Analysis of treatments performed at a university dental trauma service in southern Brazil

Maryana De Oliveira Policarpo Domingos, Marina Sartório, Matheus Luis Reolon, Camila Hélen Grock, L. Casagrande, F. Montagner
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Abstract

This retrospective observational study aimed to analyze cases assisted at the Dentoalveolar Trauma Clinic of the School of Dentistry of the Federal University of Rio Grande do Sul (FO-UFRGS) from March 2015 to March 2018, according to the treatments performed on traumatized permanent teeth and the results after one year of follow-up. The sample was based on information collected from clinical records of 92 patients, referring to a) data before treatment, b) data on the diagnosis and proposed treatment, and c) data on the follow-up period. Descriptive and inferential statistical analyses were performed. Most patients were male (56.5%) and aged six to 11 (30.4%) and older than 18 (29.1%) years. The prevalent cause of trauma was falling, and 59% of patients were first assisted within 24 hours. The most frequent traumas were enamel and dentin fractures with and without pulp exposure (6.3%), lateral luxation (1.4%), and avulsion (1.9%). Endodontic treatment was usually performed on traumatized teeth (7.2%). Of the 92 patients, 58 returned for maintenance visits with a mean follow-up of one year. Most patients had successful treatments. Prompt care and patient follow-up were essential for the good prognosis of traumatized teeth.Keywords: tooth; dental trauma; public health; aftercare.
巴西南部一所大学牙科创伤服务中心的治疗分析
本回顾性观察性研究旨在分析2015年3月至2018年3月在南里奥格兰德州联邦大学牙科学院牙槽牙创伤诊所(FO-UFRGS)协助的病例,根据创伤恒牙的治疗情况和随访一年的结果。样本基于从92例患者的临床记录中收集的信息,参考a)治疗前的数据,b)诊断和建议治疗的数据,以及c)随访期间的数据。进行描述性和推断性统计分析。大多数患者为男性(56.5%),年龄6 ~ 11岁(30.4%),年龄大于18岁(29.1%)。造成创伤的主要原因是跌倒,59%的患者在24小时内得到第一次帮助。最常见的创伤是牙釉质和牙本质骨折,有或没有牙髓暴露(6.3%),外侧脱位(1.4%)和撕脱(1.9%)。牙髓治疗多用于损伤牙(7.2%)。在92名患者中,58名患者在平均随访一年的情况下返回进行维持性访问。大多数患者治疗成功。及时的护理和病人的随访对创伤牙的良好预后至关重要。关键词:牙齿;牙外伤;公共卫生;安置。
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