AIM: To measure the prevalence and incidence of dental trauma and to assess the extent and success of treatment provided. DESIGN: Cross-sectional and one-year incremental study. SUBJECTS AND METHODS: 2022 11-14-year-old pupils were examined in schools for clinical evidence of trauma of anterior teeth. 1891 were examined 15 months later. A history of the trauma and treatment provided were obtained together with some social data. Radiographs were taken of affected teeth. MAIN OUTCOME MEASURES: Degree of trauma, whether treatment was provided and its quality, ACORN classification. RESULTS: 34% had suffered trauma but only 12% needed treatment for 332 teeth. 47% of these teeth had received treatment, of which 59% was inadequate. After 15 months 4% had experienced new injuries. 42% of boys and 28% of girls (P < 0.01) had sustained injuries, as had 38% from ACORN group III and 30% from groups I and II. 67% of those with pain and 40% of those without attended for treatment (P < 0.01), while 69% who were unhappy with the appearance and 35% who were not (P < 0.01) attended. CONCLUSIONS: The primary care services currently available for the treatment of dental trauma are inadequate.
AIM: To measure the prevalence and incidence of dental trauma and to assess the extent and success of treatment provided. DESIGN: Cross-sectional and one-year incremental study. SUBJECTS AND METHODS: 2022 11-14-year-old pupils were examined in schools for clinical evidence of trauma of anterior teeth. 1891 were examined 15 months later. A history of the trauma and treatment provided were obtained together with some social data. Radiographs were taken of affected teeth. MAIN OUTCOME MEASURES: Degree of trauma, whether treatment was provided and its quality, ACORN classification. RESULTS: 34% had suffered trauma but only 12% needed treatment for 332 teeth. 47% of these teeth had received treatment, of which 59% was inadequate. After 15 months 4% had experienced new injuries. 42% of boys and 28% of girls (P < 0.01) had sustained injuries, as had 38% from ACORN group III and 30% from groups I and II. 67% of those with pain and 40% of those without attended for treatment (P < 0.01), while 69% who were unhappy with the appearance and 35% who were not (P < 0.01) attended. CONCLUSIONS: The primary care services currently available for the treatment of dental trauma are inadequate.
Authors: Flavia M Belmonte; Cristiane R Macedo; Peter F Day; Humberto Saconato; Virginia Fernandes Moça Trevisani Journal: Cochrane Database Syst Rev Date: 2013-04-30