Factors associated with positive outcome of avulsion injuries in children

Dejan Marković; Ana Vuković; Rade Vuković; Ivan Soldatović

doi:10.2298/3497

Dejan Marković Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
Ana Vuković Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
Rade Vuković Mother and Child Health Care Institute “Dr Vukan Čupić”, Belgrade, Serbia
Ivan Soldatović Institute for Medical Statistics and Informatics, School of Medicine, University of Belgrade, Belgrade, Serbia

DOI: https://doi.org/10.2298/3497

Keywords: tooth avulsion, child preschool, child, adolescent, risk factors, treatment outcome,

Abstract

Introduction/Aim. Avulsions are severe dental injuries with high impact on patients’ quality of life due to prolonged treatment and possible severe complications. The aim of the study was to analyze the epidemiological factors related to the occurrence, treatment and outcome of avulsions in Serbian children. Methods. This research included 2,194 patients aged 1–18 years with traumatic dental injuries. The history, demographic, clinical and radiographic data of the patients were observed from dental medical records. Results. A total of 266 avulsions were observed in 207 patients. The frequency of avulsions was 12% in primary dentition and 5% in permanent dentition. A statistically significant relationship between place, cause of avulsion and outcome was observed. Replantation of permanent teeth was performed in 46.7% with a mean time 6.9 h. Almost a half of permanently avulsed teeth (48.7%) were not retrieved from the accident site and 11.3% of replanted teeth were transported in adequate media. The observed incidence of complications was 31.9%. Conclusions. Replantation was not performed in more than a half of all eligible teeth due to either loss or inadequate/delayed transport, which emphasizes the need for preventive strategies and health education in population.

Author Biography

Ana Vuković, Department of Paediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia

17.01.2012 - PhD thesis "Epidemiological profile of traumatic dental injuries in Serbian children".

01.10.2010 - present - assistent lecturer at Department of Pediatric and Preventive Dentistry, School of Dental Medicine University of Belgrade.

2011 - present - researcher in project No. 172026 Ministry of Education, Science and Technological Development, Republic od Serbia.

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