Incidence of dental trauma associated with facial trauma in Brazil: a 1‐year evaluation

Abstract

Dental trauma occurs frequently in young people, and mostly occurs in conjunction with facial trauma. In the literature, there are still few reports relating dental trauma, facial trauma, and soft-tissue injuries. This research aimed to evaluate: (i) the overall incidence of dental trauma in 340 patients who presented with facial trauma over a 1-year-period, (ii) the epidemiology of these related diseases, and (iii) the most common dental trauma when a facial trauma was present. Of all facial trauma, 15.29% presented dental trauma, of which luxations and avulsions were the most frequent injuries (40.30% each), occurring mainly on weekends (38.46%) and in October (15.38%), followed by March and June (13.46% each). The sex ratio presented the proportion of 3.3:1 (M:F). Trauma occurred mainly in the second decade (44.23%). These results highlight the high incidence of dental and facial trauma, and suggest the importance of the adoption of appropriate prevention protocols and effective therapeutic methods.

Dental Injuries in Association With Facial Fractures

“…[1][2][3][4][5] These articles either concentrated on the incidence of dental lesions in fractures of the lower jaw or examined epidemiologic aspects of facial fractures or dental lesions. In the article of Da Silva et al 5 the association of facial trauma and dental lesions was analyzed.…”

“…The gender ratio was in agreement with other studies (male-female ratio, 2.1:1.0). 5,29 Knowledge of the association of dental injuries and maxillofacial fractures is a basic tool for their prevention. Our study showed that in cases of trauma with mandibular fracture, the teeth in the upper jaw might be at higher risk than the teeth in the lower jaw.…”

“…1,2 Up to now, only 1 article has been published describing the type and frequency of dental lesions in facial trauma. 5 Of the patients analyzed in that article, only 7 had sustained a facial fracture. To our knowledge, a comprehensive study of dental injuries in relation to facial fractures has not been done.…”

“…[1][2][3][4][5] Good occlusion remains the main goal in fracture treatment. Dental injuries may complicate the treatment of facial fractures and usually require postoperative dental treatment adding cost and inconvenience for the patient.…”

A Prospective Study of Dentoalveolar Trauma at the Hospital Das Clínicas, São Paulo University Medical School

“…Studies on dentoalveolar traumas are generally performed at schools in large or middle-sized cities 2,4,5 , middle-sized hospitals 6 and Dental Schools 7,8 . The city of São Paulo in Brazil is the second largest in Latin America and is an outstanding national medical reference center.…”