Faktori koji utiču na pozitivan ishod avulzija zuba kod dece

  • 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
Ključne reči: tooth avulsion||, ||zub, avulzija, child preschool||, ||deca, predškolska, child||, adolescent||, ||adolescenti, risk factors||, ||faktori rizika, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod/Cilj. Avulzije spadaju među najteže povrede zuba kod dece i utiču na njihov psihosocijalni razvoj zbog dugotrajne terapije i mogućih teških komplikacija. Cilj istraživanja bio je analiza epidemioloških faktora povezanih sa nastankom, terapijom i ishodom avulzija kod dece u Srbiji. Metode. Ovo istraživanje obuhvatilo je 2 194 ispitanika uzrasta 1–18 godina sa povredama zuba. Podaci su dobijeni iz kartona povreda i stomatoloških kartona, a obuhvatali su: anamnestičke podatke, demografske podatke, podatke iz kliničkog i radiološkog pregleda. Rezultati. Zabeleženo je ukupno 266 avulzija kod 207 ispitanika. Učestalost avulzija u mlečnoj denticiji iznosila je 12%, a u stalnoj 5%. Uočena je statistički značajna povezanost između mesta, uzroka povrede i ishoda avulzije. Replantacija stalnih zuba je izvršena kod 46,7% ispitanika sa prosečnim vremenom 6,9 h. Skoro polovina svih avulziranih stalnih zuba (48,7%) nije donešena sa mesta povrede, dok je svega 11,3% replantiranih zuba donešeno u adekvatnom medijumu. Učestalost komplikacija iznosila je 31,9%. Zaključak. Replantacija nije vršena kod više od polovine raspoloživih avulziranih zuba zbog neadekvatnog transporta ili zakasnelog dolaska kod stomatologa, što ukazuje na hitnu potrebu za izradom preventivnih strategija i zdravstveno-vaspitnim radom unutar populacije.

Biografija autora

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

17.01.2012 – uspešno odbranjena doktorska disertacija pod nazivom „Epidemiološki profil povreda zuba kod dece u Srbiji“ na Stomatološkom fakultetu, Univerzitet u Beogradu.

●      01.10.2010 – stručni saradnik za naučnu oblast Kliničke stomatološke nauke – nastavni predmeti: Oralna higijena, Preventivna stomatologija, Dečija stomatologija, Profilaksa oralnih bolesti i Stomatološka zaštita u zajednici na Klinici za dečju i preventivnu stomatologiju, Stomatološki fakultet Univerzitet u Beogradu.

2011- – istraživač na projektu „Hemijsko i strukturno dizajniranje nanomaterijala za primenu u medicini i inženjerstvu tkiva“ Ministarstva prosvete, nauke i tehnološkog razvoja Republike Srbije, broj projekta 172026.

Reference

Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Copenhagen: Blackwell Munksgaard; 2007.

Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Dent Traumatol 1995; 11(2): 76−89.

Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replanta-tion of 400 avulsed permanent incisors. 2. Factors related to pulpal healing. Dent Traumatol 1995; 11(2): 59−68.

Christophersen P, Freund M, Harild L. Avulsion of primary teeth and sequelae on the permanent successors. Dent Traumatol 2005; 21(6): 320−3.

Glendor U, Jonsson D, Halling A, Lindqvist K. Direct and indirect costs of dental trauma in Sweden: a 2-year prospective study of children and adolescents. Community Dent Oral Epidemiol 2001; 29(2): 150−60.

Soriano EP, Caldas AF, de Diniz CM, de Amorim FH. Prevalence and risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol 2007; 23(4): 232−40.

Traebert J, Peres MA, Blank V, Böell RS, Pietruza JA. Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianópolis, Brazil. Dent Trau-matol 2003; 19(1): 15−8.

Pinkham JR. Pediatric Dentistry - infancy through childhood. 3rd ed. Philadelphia: W.B. Saunders; 1999.

Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000; 45(1): 2−9.

Wood EB, Freer TJ. A survey of dental and oral trauma in south-east Queensland during 1998. Aust Dent J 2002; 47(2): 142−6.

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(1): 110−4.

Ravn JJ. Dental injuries in Copenhagen schoolchildren, school years 1967-1972. Community Dent Oral Epidemiol 1974; 2(5): 231−45.

Nicolau B, Marcenes W, Sheiham A. The relationship between traumatic dental injuries and adolescents' development along the life course. Community Dent Oral Epidemiol 2003; 31(4): 306−13.

Vanderas AP, Papagiannoulis L. Urinary catecholamine levels and dentofacial injuries in children. Endod Dent Traumatol 1997; 13(5): 238−44.

Odoi R, Croucher R, Wong F, Marcenes W. The relationship be-tween problem behaviour and traumatic dental injury amongst children aged 7-15 years old. Community Dent Oral Epide-miol 2002; 30(5): 392−6.

Dewhurst SN, Mason C, Roberts GJ. Emergency treatment of orodental injuries: a review. Br J Oral Maxillofac Surg 1998; 36(3): 165−75.

Sgan-Cohen HD, Megnagi G, Jacobi Y. Dental trauma and its as-sociation with anatomic, behavioral, and social variables among fifth and sixth grade schoolchildren in Jerusalem. Community Dent Oral Epidemiol 2005; 33(3): 174−80.

Gassner R, Bösch R, Tuli T, Emshoff R. Prevalence of dental trauma in 6000 patients with facial injuries: implications for prevention. Oral Surg Oral Med Oral Pathol Oral Radiol En-dod 1999; 87(1): 27−33.

Petrovic B, Marković D, Peric T, Blagojevic D. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol 2010; 26(1): 52−9.

Zhang X, Gong Y. Characteristics of avulsed permanent teeth treated at Beijing Stomatological Hospital. Dent Traumatol 2011; 27(5): 379−84.

da Fonseca MA, Feigal RJ, Bensel RW. Dental aspects of 1248 cases of child maltreatment on file at a major county hospital. Pediatr Dent 1992; 14(3): 152−7.

Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90(2): 126−34.

Trope M. Avulsion of permanent teeth: theory to practice. Dent Traumatol 2011; 27(4): 281−94.

Martin IG, Daly CG, Liew VP. After-hours treatment of ante-rior dental trauma in Newcastle and western Sydney: a four-year study. Aust Dent J 1990; 35(1): 27−31.

Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002;18(6): 287−98.

Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth. Dent Trauma-tol 2007; 23(3): 130−6.

American Academy on Pediatric Dentistry Council on Clinical Affairs. Guideline on management of acute dental trauma. Pediatr Dent 2008−2009; 30(7 Suppl): 175−83.

Day P, Duggal M. Interventions for treating traumatised per-manent front teeth: avulsed (knocked out) and replanted. Cochrane Database Syst Rev 2010; (1): CD006542.

Tzigkounakis V, Merglová V, Hecová H, Netolický J. Retrospective clinical study of 90 avulsed permanent teeth in 58 children. Dent Traumatol 2008; 24(6): 598−602.

Kinoshita S, Kojima R, Taguchi Y, Noda T. Tooth replantation af-ter traumatic avulsion: a report of ten cases. Dent Traumatol 2002; 18(3): 153−6.

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(3): 116−28.

Barrett EJ, Kenny DJ. Survival of avulsed permanent maxillary incisors in children following delayed replantation. Endod Dent Traumatol 1997; 13(6): 269−75.

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(3): 254−61.

Batstone MD, Waters C, Porter SA, Monsour FT. Treatment delays in paediatric dento-alveolar trauma at a tertiary referral hospital. Aust Dent J 200449(1): 28−32.

Granger T, Gunn A, Welbury R. Tooth replantation: a worth-while exercise. Acta Stomatol Croat 2011; 45(2): 75−85.

Heithersay GS. Management of tooth resorption. Aust Dent J 2007; 52(1 Suppl): 105−21.

Pohl Y, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. II. Periodontal healing and the role of physiologic storage and antiresorptive-regenerative therapy. Dent Traumatol 2005; 21(2): 93−101.

Objavljeno
2015/04/24
Broj časopisa
Vol. 71 Br. 9 (2014)
Rubrika
Originalni članak