The purpose of this study was to assess the frequency, the effective factors and the applied treatments for dental trauma among children aged 1-15 years from Eastern Anatolia in a 6-year period. The total frequency of trauma in this study was calculated as 4.9% during a 6-year period. The males were found to have more traumatic injury than females (P < 0.05). Also, the permanent teeth were more vulnerable to dental trauma than the primary teeth (P < 0.05). The highest frequency of traumas in the primary teeth was observed at the age of 5, whereas the rate for the permanent teeth was at the age of 10. The teeth mostly influenced by the traumas were the upper central incisors in both primary and permanent teeth. It was in October that traumas were mostly seen for the permanent teeth and in June for the primary teeth. The most frequent source of trauma in both genders and in both primary and permanent teeth were falls. The most common type of trauma in the primary teeth was lateral luxation, while it was enamel-dentin crown fracture in the permanent ones. Soft tissue injuries were observed in 143 of 653 dental traumatized children. The most common method of treatment was examination and follow up for the primary teeth, and only direct restoration for the permanent teeth without any endodontic treatment. 15% of the patients applied for treatment 1 year after injury event. Therefore, it was concluded that the patients, parents and teachers living in Eastern Anatolia should be informed about the necessity of early treatment of dental traumas and the consequence of a delay.
The aim of this study was to evaluate clinically and radiographically the restored teeth using reattachment technique of fractured fragment to the remaining tooth. This study was conducted on 11 children (six girls and five boys; age range: 8-13 years). Before the treatment, the teeth were evaluated clinically and radiographically. The broken incisal part was directly reattached to the remaining tooth part with flowable resin composite. Thereafter, with the purpose of obtaining optimal esthetics and function, along the fracture line an external 'double chamfer' in the shape of a V was created and then covered with resin composite. During the follow-up (1-24 months) after the treatment, the teeth were evaluated clinically and/or radiographically with regard to periodontal, pulpal, coronal, color harmony of the fragments, and occlusion. In addition, the restored teeth were assessed in terms of parental-patient ratings of satisfaction. Both clinically and radiographically, no pathology was reported and all the restorations were successful. Moreover, the mean scores of parental-patient satisfaction were reported as 'satisfied, very-satisfied.'
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