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

Zaitoun, H, North, S, Lee, S, Albadri, S ORCID: 0000-0001-6516-9497, McDonnell, ST and Rodd, HD
(2010) Initial management of paediatric dento-alveolar trauma in the permanent dentition: a multi-centre evaluation. BRITISH DENTAL JOURNAL, 208 (6). pp. 1-5.

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<h4>Objective</h4>To investigate the time lapse prior to provision of emergency dental care and appropriateness of earliest treatment provided for children with dental trauma.<h4>Design</h4>A multi-regional prospective and cross-sectional survey.<h4>Setting</h4>Paediatric dental departments of Liverpool, Manchester and Sheffield.<h4>Subjects</h4>One hundred and fifty referred or emergency paediatric patients with trauma to the permanent incisors.<h4>Results</h4>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.<h4>Conclusion</h4>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
Additional Information: Zaitoun, H North, S Lee, S Albadri, S McDonnell, S T Rodd, H D Multicenter Study England British dental journal Br Dent J. 2010 Mar 27;208(6):E11; discussion 254-5.## TULIP Type: Articles/Papers (Journal) ##
Uncontrolled Keywords: Periodontal Ligament, Incisor, Dental Enamel, Dental Pulp, Dentin, Tooth Crown, Humans, Tooth Avulsion, Tooth Fractures, Tooth Replantation, Prospective Studies, Cross-Sectional Studies, Dental Care, Root Canal Therapy, Splints, General Practice, Dental, Time Factors, Telephone, Adolescent, Child, Dental Service, Hospital, Emergency Medical Services, Referral and Consultation, Primary Health Care, Female, Male
Subjects: ?? RK ??
Divisions: Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Dentistry
Depositing User: Symplectic Admin
Date Deposited: 24 Jan 2011 16:26
Last Modified: 15 Dec 2022 11:52
DOI: 10.1038/sj.bdj.2010.254
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