussions. Clin Sports Med 30(1):145–163

    Article  PubMed  Google Scholar 

  26. Gassner R, Bosch R, Tuli T, Emshoff R (1999a) Prevalence of dental trauma in 6000 patients with facial fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87(1):27–33

    Article  CAS  Google Scholar 

  27. Dodson TB, Kaban LB (1988) California mandatory seat belt law: the effect of recent legislation on motor vehicle accident related maxillofacial injuries. J Oral Maxillofac Surg 46(10):875–880

    Article  PubMed  CAS  Google Scholar 

  28. Yokoyama T, Motozawa Y, Sasaki T, Hitosugi M (2006) A retrospective analysis of oral and maxillofacial injuries in motor vehicle accidents. J Oral Maxillofac Surg 64(4):1146–1151

    Google Scholar 

  29. Hitosugi M, Mizuno K, Nagai T, Tokudome S (2011) Analysis of maxillofacial injuries of vehicle passengers involved in frontal collisions. J Oral Maxillofac Surg 69(4):1146–1151

    Article  PubMed  Google Scholar 

  30. Major MS, MacGregor A, Bumpous JM (2000) Patterns of maxillofacial injuries as a function of automobile restraint use. Laryngoscope 110(4):608–611.

    Google Scholar 

  31. Andreasen JO, Borum MK, Jabobsen HL, Andeasen FM (1995) Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol 11(2):76–89

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported by grants of FAPESP—Fundação de Amparo à Pesquisa do Estado de São Paulo, under process number 08/52582-5.

Disclosure of interest statement

The copyright to this article is transferred to the Association of Oral and Maxillofacial Surgeons of India (for U.S. government employees—to the extent transferable) effective if and when the article is accepted for publication. The author warrants that his/her contribution is original and that he/she has full power to make this grant. The author signs for and accepts responsibility for releasing this material on behalf of any and all coauthors. The copyright transfer covers the exclusive right to reproduce and distribute the article, including reprints, translations, photographic reproductions, microform, electronic form (offline, online), or any other reproductions of similar nature. Also, the author(s) acknowledge that the manuscript cannot be withdrawn or resubmitted in any other Journal while the peer review is in progress. An author may self-archive an author-created version of his/her article on his/her own website and or in his/her institutional repository. He/she may also deposit this version on his/her funder’s or funder’s designated repository at the funder’s request or as a result of a legal obligation, provided it is not made publicly available until 12 months after official publication. He/she may not use the publisher's PDF version, which is posted on www.springerlink.com, for the purpose of self-archiving or deposit. Furthermore, the author may only post his/her version provided acknowledgment is given to the original source of publication and a link is inserted to the published article on Springer's website. The link must be accompanied by the following text: "The original publication is available at www.springerlink.com". The author is requested to use the appropriate DOI for the article. Articles disseminated via www.springerlink.com are indexed, abstracted, and referenced by many abstracting and information services, bibliographic networks, subscription agencies, library networks, and consortia. After submission of the agreement signed by the corresponding author, changes of authorship or in the order of the authors listed will not be accepted. I, the undersigned corresponding author, also certify that I/we have no commercial associations (e.g., consultancies, stock ownership, equity interests, patent-licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article, except as disclosed on a separate attachment. All funding sources supporting the work and all institutional or corporate affiliations of mine/ours are acknowledged in a footnote. Please mention if a separate attachment is enclosed.

Author information

Authors and Affiliations

  1. Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil

    Érica Cristina Marchiori

  2. Federal University of Ceara, Fortaleza, Ceara, Brazil

    Saulo Ellery Santos

  3. Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, Piracicaba Dental School, State University of Campinas—UNICAMP, Av. Limeira, 901, CP 52, 13.414-903, Piracicaba, SP, Brazil

    Érica Cristina Marchiori, Luciana Asprino, Márcio de Moraes & Roger William Fernandes Moreira

Authors
  1. Érica Cristina Marchiori
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Saulo Ellery Santos
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luciana Asprino
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Márcio de Moraes
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Roger William Fernandes Moreira
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Érica Cristina Marchiori.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marchiori, É.C., Santos, S.E., Asprino, L. et al. Occurrence of dental avulsion and associated injuries in patients with facial trauma over a 9-year period. Oral Maxillofac Surg 17, 119–126 (2013). https://doi.org/10.1007/s10006-012-0354-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10006-012-0354-5

Keywords

Search

Navigation