Dental trauma and bicycle safety: a report in Italian children and adolescents

Amadori, Francesca; Bardellini, Elena; Copeta, Alessandro; Conti, Giovanni Maria; Villa, Valerio; Majorana, Alessandra

doi:10.1080/00016357.2017.1279345

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…In our study, the number of dental traumas peaked among toddlers (1-2 years old) and 7-to 9-year-old school children. These findings are in line with the results of similar studies, 16,17 though other studies have reported TDI peaks in older school children (8-10 years) [18][19][20] and found no similarly high frequency of TDIs in toddlers. 21 In our study, most TDIs (87.7%) occurred in children under 10 years, while only 13.3% of TDIs occurred in children over 10 years.…”

Section: Discussionsupporting

confidence: 91%

Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study

2021

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Objective Traumatic dental injury (TDI) is a common dental concern among children worldwide. We performed a retrospective patient register study among children under 18 years to investigate TDIs with respect to causes, treatment, and complications. Materials and Methods We collected information on TDIs from the original patient records of 407 child patients visiting dental clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania. We analyzed all child patients’ (n = 407) background, cause, type of TDI, treatment, complications, and time elapsed from injury to visit to the dentist. Statistical Analysis The χ 2-test, analysis of variance (ANOVA), and Kruskal–Wallis and Mann–Whitney tests served in the statistical analyses. Results A total of 579 TDI cases occurred during 2010 to 2016. Lateral luxation (19.8%) and intrusion (14.8%) occurred more often in the primary than the permanent dentition (p < 0.05). The most common cause of TDI was falling (56%). Avulsion occurred in approximately 10% of cases. Follow-up (44.5%) and tooth extraction (48.3%) were the most frequent treatments in the primary and splinting (25.3%) in the permanent teeth. Pulp necrosis was the most frequent complication in primary (92%) and permanent (54%) dentition. About 1% of the patients obtained dental care during the first hour after injury. Conclusion The most frequent TDIs included lateral luxation in primary teeth and enamel-dentine fractures in permanent teeth. We observed a delay in patients obtaining emergency dental care.

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Section: Discussionsupporting

confidence: 91%

Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study

2021

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“…In these cases, both dentists and sports centre staff might suggest the use of helmets, mouthguards and/or facemasks suitable for the sport being practised, informing players of the risk of dental and facial damages and of the benefits of these safety measures [16, 33–35].…”

Section: Introductionmentioning

confidence: 99%

Italian guidelines for the prevention and management of dental trauma in children

Cagetti

Marcoli²,

Berengo

et al. 2019

Ital J Pediatr

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Dental trauma is a frequent occurrence in children and adolescent and a correct diagnosis and treatment are essential for a favourable long-term prognosis. The present Guidelines aim to formulate evidence-based recommendations to assist dentists, paediatricians, surgeons, teachers, school and sport staff, parents in the prevention and first aid of dental trauma in children and to provide a careful assessment of the medico-legal implications, reviewing the first draft of the guidelines published in 2012. A multidisciplinary panel on the behalf of the Italian Ministry of Health and in collaboration with the WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, developed this document. The following four queries were postulated: 1) Which kind of precautions the health personnel, parents, sports and educational personnel must activate in order to prevent the dental trauma damage? 2) How an orofacial trauma in paediatric patients should be managed either in the Emergency Care Unit and/or in private dental office? 3) What criteria should be adopted by a dentist private practitioner to fill in a certificate in cases of dental and/or tempomandibular joint trauma occurring in children and adolescents? 4) What are the elements that should lead clinicians to suspect a non-accidental dental trauma? A systematic review and analysis of the scientific literature published in English, Italian and French from 2007 to 2017 regarding dental trauma in children and adolescents aged 0–18 years was performed, and about 100 papers were analysed and included. The following four domains were analysed and discussed: Dental Trauma Prevention Strategies and Health Education, First aid in orofacial and dental trauma, Certificate of the dental trauma, Oral and dental signs of child abuse and neglect. Twenty-eight recommendations were draw up and codified by the panel according to the Methodological handbook, produced by the Istituto Superiore di Sanità, in order to guide physicians in the prevention and first aid of dental trauma in children and adolescents. In addition, a careful assessment of the medico-legal implications is reported in this document.

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“…5 An Italian paper reported that facial and dental injuries related to bicycle accidents included crown fractures, periodontal injuries, maxillo-facial bone fractures as well as soft tissue lacerations and contusions. 6 A relevant finding noted by these authors was that facial fractures more frequently involved the mid-face in younger individuals, whilst the mandible, maxilla and zygoma suffered in slightly older children.…”

mentioning

confidence: 89%

“…The cause was due to the formation of a post-traumatic intramural thrombus in the internal carotid artery (which lies in close proximity to the posterolateral oropharynx), which then resulted in a haemorrhagic stroke possibly due to embolization of the thrombus to the middle cerebral artery in the Circle of Willis. 6 Bicycle riding is accompanied by a high risk of injury. Safety precautions such as helmet usage are of pivotal importance in terms of prevention.…”

Section: < 561mentioning

confidence: 99%