Emergency dental injuries presented at the Beijing Stomatological Hospital in China

-Traumatic dental injuries (TDIs) are a serious public health problem. Epidemiology of dental trauma indicates that these injuries are more prevalent in child population of the world. Children are the sufferers in two-thirds of all TDIs observed. Although being a major fraction, crown-related fractures are a less severe form of TDIs with respect to their complications and sequelae. However, as with other types of traumatic injuries, the delay in seeking for immediate care following a traumatic injury and the lack of appropriate treatment may compromise long-term outcomes. This article reviews the occurrence, management, and prognosis of crown-related fractures in primary and permanent teeth in light of the recent literature.

Section: Enamel Fracturementioning

confidence: 99%

Section: Crown-root Fracturesmentioning

confidence: 99%

Management of crown‐related fractures in children: an update review

Güngör

2013

“…It is thus of great importance to evaluate the distribution of pediatric TDIs in China. Despite its importance, few studies have been published regarding this issue in China (10,11). It is therefore necessary to gradually collect related data that could be used to determine global TDI epidemiology.…”

mentioning

confidence: 99%

A retrospective study of pediatric traumatic dental injuries in Xi'an, China

Zhu

Zhou

et al. 2013

“…It is well documented that hospital emergency departments (ED) are confronted with triaging and managing dental emergencies of both traumatic and non‐traumatic in origin. In fact, it has been reported that up to 66% of all ED visits for dental issues are for the management of traumatic dental injuries (TDI) .…”

mentioning

confidence: 99%

Massachusetts emergency departments' resources and physicians' knowledge of management of traumatic dental injuries

Needleman

Stucenski

Forbes

et al. 2012

Background Hospital emergency departments (ED) are confronted with triaging and managing dental emergencies of both traumatic and non‐traumatic origin. However, the literature suggests that there exists inadequate knowledge of the management of traumatic dental injuries (TDI) among medical professionals who must be knowledgeable and have the appropriate resources needed to triage or treat patients presenting with TDI. Aim The aims of this study were to (i) evaluate the resources of Massachusetts emergency departments (MEDs) for TDI, (ii) determine the knowledge of management of TDI among MED physicians, and (iii) investigate potential factors that affect their knowledge. Materials and methods Surveys were mailed to MED directors and their physicians. The director survey contained questions regarding institutional information for each emergency department (ED). The physician survey contained questions about physician characteristics and tested their knowledge of managing dental trauma. Results A total of 72 surveys (16 MED directors and 56 physicians) were returned and included in the analysis. Only 50% of the MEDs had on‐site dental coverage, 43.8% had 24‐h off‐site dental coverage, and none had a formal written dental trauma protocol. MED physician's knowledge of the appropriate management of luxations and avulsions was generally good, but poor for dental fractures. The MED physician's knowledge for the emergent nature of the various injuries was generally good with that of avulsions being the best. Physicians were more likely to have a better knowledge of managing dental trauma if they were specialists in pediatric emergency medicine (P = 0.001) or their hospitals had an academic affiliation (P = 0.05). Conclusions Based on the findings from this study, educational campaigns must be undertaken to improve both the resources available to the ED, and the knowledge of physicians regarding emergency management of TDI. In addition, efforts should be made by local dental organizations to provide ED with lists of dentists who are knowledgeable and willing to be available 24 h day−1 to consult with and, if necessary, treat TDI. These efforts would enhance the long‐term outcomes for patients sustaining dental trauma who present to hospital ED.