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Published in: International Journal of Implant Dentistry 1/2023

Open Access 01-12-2023 | Dental Injuries | Research

Traumatic dental injuries over an 8-year period at a German dental center: a retrospective overview and cross-sectional analysis

Authors: Puria Parvini, Yanislava Lermen, Robert Sader, Frank Schwarz, Karina Obreja

Published in: International Journal of Implant Dentistry | Issue 1/2023

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Abstract

Background/aim

The aim of this study was to analyze a population of patients who had suffered from traumatic dental injuries (TDIs) by using different patient-, trauma- and treatment-related parameters.

Material and methods

All dental records of patients ≥ 3 years old who had presented at the dental emergency service between Jan 1, 2009 and Dec 31, 2016 for the treatment of dental trauma were analyzed. A total of 2758 patients were invited for a recall examination at the Department for Dental Surgery and Implantology, ZZMK Carolinum, Goethe University Frankfurt, Germany; of these, 269 patients attended their recall appointments.

Results

The enrolled patient population consisted of 1718 males and 1040 females, with a mean age of 19.63 years (median 12.00 ± 17.354 years). A total of 4909 injured teeth were assessed, with a mean of 1.78 injured teeth per patient (median 2.00 ± 1.279). Males were found to be more frequently affected by TDIs compared to females (1.65:1). The majority of these injuries occurred in the first two decades of life (66.1%; n = 1824). The majority of the patients presented for initial treatment within 24 h of their accident (95.7%). The most frequent TDIs were isolated luxation injuries 49.4% (n = 2426) and isolated crown fractures 30% (n = 1472). Combination injuries were diagnosed in 20.6% of the cases (n = 1011).

Conclusions

Based on the findings of the present analysis, it can be concluded that males were more frequently affected by TDIs than females. Most patients had suffered from TDI before they had turned 10 years of age. Overall, the enamel–dentin fracture was found to be the most frequent injury, followed by concussions and lateral luxations.

Graphical Abstract

Literature
1.
go back to reference Glendor U. Epidemiology of traumatic dental injuries—a 12 year review of the literature. Dent Traumatol. 2008;24(6):603–11.PubMedCrossRef Glendor U. Epidemiology of traumatic dental injuries—a 12 year review of the literature. Dent Traumatol. 2008;24(6):603–11.PubMedCrossRef
2.
go back to reference Eslamipour F, Iranmanesh P, Borzabadi-Farahani A. Cross-sectional study of dental trauma and associated factors among 9- to 14-year-old school children in Isfahan, Iran. Oral Health Prev Dent. 2016;14(5):451–7.PubMed Eslamipour F, Iranmanesh P, Borzabadi-Farahani A. Cross-sectional study of dental trauma and associated factors among 9- to 14-year-old school children in Isfahan, Iran. Oral Health Prev Dent. 2016;14(5):451–7.PubMed
3.
go back to reference Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—one billion living people have had traumatic dental injuries. Dent Traumatol. 2018;34:71–86.PubMedCrossRef Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—one billion living people have had traumatic dental injuries. Dent Traumatol. 2018;34:71–86.PubMedCrossRef
4.
go back to reference Andersson L. Epidemiology of traumatic dental injuries. Pediatr Dent. 2013;35:102–5.PubMed Andersson L. Epidemiology of traumatic dental injuries. Pediatr Dent. 2013;35:102–5.PubMed
5.
go back to reference Richards D. One billion people have experienced a traumatic dental injury. Evid Based Dent. 2018;19:34–5.PubMedCrossRef Richards D. One billion people have experienced a traumatic dental injury. Evid Based Dent. 2018;19:34–5.PubMedCrossRef
6.
go back to reference Fasciglione D, Persic R, Pohl Y, Filippi A. Dental injuries in inline skating—level of information and prevention. Dent Traumatol. 2007;23:143–8.PubMedCrossRef Fasciglione D, Persic R, Pohl Y, Filippi A. Dental injuries in inline skating—level of information and prevention. Dent Traumatol. 2007;23:143–8.PubMedCrossRef
7.
go back to reference Lahti H, Sane J, Ylipaavalniemi P. Dental injuries in ice hockey games and training. Med Sci Sports Exerc. 2002;34:400–2.PubMedCrossRef Lahti H, Sane J, Ylipaavalniemi P. Dental injuries in ice hockey games and training. Med Sci Sports Exerc. 2002;34:400–2.PubMedCrossRef
8.
go back to reference Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009;31:96–101.PubMed Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009;31:96–101.PubMed
9.
go back to reference Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12–14-year-old children. Community Dent Oral Epidemiol. 2002;30:193–8.PubMedCrossRef Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12–14-year-old children. Community Dent Oral Epidemiol. 2002;30:193–8.PubMedCrossRef
10.
go back to reference Spinas E, Melis A, Savasta A. Therapeutic approach to intrusive luxation injuries in primary dentition. A clinical follow-up study. Eur J Paediatr Dent. 2006;7:179–86.PubMed Spinas E, Melis A, Savasta A. Therapeutic approach to intrusive luxation injuries in primary dentition. A clinical follow-up study. Eur J Paediatr Dent. 2006;7:179–86.PubMed
11.
go back to reference Krastl G, Filippi A, Weiger R. Initial management of dental trauma: musts, shoulds, and cans. Quintessence Int. 2020;51:763–74.PubMed Krastl G, Filippi A, Weiger R. Initial management of dental trauma: musts, shoulds, and cans. Quintessence Int. 2020;51:763–74.PubMed
12.
go back to reference Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Rezapour A, Moradi-Joo M, Moosavi A, GhertasiOskouei S. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:234.PubMedPubMedCentral Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Rezapour A, Moradi-Joo M, Moosavi A, GhertasiOskouei S. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:234.PubMedPubMedCentral
13.
go back to reference Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental trauma in an Australian rural centre. Dent Traumatol. 2008;24:663–70.PubMedCrossRef Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental trauma in an Australian rural centre. Dent Traumatol. 2008;24:663–70.PubMedCrossRef
14.
go back to reference Díaz JA, Bustos L, Brandt AC, Fernández BE. Dental injuries among children and adolescents aged 1–15 years attending to public hospital in Temuco, Chile. Dent Traumatol. 2010;26:254–61.PubMedCrossRef Díaz JA, Bustos L, Brandt AC, Fernández BE. Dental injuries among children and adolescents aged 1–15 years attending to public hospital in Temuco, Chile. Dent Traumatol. 2010;26:254–61.PubMedCrossRef
15.
go back to reference Navabazam A, Farahani SS. Prevalence of traumatic injuries to maxillary permanent teeth in 9- to 14-year-old school children in Yazd, Iran. Dent Traumatol. 2010;26:154–7.PubMedCrossRef Navabazam A, Farahani SS. Prevalence of traumatic injuries to maxillary permanent teeth in 9- to 14-year-old school children in Yazd, Iran. Dent Traumatol. 2010;26:154–7.PubMedCrossRef
16.
go back to reference Noori AJ, Al-Obaidi WA. Traumatic dental injuries among primary school children in Sulaimani city, Iraq. Dent Traumatol. 2009;25:442–6.PubMedCrossRef Noori AJ, Al-Obaidi WA. Traumatic dental injuries among primary school children in Sulaimani city, Iraq. Dent Traumatol. 2009;25:442–6.PubMedCrossRef
17.
go back to reference Naidoo S, Sheiham A, Tsakos G. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoolchildren. Dent Traumatol. 2009;25:224–8.PubMedCrossRef Naidoo S, Sheiham A, Tsakos G. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoolchildren. Dent Traumatol. 2009;25:224–8.PubMedCrossRef
18.
go back to reference Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia region. Turkey Dent Traumatol. 2009;25:110–4.PubMedCrossRef Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia region. Turkey Dent Traumatol. 2009;25:110–4.PubMedCrossRef
19.
go back to reference Altun C, Ozen B, Esenlik E, Guven G, Gürbüz T, Acikel C, Basak F, Akbulut E. Traumatic injuries to permanent teeth in Turkish children, Ankara. Dent Traumatol. 2009;25:309–13.PubMedCrossRef Altun C, Ozen B, Esenlik E, Guven G, Gürbüz T, Acikel C, Basak F, Akbulut E. Traumatic injuries to permanent teeth in Turkish children, Ankara. Dent Traumatol. 2009;25:309–13.PubMedCrossRef
20.
go back to reference David J, Astrøm AN, Wang NJ. Factors associated with traumatic dental injuries among 12-year-old schoolchildren in South India. Dent Traumatol. 2009;25:500–5.PubMedCrossRef David J, Astrøm AN, Wang NJ. Factors associated with traumatic dental injuries among 12-year-old schoolchildren in South India. Dent Traumatol. 2009;25:500–5.PubMedCrossRef
21.
go back to reference Andreasen JO, Andreasen FM, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries—a review article. Dent Traumatol. 2002;18:116–28.PubMedCrossRef Andreasen JO, Andreasen FM, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries—a review article. Dent Traumatol. 2002;18:116–28.PubMedCrossRef
22.
go back to reference Saroglu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18:299–303.PubMedCrossRef Saroglu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18:299–303.PubMedCrossRef
23.
24.
go back to reference Cunha RF, Pugliesi DM, de Mello Vieira AE. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol. 2001;17:210–2.PubMedCrossRef Cunha RF, Pugliesi DM, de Mello Vieira AE. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol. 2001;17:210–2.PubMedCrossRef
25.
go back to reference Kramer PF, Zembruski C, Ferreira SH, Feldens CA. Traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2003;19:299–303.PubMedCrossRef Kramer PF, Zembruski C, Ferreira SH, Feldens CA. Traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2003;19:299–303.PubMedCrossRef
26.
go back to reference Avsar A, Topaloglu B. Traumatic tooth injuries to primary teeth of children aged 0–3 years. Dent Traumatol. 2009;25:323–7.PubMedCrossRef Avsar A, Topaloglu B. Traumatic tooth injuries to primary teeth of children aged 0–3 years. Dent Traumatol. 2009;25:323–7.PubMedCrossRef
27.
go back to reference Lauridsen E, Blanche P, Amaloo C, Andreasen JO. The risk of healing complications in primary teeth with concussion or subluxation injury—a retrospective cohort study. Dent Traumatol. 2017;33:337–44.PubMedCrossRef Lauridsen E, Blanche P, Amaloo C, Andreasen JO. The risk of healing complications in primary teeth with concussion or subluxation injury—a retrospective cohort study. Dent Traumatol. 2017;33:337–44.PubMedCrossRef
28.
go back to reference Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with extrusive or lateral luxation—a retrospective cohort study. Dent Traumatol. 2017;33:307–16.PubMedCrossRef Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with extrusive or lateral luxation—a retrospective cohort study. Dent Traumatol. 2017;33:307–16.PubMedCrossRef
29.
go back to reference Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: a retrospective cohort study. Dent Traumatol. 2017;33:329–36.PubMedCrossRef Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: a retrospective cohort study. Dent Traumatol. 2017;33:329–36.PubMedCrossRef
30.
go back to reference Taiwo OO, Jalo HP. Dental injuries in 12-year old Nigerian students. Dent Traumatol. 2011;27:230–4.PubMedCrossRef Taiwo OO, Jalo HP. Dental injuries in 12-year old Nigerian students. Dent Traumatol. 2011;27:230–4.PubMedCrossRef
31.
go back to reference Gupta S, Kumar-Jindal S, Bansal M, Singla A. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4–15 years old government school children in Baddi-Barotiwala Area, Himachal Pradesh, India. Med Oral Patol Oral Cir Bucal. 2011;16:e960–5.PubMedCrossRef Gupta S, Kumar-Jindal S, Bansal M, Singla A. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4–15 years old government school children in Baddi-Barotiwala Area, Himachal Pradesh, India. Med Oral Patol Oral Cir Bucal. 2011;16:e960–5.PubMedCrossRef
32.
go back to reference Fakhruddin KS, Lawrence HP, Kenny DJ, Locker D. Etiology and environment of dental injuries in 12- to 14-year-old Ontario schoolchildren. Dent Traumatol. 2008;24:305–8.PubMedCrossRef Fakhruddin KS, Lawrence HP, Kenny DJ, Locker D. Etiology and environment of dental injuries in 12- to 14-year-old Ontario schoolchildren. Dent Traumatol. 2008;24:305–8.PubMedCrossRef
33.
go back to reference Gulinelli JL, Saito CT, Garcia-Júnior IR, Panzarini SR, Poi WR, Sonoda CK, Jardim EC, Faverani LP. Occurrence of tooth injuries in patients treated in hospital environment in the region of Araçatuba, Brazil during a 6-year period. Dent Traumatol. 2008;24:640–4.PubMedCrossRef Gulinelli JL, Saito CT, Garcia-Júnior IR, Panzarini SR, Poi WR, Sonoda CK, Jardim EC, Faverani LP. Occurrence of tooth injuries in patients treated in hospital environment in the region of Araçatuba, Brazil during a 6-year period. Dent Traumatol. 2008;24:640–4.PubMedCrossRef
34.
go back to reference Mjör IA. Pulp-dentin biology in restorative dentistry. Part 5: clinical management and tissue changes associated with wear and trauma. Quintessence Int. 2001;32:771–88.PubMed Mjör IA. Pulp-dentin biology in restorative dentistry. Part 5: clinical management and tissue changes associated with wear and trauma. Quintessence Int. 2001;32:771–88.PubMed
35.
go back to reference Mjör IA. Pulp-dentin biology in restorative dentistry. Part 7: the exposed pulp. Quintessence Int. 2002;33:113–35.PubMed Mjör IA. Pulp-dentin biology in restorative dentistry. Part 7: the exposed pulp. Quintessence Int. 2002;33:113–35.PubMed
36.
go back to reference Love RM, Jenkinson HF. Invasion of dentinal tubules by oral bacteria. Crit Rev Oral Biol Med. 2002;13:171–83.PubMedCrossRef Love RM, Jenkinson HF. Invasion of dentinal tubules by oral bacteria. Crit Rev Oral Biol Med. 2002;13:171–83.PubMedCrossRef
37.
go back to reference Lauridsen E, Hermann NV, Gerds TA, Ahrensburg SS, Kreiborg S, Andreasen JO. Combination injuries 1. The risk of pulp necrosis in permanent teeth with concussion injuries and concomitant crown fractures. Dent Traumatol. 2012;28:364–70.PubMedCrossRef Lauridsen E, Hermann NV, Gerds TA, Ahrensburg SS, Kreiborg S, Andreasen JO. Combination injuries 1. The risk of pulp necrosis in permanent teeth with concussion injuries and concomitant crown fractures. Dent Traumatol. 2012;28:364–70.PubMedCrossRef
38.
go back to reference de Blanco LP. Treatment of crown fractures with pulp exposure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:564–8.PubMedCrossRef de Blanco LP. Treatment of crown fractures with pulp exposure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:564–8.PubMedCrossRef
39.
go back to reference Cvek M, Andreasen JO, Borum MK. Healing of 208 intra-alveolar root fractures in patients aged 7–17 years. Dent Traumatol. 2001;17:53–62.PubMedCrossRef Cvek M, Andreasen JO, Borum MK. Healing of 208 intra-alveolar root fractures in patients aged 7–17 years. Dent Traumatol. 2001;17:53–62.PubMedCrossRef
40.
go back to reference Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol. 2004;20:192–202.PubMedCrossRef Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol. 2004;20:192–202.PubMedCrossRef
41.
go back to reference Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol. 2004;20:203–11.PubMedCrossRef Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol. 2004;20:203–11.PubMedCrossRef
42.
go back to reference Cvek M, Mejàre I, Andreasen JO. Healing and prognosis of teeth with intraalveolar fractures involving the cervical part of the root. Dent Traumatol. 2002;18:57–65.PubMedCrossRef Cvek M, Mejàre I, Andreasen JO. Healing and prognosis of teeth with intraalveolar fractures involving the cervical part of the root. Dent Traumatol. 2002;18:57–65.PubMedCrossRef
43.
go back to reference Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija. 2014;16:7–14.PubMed Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija. 2014;16:7–14.PubMed
44.
go back to reference Robertson A. A retrospective evaluation of patients with uncomplicated crown fractures and luxation injuries. Endod Dent Traumatol. 1998;14:245–56.PubMedCrossRef Robertson A. A retrospective evaluation of patients with uncomplicated crown fractures and luxation injuries. Endod Dent Traumatol. 1998;14:245–56.PubMedCrossRef
45.
go back to reference Robertson A, Andreasen FM, Andreasen JO, Norén JG. Long-term prognosis of crown-fractured permanent incisors. The effect of stage of root development and associated luxation injury. Int J Paediatr Dent. 2000;10:191–9.PubMedCrossRef Robertson A, Andreasen FM, Andreasen JO, Norén JG. Long-term prognosis of crown-fractured permanent incisors. The effect of stage of root development and associated luxation injury. Int J Paediatr Dent. 2000;10:191–9.PubMedCrossRef
46.
go back to reference Viduskalne I, Care R. Analysis of the crown fractures and factors affecting pulp survival due to dental trauma. Stomatologija. 2010;12:109–15.PubMed Viduskalne I, Care R. Analysis of the crown fractures and factors affecting pulp survival due to dental trauma. Stomatologija. 2010;12:109–15.PubMed
47.
go back to reference Lee R, Barrett EJ, Kenny DJ. Clinical outcomes for permanent incisor luxations in a pediatric population. II. Extrusions. Dent Traumatol. 2003;19:274–9.PubMedCrossRef Lee R, Barrett EJ, Kenny DJ. Clinical outcomes for permanent incisor luxations in a pediatric population. II. Extrusions. Dent Traumatol. 2003;19:274–9.PubMedCrossRef
48.
go back to reference Nikoui M, Kenny DJ, Barrett EJ. Clinical outcomes for permanent incisor luxations in a pediatric population. III. Lateral luxations. Dent Traumatol. 2003;19:280–5.PubMedCrossRef Nikoui M, Kenny DJ, Barrett EJ. Clinical outcomes for permanent incisor luxations in a pediatric population. III. Lateral luxations. Dent Traumatol. 2003;19:280–5.PubMedCrossRef
49.
go back to reference Ferrazzini Pozzi EC, von Arx T. Pulp and periodontal healing of laterally luxated permanent teeth: results after 4 years. Dent Traumatol. 2008;24:658–62.PubMedCrossRef Ferrazzini Pozzi EC, von Arx T. Pulp and periodontal healing of laterally luxated permanent teeth: results after 4 years. Dent Traumatol. 2008;24:658–62.PubMedCrossRef
50.
go back to reference Humphrey JM, Kenny DJ, Barrett EJ. Clinical outcomes for permanent incisor luxations in a pediatric population. I. Intrusions. Dent Traumatol. 2003;19:266–73.PubMedCrossRef Humphrey JM, Kenny DJ, Barrett EJ. Clinical outcomes for permanent incisor luxations in a pediatric population. I. Intrusions. Dent Traumatol. 2003;19:266–73.PubMedCrossRef
Metadata
Title
Traumatic dental injuries over an 8-year period at a German dental center: a retrospective overview and cross-sectional analysis
Authors
Puria Parvini
Yanislava Lermen
Robert Sader
Frank Schwarz
Karina Obreja
Publication date
01-12-2023
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2023
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-023-00506-x

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