Characteristics of Pediatric Dental Injuries and Predictive Factors for Long Treatment Duration

IF 2.2 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2025-09-08 DOI:10.1002/cre2.70218

Yuki Sakamoto, Mineko Baba, Shinya Kosinuma, Kazuki Takaoka, Mami Nakamura, Masahito Hitosugi

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Abstract

Objectives

This study was performed to identify the characteristics of oral and maxillofacial injuries in children and determine factors influencing a treatment duration of more than 1 month using medical records.

Material and Methods

This retrospective observational study reviewed medical records of 258 children (< 16 years of age) with maxillofacial trauma treated at a university hospital between 2011 and 2021. Patients with and without tooth fractures or dislocations were compared, and the prevalence of injuries was analyzed across three age groups (0–2, 3–5, ≥ 6 years). Long (> 1 month) and short (< 1 month) treatment durations were compared, and independent predictive factors for prolonged treatment were identified.

Results

Tooth injuries were observed in 204 (79.1%) patients. Deciduous central incisors in the primary dentition and central incisors in the permanent dentition were the most commonly affected. Soft tissue injuries occurred in 165 (64.0%) patients, while maxillofacial fractures were present in 7 (2.7%). Tooth fractures significantly increased with age (p < 0.001), while dislocations showed no age-related differences. Logistic regression revealed that maxillofacial fractures, tooth fractures, and two or more dislocated teeth were independent predictors of prolonged treatment, with odds ratios of 14.666 (1.625–132.359), 2.411 (1.099–5.287), and 2.350 (1.208–4.570), respectively.

Conclusions

Maxillofacial fractures, multiple tooth dislocations, and tooth fractures were confirmed as key factors influencing longer treatment durations. These findings may assist in the early management of maxillofacial injuries and improve communication with pediatric patients and their families.

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儿童牙损伤的特点及长期治疗的预测因素

目的研究儿童口腔颌面部损伤的特点，并利用医疗记录确定影响治疗时间超过1个月的因素。材料和方法本回顾性观察性研究回顾了2011年至2021年间在某大学医院治疗的258例（16岁）颌面部创伤儿童的医疗记录。比较有和没有牙齿骨折或脱位的患者，并分析三个年龄组（0-2岁、3-5岁、≥6岁）的损伤发生率。比较长期（1个月）和短期（1个月）治疗时间，并确定长期治疗的独立预测因素。结果牙齿损伤204例（79.1%）。初生牙列的乳牙中切牙和恒牙列的乳牙中切牙最常受影响。软组织损伤165例（64.0%），颌面部骨折7例（2.7%）。牙骨折随年龄增加而显著增加（p < 0.001），而脱位无年龄相关差异。Logistic回归分析显示，颌面骨折、牙齿骨折和两颗或两颗以上脱位是延长治疗时间的独立预测因素，比值比分别为14.666（1.625-132.359）、2.411（1.099-5.287）和2.350（1.201 - 4.570）。结论颌面部骨折、多牙脱位、牙齿断裂是影响治疗时间延长的关键因素。这些发现可能有助于颌面部损伤的早期处理，并改善与儿童患者及其家属的沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.