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Trauma in Permanent Teeth: Factors Associated with Adverse Outcomes in a University Pediatric Dental Clinic

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Purpose: The purpose of this study was to determine variables associated with adverse outcomes among traumatized permanent teeth in a university pediatric dental clinic.

Methods: Electronic charts of children treated at a university-based dental clinic for trauma in permanent teeth were analyzed. Variables evaluated included demographics (age, sex, American Society of Anesthesiologists classification, and insurance type), affected tooth location, trauma characteristics, type of dental trauma, elapsed time between trauma and initial treatment, elapsed time between the initial and final treatment, initial treatment type, and initial and final restoration type. Adverse outcomes were defined as root canal treatment, decoronation, and extraction. Associations between adverse outcomes and each variable of interest were calculated using chi-square and Fisher's exact test and logistic regression. The significance level was set at five percent.

Results: Adverse outcomes were significantly associated with the type of dental trauma (P=0.001), presence of luxation injury (P=0.048), initial dental treatment (P<0.001), and initial dental restoration type (P=0.019).

Conclusions: Treating dental trauma in permanent teeth in a timely manner can strongly impact their prognosis.
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Keywords: ADVERSE OUTCOMES; PERMANENT TEETH; TRAUMA

Document Type: Research Article

Affiliations: 1: Director, Pediatric Dentistry Unit, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia;, Email: [email protected] 2: Assistant professor, Research and Graduate Programs Department, School of Dentistry, University of Missouri – Kansas City, Mo., USA 3: Assistant professor, Department of Pediatric Dentistry, School of Dentistry, University of Washington, Seattle, Wash., USA

Publication date: 2017-01-01

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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