Document Detail


Diagnosis and treatment of dental trauma in a children's hospital.
MedLine Citation:
PMID:  9566015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A comprehensive review of 487 emergency dental trauma visits seen at a children's hospital during a 3-year period was performed to investigate aspects of trauma care that have not been previously reported. Patient characteristics, diagnoses, and injury treatment were analyzed. General patient characteristics and diagnoses were consistent with other studies. Young children were often injured in falls within the home whereas older children were often injured in sports and activities outside the home. The emergency visit was the first contact with the dentist for 80% of children 3.5 years old and younger. Maxillary incisors accounted for 84% of primary tooth injuries: examination and extraction were common treatments. Maxillary incisors accounted for 87% of permanent tooth injuries: bandage restorations and splint placement were frequent treatments. An assistive restraint device was used most often for children 4 years and younger who required extractions. The restraint was used more frequently during clinic hours with support staff present than after hours with a sole provider. Hospital facilities were not essential for treatment of the patients in this study.
Authors:
S Lombardi; B Sheller; B J Williams
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric dentistry     Volume:  20     ISSN:  0164-1263     ISO Abbreviation:  Pediatr Dent     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-06-18     Completed Date:  1998-06-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  112-20     Citation Subset:  D; IM    
Affiliation:
Department of Dental Medicine, Children's Hospital and Medical Center, University of Washington, Seattle, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / statistics & numerical data
Accidents, Home / statistics & numerical data
Adolescent
Adult
Age Factors
Athletic Injuries / epidemiology
Bandages / statistics & numerical data
Child
Child, Preschool
Dental Care for Children / statistics & numerical data
Emergencies
Female
Hospitals, Pediatric / statistics & numerical data
Humans
Incisor / injuries
Infant
Jaw Fractures / diagnosis,  epidemiology*,  therapy
Male
Maxilla
Restraint, Physical
Retrospective Studies
Splints / statistics & numerical data
Tooth Extraction / statistics & numerical data
Tooth Injuries / diagnosis,  epidemiology*,  therapy
Washington / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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