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Evaluation of Dentoalveolar Trauma in Children and Adolescents: a Modified Classification System and Surgical Treatment Strategies for Its Management.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2017 Jun; Vol. 28 (4), pp. e383-e387. - Publication Year :
- 2017
-
Abstract
- Objective: To retrospectively analyze dentoalveolar trauma in pediatric patients, propose a modified classification, and delineate an approach for its urgent care from the surgeon's perspective.<br />Patients and Methods: Clinical records of patients, attended at the 'A. and P. Kyriakou' Children's Hospital Department of Oral and Maxillofacial Surgery from 2000 to 2015, were retrieved and data were analyzed.<br />Results: A total of 365 cases of dentoalveolar trauma, affecting 363 children and adolescents (221 males and 142 females), with an age range from 1 to 15 years, were treated in the authors' department. The most common injury mechanism was falls. The trauma was graded as class II in most patients (41.65%). The anterior maxilla was injured in the majority of the patients (78.35%). In 230 patients (63%) the trauma involved the primary dentition. Two hundred eighty-nine of the patients were treated with local anesthesia on an emergency basis, while in the rest 76 patients general anesthesia was considered mandatory.<br />Conclusions: Accurate diagnosis, timely treatment, and follow-up are critical for the management of dentoalveolar trauma in pediatric patients. A modified more detailed and severity-specific classification and guidelines for its surgical management may assist practitioners in decision making and effective treatment planning.
- Subjects :
- Accidental Falls statistics & numerical data
Adolescent
Child
Child, Preschool
Female
Greece epidemiology
Humans
Infant
Male
Retrospective Studies
Treatment Outcome
Maxillofacial Injuries diagnosis
Maxillofacial Injuries epidemiology
Maxillofacial Injuries etiology
Maxillofacial Injuries therapy
Tooth Injuries diagnosis
Tooth Injuries epidemiology
Tooth Injuries etiology
Tooth Injuries therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 28
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 28328609
- Full Text :
- https://doi.org/10.1097/SCS.0000000000003720