Etiology and Pattern of Traumatic Dental Injuries (TDI) in the Primary Dentition of 4 to 6 Year old Children reporting to a Tertiary Dental Setting - a Descriptive Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Aims: The aims of the study were to assess the etiology and pattern of distribution of traumatic injuries to the teeth of 4 to 6 year old children reporting to tertiary dental setting, Kottayam and to compare the prevalence of these injuries between boys and girls. Methods: Study group was selected from the patients reporting with a history of acute dental trauma and in the age group of 4-6 years. A detailed history of all the patients who were willing to take part in the study was taken, followed by a thorough extra and intra oral examination by trained examiner using a mouth mirror and dental probe. Intra-examiner consistency was assessed by kappa values on tooth-by-tooth basis. The chi square test was used to analyze any gender and age differences. Children with chronic medical conditions or other disabilities were excluded. Results: Avulsion and mobility were the most prevalent, followed by crown fracture with only enamel involvement. Highly significant differences was found between boys and girls for avulsion of teeth and Crown fracture involving enamel, dentine (P<0.001). The commonest cause of injury was due to a fall (60%) and in 40% of cases, the injury occurred at home. Conclusions: The prevalence of traumatic injuries to the anterior teeth of the 4 to 6 year olds who took part in this study was very high. There is a need to run educational programmes to increase parents’ awareness of the risks of dental trauma.
Authors and Affiliations
Digesh Balachandran, Jeeva P P, Ambika S
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