Epidemiological profile of luxations injuries with or without dental fractures in permanent teeth: A 10-years retrospective study

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Ana Laura Lopes Amilcar, Walbert A. Vieira, Aline Cristine Gomes Matta, Brenda Paula Figueiredo de Almeida Gomes, Marina Angélica Marciano da Silva, José Flávio Affonso de Almeida, Caio Cézar Randi Ferraz, Eduardo César Almada Santos, Julio Vargas Neto, Adriana de Jesus Soares
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Abstract

Background/Aim

This study assessed the epidemiology of luxation injuries with or without dental fractures in patients attending the outpatient clinic of a Brazilian dental school over the past decade.

Material and Methods

We reviewed clinical records from a specialized center for dental trauma care in Brazil, focusing on patients who experienced at least one traumatic dental injury (TDI) in a permanent tooth between 2012 and 2022. The extracted data included sex, age, etiology, time between trauma occurrence and the search for initial care, TDI classification, and the need for endodontic treatment. The statistical analysis involved Pearson's chi-squared and Fisher's exact tests at a 5% significance level.

Results

The 366 analyzed clinical records included 166 patients (350 teeth) with luxation injuries. Men (n = 102) showed a higher prevalence of luxation injuries than women (n = 64). Extrusive luxation prevailed (n = 99 patients and 208 teeth). Patients with luxation injuries sought care promptly after dental trauma incidents (p = .02) and demonstrated a higher incidence of endodontic treatment (p < .0001) than those without luxation injuries. Lateral luxation was notably associated with traffic accidents (p < .0001). The combination of luxation injuries and tooth fractures did not correlate with a higher need for endodontic treatment (p > .05).

Conclusions

Age and trauma etiology seemed to have influenced the epidemiological profile of luxation injuries. Additionally, these injuries affected the time to seek initial care and the need for endodontic treatment.

伴有或不伴有牙折的恒牙脱落损伤的流行病学概况:十年回顾性研究
背景/目的本研究评估了过去十年中在巴西一所牙科学校门诊就诊的患者中伴有或不伴有牙体骨折的牙齿松动损伤的流行病学情况。材料和方法我们查阅了巴西一家牙科创伤治疗专业中心的临床记录,重点关注2012年至2022年期间至少经历过一次恒牙外伤(TDI)的患者。提取的数据包括性别、年龄、病因、创伤发生与寻求初步治疗之间的时间间隔、TDI分类以及牙髓治疗需求。统计分析采用皮尔逊卡方检验和费雪精确检验,显著性水平为5%。男性(102人)的牙齿松动率高于女性(64人)。外伤占多数(99名患者,208颗牙齿)。与没有牙齿松动损伤的患者相比,有牙齿松动损伤的患者在牙科创伤事件发生后及时就医(p = .02),牙髓治疗的发生率也更高(p < .0001)。外侧松动与交通事故明显相关(p < .0001)。结论年龄和外伤病因似乎影响了松动损伤的流行病学特征。结论年龄和创伤病因似乎影响了松动损伤的流行病学特征,此外,这些损伤还影响了寻求初步治疗的时间和牙髓治疗的需求。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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